The OB-GYN nurse is teaching a patient at the clinic that use of a spermicide has an increased effectiveness if used with: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. A non–water-based lubricant.
2. A diaphragm.
3. A contraceptive sponge.
4. Prophylactic antibiotics.
5. A condom.
2,3,5
Rationale 1: Water-based lubricants should be used, especially if a condom is used as a barrier.
Rationale 2: Spermicidal effectiveness increases in conjunction with a barrier method of contraception, such as the diaphragm.
Rationale 3: Spermicidal effectiveness increases in conjunction with a barrier method of contraception, such as the contraceptive sponge.
Rationale 4: Prophylactic antibiotics are not a means of increasing spermicidal effectiveness.
Rationale 5: Spermicidal effectiveness increases in conjunction with a barrier method of contraception, such as a male or female condom.
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Which of the following are questions that can be asked when assessing organizational culture? Select all that apply
a. Are risk and change encountered? b. What is the informal chain of command? c. What is the colloquial chain of command? d. What are the rules about how things should be done?
The nurse is caring for an older adult patient prescribed allopurinol (Zyloprim). What action by the nurse is best?
a. Offering fresh, cold water frequently dur-ing the day b. Monitoring temperature every 4 hours c. Ensuring sufficient protein intake d. Assessing for depression symptoms daily
A patient receiving dobutamine (Dobutrex) at 180 mcg/minute is having all of the following physiologic responses. Which response indicates that the drip rate may be too high?
a. Systolic blood pressure increase from 106 to 122 mm Hg b. Hourly urine output of 100 mL c. Facial flushing d. Chest pain
The client scheduled to undergo minor surgery states, "The physician will not give me pain medication after surgery because my surgery is only minor." What is the best response by the nurse?
1. "You can experience pain after minor surgery, so you can have pain medication." 2. "You are correct. The physician will not order any pain medication." 3. "You are correct. I will need to teach you nonpharmacologic pain relief measures." 4. " You can only have about half the dose because your surgery is minor."