UNIT 1: evolve questions

The nurse is teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STIs). Which statement by the client indicates effective learning?

"I will consult with my primary health care provider when there is a rash or ulcer on my genitalia."

The nurse teaches a group of nursing students about the physiological changes that occur during pregnancy. Which statement by a student indicates effective teaching?

"Renal blood flow is doubled during the third trimester, which increases the glomerular filtration rate."

Which signs and symptoms are the "four A's" of Alzheimer disease?

Amnesia, apraxia, agnosia, aphasia

To implement primary prevention of sexually transmitted infections (STIs) the nurse is counseling an adolescent. Which would be the priority nursing action?

Assess the adolescent's sexual risk behaviors.

For a client with a bipolar mood disorder, manic episode, which factor would the nurse consider when planning care?

Client is acutely aware of the environment and reality

Which nursing action has the highest priority for a client with delirium?

Creating a calm and safe environment.

The nurse understands that a teratogen would cause neural tube defects in which stage of pregnancy?

Embryonic period

Which physiological changes are expected during the first trimester of pregnancy? Select all that apply. One, some, or all responses may be correct.

Fatigue Morning sickness Breast enlargement

During a home visit to a client, the nurse identifies tremors of the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Which additional assessment would the nurse report immediately to the health care provider?

Fluttering in the chest

Which signs and symptoms are characteristic of Alzheimer dementia? Select all that apply. One, some, or all responses may be correct.

Forgetfulness Expressive aphasia

Which sexually transmitted infection receives antiviral medications as the treatment of choice?

Genital herpes (Genital herpes is a sexually transmitted infection caused by the herpes simplex virus and treated with antiviral medications. Bacteria cause syphilis, gonorrhea, and chlamydial infections.)

Which sexually transmitted infection is caused by a virus?

Genital warts (Strains of the human papillomavirus (HPV) cause the sexually transmitted infection of genital warts. Bacteria cause syphilis, gonorrhea, and chlamydial infections.)

Which symptom of mild anxiety would the nurse expect from the client at 6 weeks' gestation who appears mildly anxious as she waits for her first obstetric appointment?

Increased alertness

For a client with bipolar disorder in the manic phase, which signs and symptoms are expected? Select all that apply. One, some, or all responses may be correct.

Irritability Grandiosity Pressured speech

For a client with bipolar I disorder, manic episode, which factor would be considered to meet rest and sleep needs?

Is easily stimulated, and this interferes with sleep

A client was prescribed a medication for pregnancy-induced hypertension and later developed muscle weakness, edema, and nausea. Which medication was administered to the client to treat pregnancy-induced hypertension?

Magnesium sulfate

Which parameter would the nurse assess first when evaluating memory impairment in a client with Alzheimer disease?

Remembrance of recent events

Which medication would the nurse expect to be prescribed first to reduce the symptoms of a female client who has severe cramping, pain, backache, and a migraine headache and presents with anxiety and mood swings?

Sertraline

The nurse is assessing a pregnant client during the third trimester. Which clinical finding is expected in the later stages of pregnancy?

Shortness of breath on exertion

A client with a bipolar disorder, depressed episode, displays an increase in depression over the past month. Which behavior is expected?

Slowed thought processes

A client abuses alcohol during pregnancy. Which condition would the nurse anticipate to see in the newborn?

Stillbirth

A pregnant woman continues to consume alcohol during pregnancy. Which teratogenic effects might the nurse expect to see in the fetus or neonate? Select all that apply. One, some, or all responses may be correct.

Stillbirth Spontaneous abortion Intellectual disabilities

Which sexually transmitted infections are caused by bacteria? Select all that apply. One, some, or all responses may be correct.

Syphilis Gonorrhea

A medication is administered to a client in her third trimester of pregnancy. Which statement regarding the medication administration is correct?

The dose of a medication should be increased for pregnant clients

Which sexually transmitted infection causes condylomata acuminate?

Human papillomavirus (HPV) (Condylomata acuminate are genital warts that are caused by HPV. Genital warts are not caused by chlamydia, gonorrhea, or herpes simplex.)