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- A nurse working with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the following assessments is the likely reason for this diagnosis? 1. The couple has established a set schedule for their sexual encounters. 2. The couple has been married for more than eight years. 3. The couple lives with one set of parents. 4. The couple has close friends who gave birth to a baby within the last year.A nurse is feeding a patient who states that she is feelingnauseated and can’t eat what is being offered. What wouldbe the most appropriate initial action of the nurse in thissituation?a. Remove the tray from the room.b. Administer an antiemetic and encourage the patient to takesmall amounts.c. Explore with the patient why she does not want to eat herfood.d. Offer high-calorie snacks such as pudding and ice cream.A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”
- A patient recently diagnosed with thyroid cancer underwent a partial thyroidectomy and a significant amount of the parathyroid was also removed during surgery. As the nurse, which response should the nurse prioritize when taking care of the post-op patient to avoid potential complications? O "I was feeling flushed after the surgery" O "After I felt dizzy, but now I am feeling better" O "I don't feel like my muscle and bones are aching as much" O "My eye keeps twitching and I can't control it"A nurse is caring for a 50-year-old client who has visitied the heath care facility for a routine check up. the client has recently been diagnosed with diabete mellitus. The blood work reveals a glucose level of 140 mg/dL. a. What questions should the nurse ask when assessing the client? b. What information regarding diabetes mellitus should the nurse provide to the client?A nurse is caring for a patient who has crippling rheumatoidarthritis. Which nursing intervention best represents the useof integrative care?a. The nurse administers Naproxen (Aleve) and uses guidedimagery to take the patient’s mind off the pain.b. The nurse prepares the patient’s physician-approved herbaltea and uses meditation to relax the patient prior to bed.c. The nurse administers Naproxen (Aleve) and performsprescribed range-of-motion exercises.d. The nurse arranges for acupuncture for the patient anddesigns a menu high in Omega-3 fatty acids.
- Nursing actions to help minimize pain and discomfort in the postpartum period include which of the following measures? Select all that apply. O Educating patients on the use of sitz baths. O Straight catheterizing patients after delivery to avoid bladder distention. O Providing analgesia as ordered. O Removing episiotomy or laceration sutures after 24 hours to promote comfort. O Encouraging ambulation.A nurse who is caring for a patient diagnosed with HIV/AIDSincurs a needlestick injury when administering the patient’smedications. What would be the priority action of the nursefollowing the exposure?a. Report the incident to the appropriate person and file anincident report.b. Wash the exposed area with warm water and soap.c. Consent to postexposure prophylaxis at appropriate time. d. Set up counseling sessions regarding safe practice to pro-tect self.When a patient is being initiated on phosphodiesterase inhibitors, what preassessment screening should be performed? Identify specific drug classifications that should be determined when performing a medication history for a male patient with erectile dysfunction.
- When a physician prescribed fluoxetine (Prozac) for a 35-year-old male patient, she explained the major side effects of the drug. Four months later, at a follow up visit, the patient asks her whether fluoxetine has any side effects. Which of the following would be the best response by the physician? Answers A - E A "The side effects are nervousness, insomnia and sexual dysfunction" B "I will have the nurse go over the side effects with you again" C "Please tell me about what you have been experiencing while taking the Prozac" D "Would you like me to check for possible side effects?" E "The side effects are minor; do not worry" O OA nurse is teaching a group of patients about dia- betes mellitus. Which participant should the nurse anticipate will have the most difficulty following al medical regimen associated with a chronic health problem? 1. Adolescent 2. Older adult 3. Young adult 4. Middle-aged adultA nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. What factor will alter its effectiveness? 1. Presence of stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourse