Test 4 Objectives

The nurse is caring for a patient who is on morphine therapy. The patient develops oliguria. What is the ideal treatment strategy for the patient?

Consult with the health care provider for a change in prescription

Which would the nurse instruct a patient to do to promote sleep if the patient reports insomnia?

Consume a light bedtime snack

A client with abnormal uterine bleeding and a hemoglobin level of less than 8 g/dl is hospitalized. The client is given conjugated estrogens, and the nurse monitors the client for the next 24 hours. Which condition in the client indicates a need for dilation and curettage?

Continuous bleeding

For the 12 proceeding months prior to surgery, what is one of the requirements for a patient requesting a vaginoplasty or a phalloplasty?

Continuously living in the role of the desired gender identity

After giving birth to a stillborn infant, the woman turns to the nurse and says, "I just finished painting the baby's room. Do you think that caused my baby to die?" What is the nurse's best response to this woman?

"I can understand your need to find an answer to what caused this. What else are you thinking about?

The nurse-midwife is teaching a group of women who are pregnant about Kegel exercises. Which statement by a participant would indicate a correct understanding of the instruction?

"I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises."

The nurse is teaching the family members about end-of-life care for a terminally ill patient. Which caregiver statement indicates a need for further teaching?

"I should wake up the patient if he or she sleeps continuously."

The nurse is teaching the family members about providing care to a patient with a terminal illness whose sleep is increased. Which teaching by the nurse is appropriate?

"Spend time sitting quietly with the patient."

Which priority question should the nurse ask when beginning a spiritual assessment?

"What gives you meaning in your life?"

The trauma nurse is providing care to a patient who was involved in a motorcycle accident and requires emergency surgery for internal injuries. The patient states, "I was never baptized, and I don't want to go to purgatory." Which response by the nurse is most appropriate?

"Would you like me to contact the hospital priest?

A 25-year-old male complains to the nurse that he feels embarrassed to participate in social activities because he is of very short stature. He asks the nurse to give some suggestions to increase his height. Which would be the most appropriate response given by the nurse?

"You cannot become taller now, because the body stops growing after a certain age."

The daughter of a dying patient says, "I don't want my father to be uncomfortable." How does the nurse respond?

"Your father will be closely monitored and cared for."

The nurse is discussing methods of preventing sexually transmitted infections (STIs). Which approaches does the nurse suggest for sexually active patients? Select all that apply.

Abstinence Latex condoms Mutual monogamy Polyurethane condoms

A 50-year-old woman has elevated serum cholesterol levels that increase her risk for cardiovascular disease. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of: 1. Referral. 2. Counseling. 3. Health education. 4. Stress-management techniques.

Health education.

Sexually transmitted infections (STIs) continue to be a major health problem in young adults. Men ages 20 to 24 years have the highest rate of which STI? 1. Chlamydia 2. Syphilis 3. Gonorrhea 4. Herpes zoster

Chlamydia

Which sexually transmitted infection must be reported to the health department?

Chlamydia

A female patient reports pain when urinating, discharge from the vagina, and pelvic pain. Which microorganism could be responsible for an infection with these symptoms?

Chlamydia trachomatis

The nurse recognizes that bullying is a common occurrence during the school-age years. How are the victims of bullies affected? Select all that apply

Nightmares Social isolation Psychologic distress Increased self-harm behaviors

Which discipline would the nurse refer an older patient to in order to determine functional decline during a long hospitalization?

Physical therapist

What is the correct way to refer to a patient who self-identifies as the opposite gender?

Transgender

Which nursing student statement regarding Medicare Hospice Benefits indicates a need for further teaching by the nursing instructor?

"Medicare Hospice Benefits also have assistance programs for those who fail to qualify for hospice care."

A nurse is caring for a male-to-female transgender patient who wishes to undergo gender-reassignment surgery. Which information provided by the nursing student indicates a need for further education?

"Orchiectomy requires at least six months of hormone therapy.

The nursing instructor is teaching a group of nursing students about the structure and function of the male reproductive system. What statement by the instructor is accurate?

"Surgical removal of the foreskin is called circumcision."

Which nursing student statement regarding the Patient Self-Determination Act (PSDA) indicates a need for further teaching?

"The U.S. Congress passed the PSDA in 1900."

During middle childhood, some children tend to tell stories to their parents by exaggerating events at school. What suggestion does the nurse provide parents to manage this behavior?

Teach the difference between reality and fantasy.

A hospice patient becomes too weak to swallow. What does the nurse do initially to increase the patient's comfort?

Teaches the family how to provide oral care

A patient with pelvic inflammatory disease (PID) expresses concern about the cost of antibiotics. What nursing intervention is least likely to be employed by the nurse?

Telling the patient she needs antibiotics no matter what

What assessment finding demonstrates the onset of puberty in an adolescent boy?

Testicular enlargment

Which organization recommends posting a patient's bill of rights and nondiscrimination policies in a visible place in health care facilities to promote a safe and welcoming environment for transgender patients?

The Joint Commission (TJC)

A client with dysmenorrhea has been prescribed nonsteroidal antiinflammatory drugs (NSAIDs). The client reports passing dark-colored stools 1 week after the therapy. What can the nurse interpret from this?

The client has gastrointestinal bleeding

A pregnant client asks the nurse for a second opinion after being informed about the death of the fetus. What does the nurse infer from the client's behavior?

The client is experiencing maternal denial.

A 13-year-old female expresses her wish to undergo breast augmentation surgery. After consulting with the nurse, the client decides not to undergo this surgery. What factor would most likely lead to this decision?

The client's breasts are not fully developed.

The nurse is counseling a couple who recently suffered a perinatal loss. Which is the most important point that the nurse should emphasize while counseling?

The expressions of grief vary between sexes

Following the assessment of a 14-year-old adolescent female, the nurse documents that the female has a delay in puberty. What assessment finding has led the nurse to this conclusion?

The girl does not have breast development.

While interacting with the family members of a client who has given birth to a stillborn, the client's mother tells the nurse, "Why didn't God take me instead of my grandchild?" What does the nurse infer from this statement?

