The nurse is planning to teach couples factors that influence fertility. Which of the following should not be included in the teaching plan?
1. Sexual intercourse should occur four times a week.
2. Get up to urinate 1 hour after intercourse.
3. Do not douche.
4. Institute stress-reduction techniques.
1
Rationale:
1. Intercourse should occur 1–3 times per week at intervals of no less than 48 hours.
2. Urinating 1 hour after intercourse, not douching, and stress-reduction techniques should be included in the teaching plan.
3. Urinating 1 hour after intercourse, not douching, and stress-reduction techniques should be included in the teaching plan.
4. Urinating 1 hour after intercourse, not douching, and stress-reduction techniques should be included in the teaching plan.
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A child ingests a parent's aspirin tablets, and the prescriber orders sodium bicarbonate to block the toxic effects of the aspirin. The nurse caring for this patient knows that sodium bicarbonate is effective against the aspirin because it:
a. accelerates its passage through the intes-tine. b. alters urinary pH to enhance renal excre-tion. c. induces CYP isoenzymes to increase drug metabolism. d. raises the pH of the interstitial fluid to fa-cilitate passage out of the cells.
The SBAR technique (situation-background-assessment-recommendation) is designed to improve communication among health care personnel. Which of the following is an example of assessment? a. "I'm calling about Mr. Jones in 312.". b. "Mr. Jones hasn't had a bowel movement in 2 days, which is unusual for him.". c. "Mr. Jones has decreased peristalsis, abdominal discomfort, and is on a
narcoticanalgesic.". d. "Can we start him on Colace 2 BID and add magnesium citrate if no BM within 8 hours?"
A nurse caring for a client with leukemia who is undergoing chemotherapy reviews the latest laboratory results and notes that the neutrophil count is below 500 cells/mm3. Which of the following interventions does the nurse implement on the basis of this finding?
A. Providing a soft toothbrush for oral care B. Monitoring the client's oral temperature C. Maintaining sterile occlusion of intravenous (IV) catheters D. Requiring the client to use an electric shaver rather than a razor E. Performing meticulous skin decontamination before venipuncture F. Avoiding overinflation of the blood pressure cuff and rotating the cuff among several sites when measuring the blood pressure
Left occipito-anterior (LOA) describes baby's:
a. presentation. b. lie. c. attitude. d. position.