A nurse is providing education for a client who is living in an area of the world where malaria is endemic. Which of the following interventions would be appropriate to include?

a. Receive a dose of intravenous (IV) qui-nine
b. Avoid direct contact with individuals who have malaria
c. Use insecticide-treated bed nets
d. Apply dichlorodiphenyltrichloroethane (DDT) spray


ANS: C
An effective antimalarial intervention is the use of insecticide-treated bed nets. Malaria is con-tracted by being bit by an infected mosquito; it cannot be passed by direct person-to-person con-tact. IV quinine is the drug of choice for treating malaria, not preventing it. Some mosquitoes are resistant to DDT, so this may not be effective.

Nursing

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The student nurse has an emotional response to the stress of an upcoming examination. This is an example of:

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A client has been diagnosed with anorexia nervosa and is currently receiving treatment. During a physical assessment, which finding indicates the client may be noncompliant with therapeutic interventions?

a. Urine specific gravity of 1.002 b. Weight gain of 1 pound since the previous week c. The client opts to wear only a gown when weighed d. The client verbalizes that treatment is making the client feel better

Nursing

The client at 14 weeks' gestation has undergone a transvaginal ultrasound to assess cervical length. The ultrasound revealed cervical funneling. How should the nurse explain these findings to the client?

1. "Your cervix has become cone-shaped and more open at the end near the baby." 2. "Your cervix is lengthened, and you will deliver your baby prematurely." 3. "Your cervix is short, and has become wider at the end that extends into the vagina." 4. "Your cervix was beginning to open but now is starting to close up again."

Nursing

The client is planning a lengthy trip by automobile. She plans to leave her home at 8:00 AM. When should she plan to take her dimenhydrinate (Dramamine) to prevent motion sickness?

a. 6:30 AM b. 7:00 AM c. 7:30 AM d. 8:00 AM

Nursing