The grandparent has survivor guilt

Which statement about genital herpes (GH) is correct?

The infection is transmittable even without presenting symptoms

What has the most significant impact on the socialization of school-age children?

classmates

During a postpartum checkup, a woman who experienced perinatal loss says, "My husband has been very caring and concerned about me since it occurred." What is the nurse's best response?

"I am happy to hear that."

Which is considered a primary tool in the prevention of sexually transmitted infections (STIs) in the Healthy People 2020 initiative?

Education

The school nurse is discussing dental health with a class of first grade children. What teaching would be included by the nurse?

Emphasizing the importance of brushing before bedtime

A parent tells the nurse that her 8-year-old child throws a fit each night, refusing to go to bed. What interventions can the nurse suggest to the mother to help promote sleep in the school-age child?

Encouraging a quiet activity before bedtime

Gonorrhea can potentially progress without warning and can commonly lead to which disorder in women?

Endometritis

The east, or yellow, domain of a patient's medicine wheel focuses on the spiritual aspects of care. Which additional components should the nurse assess? Select all that apply.

Energy Illumination Enlightenment

What question does a nurse ask a 14-year-old patient to determine whether a varicella vaccination is needed?

Have you ever had chickenpox

The RN working at the college health clinic is caring for a sexually active 19-year-old female who is having a routine check-up. What information is of greatest concern to the nurse?

Bruising on the vulvar and inner thigh areas

What is the most effective means of preventing dental caries in school-age children?

Brushing teeth after meals, after snacks, and at bedtime

Which condition is suspected in patients diagnosed with condylomata acuminata?

Cervical cancer

After receiving the immunization history of a 12-year-old female, the nurse plans to administer the (human papillomavirus) HPV vaccine. The nurse is aware the goal of administration of the HPV is to prevent what?

Cervical cancers

Which sexually transmitted infections (STIs) are vaginal infections? Select all that apply.

Syphilis Chlamydia Gonorrhea

A nurse is providing specific guidelines to parents for helping their children who are starting school this year. What information will the nurse include?

"Accept the separation readily as your child starts attending school for the first time."

A nurse is teaching student nurses about the social milestones reached by children at different stages of development. What statement made by a student nurse indicates effective learning?

"An 8-year-old child begins to get interested in boy-girl relationships.

What is the average age of second permanent molar eruption in the child?

12 to 13 years

What would be the appropriate duration for antibodies to develop in a patient with genital herpes?

12 weeks

How long after the appearance of the first pubescent changes does menarche, or the first menstruation, occur?

2 years

With the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of: 1. 18. 2. 20. 3. 25. 4. 30.

20

A student nurse is assisting with sports physicals at the local high school. Which boy in the examples below would the student nurse notify the provider to have possible delay in puberty?

A boy who has not had complete genital growth 5 years after testicles have begun to enlarge

The nurse is caring for a patient who has a POLST (physician orders for life-sustaining treatment). What is a POLST?

A document where additional treatments in case of cardiac or pulmonary arrest are ordered

The nurse is teaching a group of young men about sexually transmitted infections (STIs). What does the nurse tell them to look for in the primary stage of syphilis?

A painless chancre

Which of the following hormones have the most impact on the development of puberty in females and males? Select all that apply. A. Follicle-stimulating hormone (FSH) B. Insulin C. Luteinizing hormone (LH) D. Estrogen E. Testosterone

A. Follicle-stimulating hormone (FSH) C. Luteinizing hormone (LH)

Which of the following are the primary causes of mortality among adolescents in the United States? Select all that apply. A. Injuries B. Suicide C. Congenital anomalies D. Homicide E. Chronic illness

A. Injuries B. Suicide D. Homicide

What is the other name for an undescended testis?

Cryptorchidism

Which would the nurse include as a positive safety effect for a group of older adults who actively participate in a group exercise class?

Decreased falls

Which complementary and alternative medicines may be effective for treating hot flashes in the patient undergoing radiation therapy for breast cancer? Select all that apply

Flax seed Acupuncture Black cohosh

A patient with benign prostatic hyperplasia (BHP) is being considered for a transurethral resection of the prostate (TURP). What complications can occur as a result of this procedure? Select all that apply.

Fluid overload Hyponatremia Water intoxication

Older adults experience a change in sexual activity. Which best explains this change?

Frequency and opportunities for sexual activity may decline

What normal physiologic changes occur in children due to puberty changes? Select all that apply.

Pulse rate decreases. Respiratory volume increases. Strength of the heart increases. Systolic blood pressure increases.

Children in which age group are in the industry-versus-inferiority stage of Erikson's psychosocial development?

School-age children

What activity may the patient's family perform when participating in postmortem care?

Wash the patient

What are some of the ways in which play helps school-age children develop?

They acquire mastery over themselves, their environment, and others

Which statement is true regarding condylomata acuminata?

They are caused by certain types of human papilloma virus (HPV).

What characteristic is often observed in latchkey children?

They feel isolated and lonely

Reminiscence strategies are used to evaluate an older adult patient's memory. What do these strategies do?

They stimulate memory chains through associations

According to Jean Piaget, adolescent cognitive development is represented by the stage of formal operational thought that includes which of the following? Select all that apply. A. Believing that thoughts are all-powerful B. Thinking in abstract terms C. Thinking about hypotheses D. Using a future time perspective E. Thinking in the here and now

Thinking in abstract terms Thinking about hypotheses Using a future time perspective

The nurse is assessing an older adult patient during a routine gynecologic checkup. What physiologic changes need no intervention other than education and reassurance? Select all that apply

Thinning of pubic hair Decrease in size of clitoris Decrease in size of labia majora

What does a patient experience during prodrome in herpes simplex virus type 2 (HSV-2) infection?

Tingling and itching sensation

What is the purpose of a durable power of attorney for health care (DPOAHC)?

To appoint a health care proxy

A dying patient with dyspnea is prescribed atropine ophthalmic solution 1% every 4 hours. What is the purpose of this drug?

To dry up secretions in the respiratory tract

Why do peer relationships play a significant role during adolescence?

To provide a source of social reinforcement

What cultural statistics of breast cancer must the nurse know in order to provide culturally-sensitive care?

Triple-negative breast cancer occurs more often in African-American women

During assessment, the nurse observes that the child's new secondary teeth are appearing too large for the face. What is the stage of child development for this child?

Ugly duckling stage

Which information is provided to the patient for the use of condoms that reduce the risk of genital herpes transmission?

Use a new condom for each sexual act

What information should the nurse provide to a patient who has been prescribed podofilox?

Use twice daily for 3 days with no treatment for the next 4 days, and repeat for four cycles.

A hallmark of cognitive development in the school-age child is in what Piaget describes as concrete operations. In this stage the child: A. Uses thought processes to experience events and actions B. Is unable to see things from another's point of view C. Has a limited perspective of how others' interpretations of a given event differ D. Makes judgments based on what he or she sees

Uses thought processes to experience events and actions

Which is the most appropriate diagnostic test for syphilis?

Venereal Disease Research Laboratory (VDRL) serum test

The nurse assesses a patient with Raynaud's disease. On assessment, the nurse finds that the patient is a jackhammer operator by profession. Which is the most likely reason the patient has this disorder?

Vibrations

In the assessment of older adults, which activities may be considered activities of daily living (ADLs)? Select all that apply.

Walking Dressing Using the stairs

The nurse is caring for a patient with secondary syphilis. What manifestations does the nurse expect in this patient?

Wart-like lesions

Which symptom described by a woman is characteristic of premenstrual syndrome (PMS)?

"I feel irritable and moody a week before my period is supposed to start."

A patient complains of an itching sensation and a few lesions on the vagina. What condition does the nurse suspect from the patient's description?

Genital herpes

A patient reports painful urination and profuse yellowish-green urethral discharge. What might these symptoms indicate?

Gonorrhea

What is the growth difference between girls and boys related to puberty?

Growth in height ceases 2 to 2½ years after menarche in girls.

Which type of human papilloma virus (HPV) is associated with a low risk for developing genital cancer?

HPV type 11

A terminally ill patient is experiencing delirium. What drug does the nurse expect the physician to prescribe?

Haloperidol

A patient with a fibroadenoma is concerned about being scheduled for a needle aspirate. How should the nurse respond to the patient?

"It is done to determine if the mass is fluid-filled or solid."

Which of a new nurse's statements regarding the American Nurses Association (ANA) indicates a need for further teaching?

"It supports the concept of active euthanasia

The nurse at a long-term care facility is caring for a patient with urinary incontinence. Based on this patient problem, which intervention is appropriate?

Initiate a bladder training program.

Intimate partner violence (IPV) is linked to which of the following factors? (Select all that apply.) 1. Alcohol abuse 2. Marriage 3. Pregnancy 4. Unemployment 5. Drug use

Marriage Pregnancy Unemployment Drug use

Which statement about the older adult is true?

Most older adults are tolerant toward others

The nurse is caring for a client who has delivered a stillborn child. Which question asked by the nurse will best identify the client's religious needs?

"Are there any religious rituals you would like to follow?

A nurse is conducting a health screening interview with an adolescent. What questions would the nurse ask to give the adolescent an opportunity to talk about strengths and deficits that the adolescent might be experiencing within the school environment? Select all that apply.

"Are you on any club or team at school?" "Do you feel that your teachers at school are interested in your success?"

A nurse preceptor is working with a new school nurse. The preceptor is discussing cognitive development in middle childhood. What statement made by the new nurse indicates effective teaching?

"During middle childhood, children learn from their past experiences."

A nurse is teaching student nurses about puberty and sexual maturation in males. What statement made by the student nurses indicates effective learning?

"Gynecomastia in pubescent boys is not a cause for concern."

A nurse is educating a patient diagnosed with a fibroadenoma. Which statement by the patient indicates to the nurse that teaching was effective regarding self-examination of the breasts?

"I will feel a rubbery, oval, mobile lump.

A newborn has just died in the neonatal unit. What is the most appropriate statement that the nurse can make to the bereaved parents?

"I'm sorry."

The nurse is teaching a group of young women about screening for chlamydia. Which patient statement shows a correct understanding of these practices?

"If I am a 40-year-old woman with a 'new' partner, I should be screened again."

A patient scheduled for breast augmentation surgery asks if dressing changes will need to be done. How should the nurse respond to this question?

"It depends on the surgeon's preference."

A nurse is teaching a group of parents about the growth and developmental stages in school-age children. What statement does the nurse include on tasks that can be performed by a 6-year-old child?

"The child can count 13 pennies without effort."

The nurse is performing an assessment of a 9-year-old child. The nurse finds that the child's mother is very concerned about the child's appearance because the child is very thin. What is the appropriate response by the nurse?

"The child looks thinner now because of the reduction and redistribution of fat throughout the body. This is normal."

The nursing instructor is teaching a group of nursing students how to prepare a patient with benign prostatic hyperplasia (BPH) for a digital rectal examination (DRE). What statement by a student nurse indicates a need for further teaching?

"The residual urine will be measured during the examination."

A parent tells the nurse, "I'm worried about my 13-year-old son. He hasn't started puberty, but my daughter did when she was 11 years old." What is the appropriate explanation by the nurse?

"This is normal because the onset of pubescence is usually earlier in girls than it is in boys."

The nurse is assisting a patient's family members who are grieving and mourning. Which statement made by the nurse indicates effective communication with the family members?

"This must be very difficult for you."

A client reports yellowish, frothy, and malodorous vaginal discharge. During the assessment the nurse observes strawberry spots in the cervix and inflammation of the vaginal walls and cervix. What will the nurse suggest that the client do in order to provide effective treatment?

"Your partner should also receive treatment for the infection."

A patient who is scheduled for a head surgery informs the nurse that he or she does not want his or her head shaved until Easter is over and wants the date of the surgery postponed. Which entity supports the right of patients and their surrogate decision makers to refuse or discontinue treatment?

