A female client in a reproductive health clinic tells the nurse practitioner that she douches every day. Should the nurse tell the client to continue this practice?
A) Yes, this helps prevent vaginal odor.
B) Yes, this decreases vaginal secretions.
C) No, douching removes normal bacteria.
D) No, douching may increase secretions.
Ans: C
In normal healthy women, daily douching is believed to be unnecessary because it removes normal bacterial flora from the vagina. Douching has been linked to bacterial vaginosis, pelvic inflammatory disease, higher rates of HIV transmission, tubal pregnancies, chlamydial infection, and cervical cancer.
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The triage nurse in a hospital emergency department is determining the order of care for several patients. Which of the following would the nurse consider as having the highest priority?
a. A 68-year-old patient suffering from dehydration and disorientation b. A 14-year-old patient having respiratory distress and increasing anxiety c. A 46-year-old patient with multiple cuts and abrasions to the upper extremities d. A 38-year-old patient with a broken right hip and in severe pain
The nurse is planning to assess an adult patient with a neurological problem for abnormal posturing. For what postures should the nurse specifically assess?
Select all that apply. 1. decorticate 2. decerebrate 3. circumduction 4. festinating 5. nystagmus
A newly married couple who are both carriers of the sickle cell trait ask what the risk is of their children having sickle cell anemia. The nurse explains:
a. Every fourth child will have the disease; two others will be carriers b. All of their children will be carriers, just as they are c. Each child has a 1 in 4 chance of having the disease and a 2 in 4 chance of being a carrier d. The risk levels of their children cannot be determined by this information
Secondary prevention in the occupational health arena may include:
a. Providing education on safety in the workplace to prevent injury b. Working with chronically diabetic workers to ensure appropriate medications c. Screening for hearing loss resulting from noise levels in the plants d. Ensuring that a person with cardiovascular disease attends a rehab program