A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is:
a. "Your friend may be right. The disease may affect your ability to conceive."
b. "Pelvic inflammatory disease may damage the ovaries and prevent ovulation."
c. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."
d. "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea."
C
Providing the client with accurate, complete information is the best response. Pelvic inflammatory disease does produce scarring and obstruction of the fallopian tube if the infection is not treated.
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Which behavioral approach should a nurse use when caring for children diagnosed with disruptive behavior disorders?
1. Involving parents in designing and implementing the treatment process 2. Reinforcing positive actions to encourage repetition of desirable behaviors 3. Providing opportunities to learn appropriate peer interactions 4. Administering psychotropic medications to improve quality of life
When inspecting the region of the lacrimal gland, palpate:
a. the lower orbital rim, near the inner can-thus. b. in the area between the arch of the eye-brow and upper lid. c. beneath the lower lid, adjacent to the inner canthus. d. adjacent to the lateral aspect of the eye, just beneath the upper lid.
A patient diagnosed with probable Alzheimer's
disease is having his swallowing ability tested. His wife asks you why this is necessary. What is your best response? a. "This is a routine assessment that is completed for every patient." b. "The prescriber ordered this test to be done to prevent side effects of a new drug for your husband's disease." c. "This test tells us where your husband's swallowing is now, because it may get worse as his disease progresses." d. "We are concerned about whether we will need to place a feeding tube to give his medications."
The pregnant client at 41 weeks is scheduled for labor induction. She asks the nurse whether induction is really necessary. What response by the nurse is best?
1. "Babies can develop postmaturity syndrome, which increases their chances of having complications after birth." 2. "When infants are born 2 or more weeks after their due date, they have meconium in the amniotic fluid." 3. "Sometimes the placenta ages excessively, and we want to take care of that problem before it happens." 4. "The doctor wants to be proactive in preventing any problems with your baby if he gets any bigger."