American Nurses Association (ANA)

Which would the nurse include when asking a patient with cognitive deficits questions?

Ask "yes" or "no" questions

. A school nurse in middle school (grades 6, 7, and 8) is preparing an outline for a sex education class. Which of these statements represent important concepts to be covered in discussing this topic with this age-group? Select all that apply. A. Consider separating the boys and girls into same-sex groups with a leader of the same sex. B. Answer questions matter-of-factly and honestly and appropriate to the children's level of understanding. C. Use vernacular or slang terms to describe human physiologic functions. D. Avoid discussing sexually transmitted diseases in this age-group. E. Discuss common myths and misconceptions associated with sex and the reproductive process. F. Avoid controversial topics such as birth control.

A. Consider separating the boys and girls into same-sex groups with a leader of the same sex. B. Answer questions matter-of-factly and honestly and appropriate to the children's level of understanding. E. Discuss common myths and misconceptions associated with sex and the reproductive process.

The nurse is planning care for a patient who has a sexually transmitted infection (STI). Which interventions address the patient's psychosocial needs? Select all that apply.

Allowing the patient to express fears and anxieties Approaching the patient with a nonjudgmental attitude Referring the patient to the appropriate support groups

Which disease process, as documented in the patient's records, may make it difficult to complete discharge teaching?

Alzheimer dementia

The nurse is teaching a group of older adults. Which principles are helpful in promoting learning in older adults? Select all that apply.

Ask for feedback from the patient. Present one idea or concept at a time. Use audio and visual cues while teaching

Which treatment regimen is preferred in patients with severe genital herpes simplex virus (HSV) infection?

Acyclovir intravenous (IV) administration with hospitalization

The nurse is caring for a patient near death who has loud, wet respirations. Which interventions would be most appropriate for the patient to relieve dyspnea? Select all that apply.

Administer atropine solution 1% sublingually. Place a small towel under the patient's mouth. Re-position the patient to one side on the hospital bed

The school nurse is teaching a class on injury prevention. What would be included in a discussion of firearms for a group of adolescents?

Adolescence is the peak age for being a victim or an offender in a firearm injury

The new graduate nurse is preparing a care plan for an adolescent client who has suffered perinatal loss. Which planning strategy documented by the nurse needs correction?

Advising the client to talk to older women who have suffered perinatal loss

The school nurse is asked to speak with the parents of a 10-year-old boy who has been bullying other children. What is the knowledge basis the nurse would use for this interaction?

Bullying often manifests itself in children who witness violence or abuse at home.

The family of a dying patient asks the nurse why the patient appears to be agitated in their presence. The patient does not seem to show any sign of distress otherwise. What are the most appropriate responses by the nurse? Select all that apply.

Ask the patient if there is some task that is unresolved." "Let the patient know that you all will be alright, that it is okay to go." "Reaffirm your love for the patient by touching, hugging, and crying."

The nurse is providing care to a patient who identifies as an Orthodox Jew. Which action is appropriate when providing end-of-life care

Asking the patient's family if they would like someone to stay with the patient

A male patient is given 1000 mg of oral azithromycin to treat his chlamydia infection. Two weeks later, he returns to the clinic and says to the nurse, "My symptoms have returned." What does the nurse do first?

Asks him whether his partner was also treated for chlamydia

A school health nurse is teaching a group of adolescents about prevention of health risks. Which are important health risks in this age group that the nurse should address? Select all that apply.

Suicide Pregnancy Sexually transmitted diseases

A nurse is preparing to discharge a patient with fibrocystic breast condition. What instructions does the nurse include for the patient to help alleviate symptoms? Select all that apply.

Apply ice to the breasts." "Decease caffeine intake." "Wear a supportive bra to bed.

The nurse is caring for a patient with end-stage cancer. Which nursing actions will help the patient deal with the threat the patient is experiencing regarding his or her continued existence? Select all that apply.

Arranging counselors trained in end-of-life care Helping the patient to come to terms with the loss

A 34-year-old executive has a job with frequent deadlines. When deadlines appear the executive has a tendency to eat high-fat, high-carbohydrate foods. The executive also gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options, and the executive chooses yoga. How is yoga used in this scenario?

As a stress-management technique

What is the reason that late diagnosis of genital herpes occurs in many people?

Asymptomatic with viral shedding

What dimensions would be included in any consideration of an adolescent's sexual orientation? Select all that apply.

Attraction Fantasy Actual sexual behavior Self-labeling or group affiliation

Which bacterial sexually transmitted infection (STI) would the nurse suspect if a laboratory examination of a specimen collected from a patient's indurate lesion revealed the presence of spirochete?

Syphilis

The nurse is caring for an older adult patient who is experiencing hallucinations. The nurse administers a medication prescribed by the primary health care provider. Which adverse affect of the drug will the nurse have to report to the health care provider immediately?

Bradycardia

Which condition or disorder puts a patient at risk for seizure activity near death?

Brain tumor

Which of the following immunization booster vaccines should be considered for a 13-year-old adolescent who has completed all recommended routine childhood vaccinations? Select all that apply. A. DTaP vaccine B. Tdap vaccine C. Meningococcal vaccine D. Pneumococcal vaccine E. Hepatitis B vaccine F. Hib vaccine

B. Tdap vaccine C. Meningococcal vaccine

A patient with benign prostatic hyperplasia is being discharged with alpha-adrenergic blockers. Which information is important for the nurse to include when teaching the patient about this type of pharmacologic management? Select all that apply.

Be careful when changing positions. Avoid drugs used to treat erection problems. Keep all appointments for follow-up laboratory testing.

In terms of social development, the school-age child does which of the following? Select all that apply. A. Begins to explore the environment beyond the family B. Has an increased interest in persons of the opposite sex (gender) C. May actively participate in same-sex groups or clubs D. Strives to be different from those in the peer group E. Begins to form strong relationships with persons of the same sex (gender)

Begins to explore the environment beyond the family May actively participate in same-sex groups or clubs Begins to form strong relationships with persons of the same sex (gender)

What is the drug of choice in the treatment of primary, secondary, and latent syphilis?

