Complete Solutions
A client who is menopausal asks the nurse about use of herbal
therapy to treat hot flashes. Which of the
following herbal supplements should the nurse recommend?
A. Ginger root
B. Black cohosh
C. Saw palmetto
D. Kava Correct Answer A. INCORRECT: Ginger root is used
to treat nausea and vomiting.
B. CORRECT: The action of black cohosh is unknown.
However, research studies indicate it is useful
in the treatment of menopausal symptoms, including hot flashes.
C. INCORRECT: Saw palmetto is used to treat benign prostate
hyperplasia.
D. INCORRECT: Kava is used to treat anxiety. However, it can
cause severe liver damage, and its use is
not recommended.
A nurse in a clinic is reviewing the facility's testing process and
procedures for human immune
deficiency virus (HIV) with a new employee. Which of the
following information should the nurse include
in the review?
A. In the presence of HIV, the enzyme immunoassay (EIA) test
is typically reactive within 72 hr after
the client is infected.
B. The Western blot assay is used to confirm the diagnosis of
HIV.
,C. The polymerase chain reaction (PRC) test is used to confirm
the diagnosis of HIV.
D. In the presence of HIV the enzyme immunoassay (EIA) test
is typically reactive within 48 hr after
the client is infected. Correct Answer A. INCORRECT: The
EIA test is typically reactive 3 weeks to 3 months after the
infection occurs, but it
can be delayed for as long as 36 months.
B. CORRECT: Confirming HIV is a two-step process. If the
EIA is positive, a second test, the Western
blot assay, is done.
C. INCORRECT: The PRC test is used to confirm the diagnosis
of genital herpes.
D. INCORRECT: The EIA test is typically reactive 3 weeks to 3
months after the infection occurs, but it
can be delayed for as long as 36 months.
A nurse in a provider's office is obtaining a history from a client
who is being evaluated for benign
prostatic hyperplasia (BPH). Which of the following findings
are indicative of this condition? (Select all
that apply.)
A. Backache
B. Frequent urinary tract infections
C. Weight loss
D. Hematuria
E. Urinary incontinence Correct Answer A. INCORRECT:
Backache occurs in the presence of prostate cancer that has
spread to other areas of
the body.
, B. CORRECT: In the presence of BPH, pressure on urinary
structures leads to urinary stasis, which in
turn promotes the occurrence of urinary tract infections.
C. INCORRECT: Weight loss occurs in the presence of prostate
cancer.
D. CORRECT: Painless hematuria occurs in the presence of
BPH.
E. CORRECT: Overflow incontinence occurs in the presence of
BPH due to an increased volume of
residual urine.
A nurse in a provider's office is reviewing a client's laboratory
results. The client's rapid plasma regain (RPR)
is positive. Which of the following tests confirm the diagnosis of
syphilis?
A. Venereal disease research laboratory (VDRL)
B. D-dimer
C. Treponema pallidum particle agglutination assay
D. Sickledex Correct Answer A. INCORRECT: The VDRL is
another screening test for syphilis.
B. INCORRECT: The D-dimer is a test used measure fibrin and
is used to diagnose disseminated
intravascular coagulation.
C. CORRECT: The treponema pallidum particle agglutination
assay is used to confirm the diagnosis
of syphilis.
D. INCORRECT: The sickledex is used to diagnose sickle cell
anemia.
A nurse in a provider's office is reviewing information with a
client who has dysfunctional uterine