In a patient whose wound has a high risk of infection or must be drained, wound closure occurs by:
a. primary union (first intention).
b. granulation (second intention).
c. delayed primary closure (third intention).
d. regenerative closure (fourth intention).
ANS: C
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A newly married couple tells the nurse they would like to wait a few years before starting a family. Which statement made by the man indicates an understanding about sexual activity and pregnancy?
a. "My wife can't get pregnant if I withdraw before climax." b. "A man can secrete semen before ejaculation." c. "If we don't have intercourse very often, my wife won't get pregnant." d. "It is safe to ejaculate outside the vagina."
A woman at 30 weeks' gestation and a history of sickle cell anemia is experiencing fever, chills, and diarrhea for 3 days. What are the most serious potential complications that this client faces?
1. Severe lethargy 2. Sickle cell crisis 3. Electrolyte imbalance 4. Fetal neural tube defects
The local hospital emergency department has recently experienced an increase in gastroenteritis cases among migrant farmworkers. The local health department is informed of this rise in cases and schedules a case mapping of local:
A. bars frequented by migrant workers. B. farm fields employing migrant workers. C. housing for migrant workers. D. restaurants frequented by migrant workers.
The primary care NP is performing a medication reconciliation on a patient who takes digoxin for congestive heart failure and learns that the patient uses ibuprofen as needed for joint pain. The NP should counsel this patient to:
a. use naproxen (Naprosyn) instead of ibuprofen. b. increase the dose of digoxin while taking the ibuprofen. c. use an increased dose of ibuprofen while taking the digoxin. d. take potassium supplements to minimize the effects of the ibuprofen.