Benzathine penicillin G

The nurse suspects that a female patient has developed an intraductal papilloma. What finding did the nurse use to make this clinical determination?

Bloody nipple discharge

What is a recommended screening practice for sexually active adolescents?

Both males and females should have laboratory tests for gonorrhea

The nurse is performing a physical examination of the vulva, the perineum, the anus, the vagina, and the cervix of a client with human papillomavirus (HPV) lesions. What is an important nursing action during the examination?

Change gloves between vaginal and rectal examinations

A terminally ill patient suddenly develops symptoms of cardiac arrest. What is the priority nursing intervention?

Checking for a do-not-resuscitate (DNR) order

Which bacterial infection may result in inflammation of the fallopian tubes?

Chlamydia trachomatis

The nurse recognizes signs and symptoms of depression in an 80-year-old patient who is dying from metastatic breast cancer. What does the nurse do initially for this patient?

Collaborates with the end-of-life (EOL) care team to manage these feelings in the patient

Which sexually transmitted infection is targeted by Healthy People 2020 for complete eradication in the United States?

Syphilis

Which is a true statement about TORCH infections?

TORCH infections include toxoplasmosis, other infections (e.g., hepatitis), rubella virus, cytomegalovirus (CMV), and herpes simplex virus.

During an annual wellness check, a 21-year-old female patient states, "I experience a lot of pain in my breasts right before my menstrual cycle begins. When my cycle is over, the pain goes away, but then it returns during the next cycle." Which benign breast disorder is the patient most likely experiencing?

Fibrocystic breast condition

After assessing a patient's ability to maintain independence with driving, which finding indicates a need to discuss driving cessation?

Finding dents and scrapes on the car

Adolescence is the peak age for being either a victim or an offender in injuries involving what?

Firearms

The nurse is obtaining a health history from a patient suspected of benign prostatic hyperplasia (BPH). What are the symptoms of BPH? Select all that apply.

Frequent waking during the night to void Sensation of incomplete bladder emptying Difficulty in starting and continuing urination Decreased force and intensity of urinary stream

The nurse is assessing the immunization history of an adolescent. The nurse finds that the child has not received the tetanus booster dose. What is the appropriate vaccination recommendation for this adolescent?

DTaP (diphtheria, tetanus, acellular pertussis) vaccine

A hospitalized patient of the Islamic (Muslim) religion is dying. What concept does the nurse share with the health care team about this patient's beliefs about death?

Death is seen as the beginning of a new and better life

The nurse is caring for an elderly patient who is having difficulty recalling directions after hospitalization. On assessment, the nurse noticed that hypoxia has intensified the condition. What is the possible psychological condition of the patient?

Delirium

A 50-year-old male patient is seen in the clinic. He tells a nurse that he has recently lost his job and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse assesses for the following: 1. Cardiovascular disease 2. Depression 3. Sexually transmitted infection 4. Iron deficiency anemia

Depression

A 50-year-old male patient is seen in the clinic. He tells the nurse that he has recently lost his job, and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse should assess for which of the following?

Depression

Which factors affect a young adult's adherence to decisions about smoking cessation? Select all that apply.

Desire to learn Education level Socioeconomic status

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

Development of ovum

A client with endometriosis is planning to start danazol (Danocrine) therapy. On assessment, the nurse finds that the client is 3 weeks pregnant. What instructions does the nurse expect from the primary health care provider?

Discontinue the drug prescription

Withdrawing or withholding life-sustaining therapy, formerly called passive euthanasia, involves what?

Discontinuing therapies that might prolong the life of a person who cannot be cured by the therapy

The nurse is assessing a male patient who has been diagnosed with Chlamydia trachomatis. What clinical manifestation does the nurse expect to see?

Dysuria

What manifestations does the nurse expect to find on assessment in a patient with gonorrhea? Select all that apply.

Dysuria Rectal bleeding Blisters in the throat Green vaginal discharge

On which domain of a patient's medicine wheel should the nurse focus when planning spiritual care?

East/yellow The east or yellow portion is the spiritual domain of the medicine wheel. The center portion is associated with self-balance. The west or black portion is associated with physicality. The north or white portion is associated with mentality

The nurse is assessing a patient who has gynecomastia. Which is a sign of gynecomastia?

Enlarged breasts in males

What preoperative teaching does the nurse provide to a patient who is to undergo a transurethral resection of the prostate (TURP)

Epidural or spinal anesthesia will be administered to the patient.

Which are signs/symptoms of complicated grief? Select all that apply.

Excessive bitterness Intense and continued guilt or anger Intense longing and yearning for the deceased Feeling that life is empty or meaningless, hopelessness, and loneliness

The nurse is explaining the benefits of exercise to older adults. Which statements by the older adults indicate effective learning? Select all that apply.

Exercise reduces stress." "Exercise increases muscle tone." "Exercise improves joint flexibility.

What description characterizes normal cognition during the period of early adolescence (11 to 14 years)?

Exploration of new-found ability for limited abstract thought

What are the risk factors for prostate cancer? Select all that apply.

Exposure to arsenic Presence of BRCA2 gene mutation Mutation in the glutathione S-transferase (GST P1) gene

An older patient presents to the nurse with impaired vision, nocturia, and agitation. Which risk is most likely to occur in this patient?

Falls

A single young adult interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. These individuals are viewed as: 1. Family. 2. Siblings. 3. Substitute parents. 4. Alternative family structure.

Family

A patient who has received an antibiotic injection for diagnosed syphilis is told that he may experience Jarisch-Herxheimer reaction. What does the nurse teach the patient to expect with this reaction? Select all that apply.

Fever Vasodilation Generalized achiness Pain at the injection site Decreased blood pressure

A 50-year-old patient has elevated cholesterol profile values that increase the patient's cardiovascular risk factor. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. What form of nursing activity does this represent?

Health education

A patient with general paresis has a medical history that shows a positive Venereal Disease Research Laboratory test 10 years ago without follow-up treatment and a likely diagnosis of tertiary syphilis. In addition to the paresis, what other manifestations are found in this stage of the disease? Select all that apply.

Hearing loss Aortic aneurysm Lesions on the oral mucosa

To prevent health disparities, what will the nurse do for a young, homeless patient who states that he or she is attracted to people of the same sex?

Help provide a safe environment to prevent the risk of violence.

The nurse arranges for bereavement counselors to meet a terminally ill patient and family. What does the bereavement counselor do?

Helps the patient and family to cope prior to and after death

The family of a Medicare patient suffering from a terminal illness wants to know about hospice care. What teaching does the nurse provide?

Hospice care saves health care costs and addresses quality of care at the end of life

What is the causative organism of condylomata acuminata?

Human papilloma virus

Which organism is a primary risk factor for cervical cancer?

Human papilloma virus (HPV)

What would be the initial diagnosis in a patient with symptoms of excessive vaginal discharge and clusters of flesh-colored lesions on the mucosal surface of the vagina?

Human papilloma virus infection (HPV)

Which type of sexually transmitted infection has the risk of cervical cancer?

Human papilloma virus infection (HPV)

Which infection is prevented with the Cervarix and Gardasil vaccines

Human papillomavirus (HPV)

According to Erikson, what is the stage of psychosocial development for the adolescent?

Identity vs Identity confusion

Decreased estriol levels in a pregnant patient are frequently associated with which condition?

Impending miscarriage

Arrange in order the pathophysiological events that take place during the dying process.

Inadequate blood supply to body tissues leads to unmet oxygen demand. It stimulates anaerobic metabolism leading to acidosis, hyperkalemia, and tissue ischemia. This results in release of toxic metabolites in the vital organs such as the kidneys and the liver, which may result in organ failure causing cardiac arrest.

The nurse is assessing a 10-year-old child in a pediatric unit. What changes does the nurse assess that indicate the child's degree of physical maturity? Select all that apply.

Increase in leg length in relation to height Decrease in head circumference in relation to height Decrease in waist circumference in relation to height

A patient with chlamydia infection is prescribed a single dose of azithromycin 1 g orally. What is the most important advantage of this therapy compared to doxycycline 100 mg orally twice daily for 7 days?

Increased compliance

A nurse who is skilled in complementary and alternative medicine (CAM) therapies works on a cancer unit with patients who are terminally ill. For which patient symptom does the nurse use these therapies?

Increased pain

An adolescent is brought to the emergency department after sustaining a small clean cut to the right thumb. The nurse learns that the adolescent sustained the injury with a clean, unused knife. On examination, the nurse finds that the cut measured 1 x 1 cm and is not contaminated. The adolescent was immunized against tetanus in childhood. No additional immunizations completed since childhood. What would be the appropriate nursing intervention?

Inform the parent that the adolescent requires tetanus booster dose

A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: 1. Instructing him to return in 2 years. 2. Instructing him in secondary prevention. 3. Instructing him in health promotion activities. 4. Implementing primary prevention with vaccines.

Instructing him in health promotion activities.

Aging may cause impairment of urinary function. Which is an effect of weakening of the perineal and bladder muscles on the urinary system?

Involuntary release of urine

What constitutes defining bereavement as "complicated bereavement"?

Is an extremely intense grief reaction that persists for a long time

A mother shouts at her 7-year-old child for doing wrong. Two days after this incident, the child develops fever. The child believes that fever is a punishment by God. How does the nurse interpret the child's response?

It is a normal behavior seen at this age

The nurse finds that a 5-year-old hospitalized child sucks his thumb. What should the nurse tell the parent regarding this?

It is a normal coping mechanism for stress

The parents of a 12-year-old child complain to the nurse that the child asks them about masturbation after watching a contraceptive advertisement. The parents are anxious about how to respond to their child's questions. What response by the nurse helps relieve the parents' anxiety?

It is an age-associated behavior

With regard to the diagnosis and management of amenorrhea, nurses should be aware that:

It may be caused by stress or excessive exercise or both.

Which symptom in a patient would suggest primary genital herpes?

Itching of the genitals

Which instrument would the nurse use to assess the ability of a geriatric patient to bathe, dress, toilet, and transfer from bed to chair?

Katz Index of Activities of Daily Living

Which is a barrier for health care providers to health promotion and disease control for older adults?

Lack of consistent guidelines

A patient is laboring with her first baby, who is about to be delivered 2 weeks early. Her husband is in the military and might not get back in time, and both families are unable to be with her during labor. The doctor decides to call in which of the following people employed by the birthing area as a support person to be present during labor? 1. Nurse 2. Midwife 3. Geneticist 4. Lay doula

Lay doula

A patient is receiving an aromatase inhibitor, a type of hormonal therapy, for breast cancer. Which drug does the nurse recognize as an aromatase inhibitor?

Letrozole

When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:

Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath

A patient diagnosed with genital warts asks the nurse how it can be treated. What does the nurse suggest?

Liquid nitrogen

Which part of an advance directive contains information about a patient's desires regarding care near death?

Living will

Which finding when assessing the environment for a patient could impede the functional ability of the patient and be a safety concern?

Loose throw rugs

A client who is the mother of two children experiences menorrhagia due to uterine leiomyomata. The client's condition is severe, and therefore surgical removal of fibroids is recommended. After discussing the surgical options, the client decides to undergo uterine artery embolization. Which surgical side effect should the nurse verify that the client understands before her surgery?

Loss of fertility

Which fetal complication is increased by maternal cigarette smoking?

Low-birth-weight baby

What are surgical approaches for the treatment of breast cancer? Select all that apply.

Lumpectomy Mastectomy Segmental mastectomy Total simple mastectomy

The patient scheduled for a mammogram reveals she has had breast augmentation surgery. Which diagnostic test for breast cancer should be used instead?

Mammogram with displacement views

The nurse working in a breast cancer clinic knows that which statement about breast reconstruction surgery is correct?

Many women want breast reconstruction using their own tissue immediately after mastectomy

When determining the amount of information that a patient needs to make decisions about the prescribed course of therapy, many factors affect his or her compliance with the regimen, including educational level and socioeconomic factors. Which additional factor affects compliance? 1. Gender 2. Lifestyle 3. Motivation 4. Family history

Motivation

For which manifestations does the nurse assess a male patient with chlamydia infection?

Mucoid discharge

The family of a dying patient is provided with a symptom relief kit for the patient who has chosen a home death. Prochlorperazine 25 mg suppository, which is included in the kit, is used for which sign/symptom?

Nausea and vomiting

The nurse is reviewing puberty stages with a group of student nurses. At what age would she instruct the students to be concerned with a delay in puberty in girls?

No breast development by age 13 and absence of menarche

While caring for hospitalized adolescents, the nurse observes that sometimes teenagers are skeptical of their parents' religious beliefs and practices. What would the nurse recognize as about this behavior?

Normal spiritual development

Which action would best determine the patient's ability to perform self-care?

Observe patient perform own self-care

A dying patient becomes increasingly withdrawn and begins to refuse to eat and drink. What intervention does the nurse implement?

Offers ice chips

The nurse is caring for a patient who is being treated with a 5-alpha reductase inhibitor (5-ARI) as the first-line drug therapy for benign prostatic hyperplasia (BPH). What instruction does the nurse give to the patient about this therapy?

Orthostatic hypotension is a side effect of this treatment.

A client has been prescribed raloxifene hydrochloride (Evista) for treatment of breast cancer. Which of the following, if found by the nurse prior to medication administration, would lead to immediate contact with the physician?

PMH noted of superficial thrombophlebitis of the left leg.

While assessing the health of four patients, the nurse discovers one of the patient's findings to be age-related. Which patient supports the nurse's conclusion?

Patient B has yellowing of the lens

Which statement regarding health insurance coverage for transgender patients is accurate?

Patients are often denied coverage for gender-reassignment surgery and hormone therapy by insurance companies

School-age children are prone to accidental injury primarily because of: A. Peer pressure and risk-taking behaviors B. Physical awkwardness and clumsiness C. Parents' lack of supervision D. Attempts to impress members of the opposite sex

Peer pressure and risk-taking behaviors

The nurse is teaching a patient how to correctly perform a breast self-examination (BSE). Which information should the nurse include in the teaching?

Perform palpation when lying down

What methods are used to confirm a diagnosis of syphilis? Select all that apply.

Performing a rapid plasma regain test Assessing the patient for the presence of a chancre

Sharing eating utensils with a person who has a contagious illness increases the risk of illness. This type of health risk arises from: 1. Lifestyle. 2. Community. 3. Family history. 4. Personal hygiene habits.

Personal hygiene habits.

Which groups of people are at greater risk for sexually transmitted infections (STIs)? Select all that apply.

Pregnant women Postmenopausal women Adolescent boys and girls Men who have sex with men (MSM)

A client reports mood disturbances, emotional breakdowns, and irritation just before the beginning of menses for the last three cycles. After assessment, the nurse finds that the client follows a good diet and exercise regimen. Based on the symptoms, what does the nurse conclude that the client has?

Premenstrual dysphoric disorder.

What manifestations does the nurse observe upon assessment in a patient with condylomata acuminata, or genital warts?

Presence of cauliflower-like masses

Which guidance would the nurse provide to a pregnant patient with a history of genital herpes?

Presence of lesions during the third trimester may indicate a need for a caesarean delivery.

Which finding indicates a need for additional testing for sexually transmitted infections (STIs)?

Presence of warts

A female patient has milky discharge from the breast and is diagnosed with galactorrhea. An increase in what serum hormone level also indicates possible galactorrhea?

Prolactin

What psychosocial intervention should the nurse provide while caring for a dying patient?

Promote spirituality

Which glycoprotein is produced by the prostate gland?

Prostate-specific antigen glycoprotein

One of the key factors in addressing the health concerns and needs of the adolescent in a clinic or primary care office setting is to: A. Provide confidentiality B. Include the parent(s) in a discussion about the adolescent's sexual health C. Ask the adolescent if she or he is sexually active D. Discuss the negative effects of tobacco use

Provide confidentiality

The nurse is caring for a Jewish patient in the hospice center. What is this patient's likely attitude and belief regarding terminal illness?

The patient should not be left alone

The nurse is providing hospice care for a terminally ill patient who has stopped oral intake for about 12 hours. The family requests the nurse to administer intravenous (IV) fluids. What does the nurse tell the patient's family about the patient's intake?

Providing fluid or food can cause discomfort

Arrange in order the events at the initiation of puberty in females that lead to estrogen production

Puberty begins as a not completely understood cluster of events triggers the production of gonadotropin-releasing hormone (GnRH) by the hypothalamus. GnRH travels through a network of capillaries to the anterior pituitary gland. There, it stimulates the production and secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). As the levels of FSH and LH in the blood increase, gonadal response is stimulated. For females, FSH stimulates growth of ovarian follicles and production of estrogen.

When planning care for a patient who is Jewish, which spiritual leader should the nurse include as a potential health care resource?

Rabbi

A female client is receiving treatment for gonorrhea. What does the nurse tell the client while providing care? Select all that apply

Recommend that the client be tested for human immunodeficiency virus (HIV) Reinforce teaching of correct condom use during sexual activity. Encourage the client to notify her partners about the infection

Which objective listed by a nursing student about sexually transmitted infections (STIs) from the Healthy People 2020 initiative indicates a need for further teaching?

Reduce the proportion of females aged 25 to 54 years who have ever required treatment for pelvic inflammatory disease by 10%.

What would be the best intervention for a patient who is diagnosed with condylomata acuminata?

Removal of wart

Formation of positive health habits may prevent the development of chronic illness later in life. Which are examples of positive health habits? Select all that apply.

Routine screening and diagnostic tests Regular exercise

Formation of positive health habits may prevent the development of chronic illness later in life. Which of the following are examples of positive health habits? (Select all that apply.) 1. Routine screening and diagnostic tests 2. Unprotected sexual activity 3. Regular exercise 4. Excess alcohol consumption 5. Consistent seat belt use

Routine screening and diagnostic tests Regular exercise Consistent seat belt use

Syphilis becomes a systemic disease at which stage?

Secondary

Which method is a common complementary and alternative therapy for benign prostatic hyperplasia (BPH)?

Serenoa repens

Which triggering factor would the nurse find in a patient who presents with recurrent genital herpes?

Sexual activity

A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. What preoperative information must the patient understand?

Sexual function is not usually affected with TURP

Arrange in order the steps that a client should take when performing a shoulder blade squeeze exercise:

Sit on a chair facing the mirror with eyes focused straight ahead. Keep arms at your side with the elbows slightly bent. Bring elbows behind you and squeeze shoulder blades. Repeat exercise from the starting position

According to the Nurses Improving Care for Healthsystem Elders (NICHE) project, which serious "marker conditions" listed in the Fulmer SPICES framework can lead to longer hospital stays, higher medical costs, and sometimes death? Select all that apply

Skin breakdown Evidence of falls Sleep-related disorders

Which information in a patient's medical history is associated with a risk for pelvic inflammatory disease (PID)? Select all that apply.

Smoking History of chlamydia Multiple sexual partners

Which are risk factors for pelvic inflammatory disease (PID)? Select all that apply.

Smoking Multiple sex partners History of sexually transmitted infections (STIs)

Which should the nurse consider when preparing to meet a patient's spiritual needs during hospitalization?

Spiritual needs are whatever gives purpose to a patient's life

What term refers to ultimate meaning and purpose in one's life that invites particular ways of being in the world in relation to others, oneself, and the universe?

Spirituality

The nurse is teaching a group of older adults the importance of daily exercise. Which instructions should the nurse include in the teaching? Select all that apply.

Stop exercising if there is chest pain or tightness. Walking and swimming exercises protect the musculoskeletal system. Wear good support shoes and clothing appropriate to the exercise

A 34-year-old female executive has a job with frequent deadlines. She notes that, when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive, and she chooses yoga. In this scenario yoga is used as a (n): 1. Outpatient referral. 2. Counseling technique. 3. Health promotion activity. 4. Stress-management technique.

Stress-management technique

The transgender patient is at highest risk for which of the following conditions?

Substance abuse

Characteristics of bullying include: A. Unintentional harm inflicted on another person that is part of the socialization process in childhood B. The infliction of repetitive physical, verbal, or emotional abuse on another person with intent to harm C. An attempt to gain acceptance and be liked by same-sex peers D. An early sign of a severely disturbed personality disorder that escalates in adulthood

The infliction of repetitive physical, verbal, or emotional abuse on another person with intent to harm

Which are the advantages of the Katz Activity of Daily Living (ADL) scale? Select all that apply.

The instrument can be used in many settings. The instrument takes 5 minutes to administer

Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person's roles and responsibilities during middle adulthood. When assessing the health-related knowledge base of both the middle-age patient with a chronic illness and his family, your assessment includes which of the following? (Select all that apply.) 1. The medical course of the illness 2. The prognosis for the patient 3. Socioeconomic status 4. Coping mechanisms of the patient and family 5. The need for community and social services

The medical course of the illness The prognosis for the patient Coping mechanisms of the patient and family The need for community and social services

The nurse is caring for a mother who delivered a stillborn at 35 weeks gestation. What should the nurse include in her plan of care?

The mother is at risk for complicated grieving because of her baby's death.

The parents of a 13-year-old child often work until late at night and are not able to be home when the child returns from school. What action employed by the parent is appropriate?

The parents instruct the child to heat food in the microwave at low heat

Which statement is true regarding a patient who is advised to begin palliative care?

The patient needs consultation concurrent with therapies that prolong life.

In which newly admitted patient situations does the nurse initiate a conversation about advance directives? Select all that apply.

The patient with end-stage kidney disease A patient with a non-life-threatening illness` The laboring mother expecting her first child A person who currently has advance directives

Which should the nurse include when assessing the spiritual needs of a patient during end-of-life care?

The patient's cultural practices

Which setting is desirable for assessing the functional abilities of the older adult patient?

The patient's home

Middle-age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. People finding themselves in this situation are frequently referred to as being a part of: 1. The sandwich generation. 2. The millennial generation. 3. Generation X. 4. Generation Y.

The sandwich generation.

During a follow-up phone call near the anniversary of an infant's death, the husband reports to the nurse, "My wife has been unable to move on and resume her normal life even after a year." What does the nurse infer from the wife's behavior?

The wife is experiencing complicated grief

A 45-year-old woman who is obese tells a nurse that she wants to lose weight. After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity? (Select all that apply.) 1. The woman works in an executive position that is very demanding. 2. The woman works out at the corporate gym at 5 AM two mornings per week. 3. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. 4. The woman says that she tries to eat "low-cholesterol" foods to help lose weight. 5. The woman says that she vacations annually to reduce stress.

The woman works in an executive position that is very demanding. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. The woman says that she tries to eat "low-cholesterol" foods to help lose weight.

When does a client develop a viremic influenza-like response after being infected with human immunodeficiency virus (HIV)?

Within 6 to 12 weeks after the virus infects the body

A 14-year-old adolescent male tells a nurse, "My trunk seems so short compared to my legs. Do I have some kind of problem?" What is the appropriate response by the nurse?

You are completely normal

An 18-year-old tells the nurse, "My friend got a cool tattoo around the belly button. I'm planning to get one too." What is the appropriate response by the nurse?

You should consider going to a professional who uses a sterile technique

The nursing instructor is teaching a group of students about preconception counseling and care. The student nurse asks the nurse about interventions that can decrease the incidence of spina bifida in the fetus. Which answer does the nurse give to the student? The patient:

includes a daily intake of 600 mcg of folic acid during pregnancy