The nurse has completed a prenatal class for women who are expecting their first babies.
Which statement by a pregnant woman indicates the need for additional teaching? - Answers
"During pregnancy it's safe for me to use my regular herbal remedies."
Levofloxacin (Levaquin) is prescribed for a woman who has been experiencing urinary
frequency and burning for the past 24 hours. The nurse concludes that the teaching about this
medication has been understood when the client says that she should: - Answers Delay taking
her mineral supplements within 2 hours of each dose
A client asks the nurse at the family planning clinic whether contraception is needed while she
is breastfeeding. How should the nurse reply? - Answers "You should use contraceptives,
because ovulation may occur without a period."
A 63-year-old woman with the diagnosis of estrogen receptor-positive cancer of the breast
undergoes lumpectomy and radiation therapy, and tamoxifen (Nolvadex) is prescribed. The
client asks the nurse how long she will have to take the medication. The nurse responds: -
Answers You'll need to take it for 5 years, after which it will be discontinued.
A client with active genital herpes has a cesarean birth. The nurse teaches the mother how to
limit transmission of the virus to her newborn. The nurse concludes that the instructions have
been understood when the mother states: - Answers "I have to wash my hands with soap and
water before handling the baby."
After a mastectomy, a client returns from surgery with a closed suction drainage system in
place and a dry sterile dressing covering the incision. What should the nurse do when observing
this client for signs of bleeding? - Answers Inspect the bedclothes under the client's axillary area
for signs of drainage.
A 31-year-old client is seeking contraceptive information. Before responding to the client's
questions about contraceptives, the nurse obtains a health history. What factor in the client's
history indicates to the nurse that oral contraceptives are contraindicated? - Answers History of
borderline hypertension
A nurse is planning care with a client for the recovery period after a laparoscopic hysterectomy
and bilateral salpingo-oophorectomy. What should be included among the changes that the
client should expect after surgery? - Answers Surgical menopause
After a mastectomy or hysterectomy, the client may feel incomplete as a woman. Which
statement causes the nurse to realize that a client may be experiencing this concern? - Answers
"I feel washed out; there isn't much left for my family."
What is the priority nursing intervention before a client undergoes amniocentesis? - Answers
Ensuring that informed consent has been obtained from the client
, A postpartum client is scheduled to have a tubal ligation. She has asked that her husband not
be told about the procedure because she has told him that she is having exploratory surgery.
The client's husband asks the nurse why his wife needs to have exploratory surgery. How
should the nurse respond? - Answers "Have you talked to your wife about your concerns?"
A woman visits the clinic for an annual physical examination, and herpes genitalis is diagnosed.
The client asks how the disease can be diagnosed without any tests. How should the nurse
reply? - Answers "You have blisters on the skin around your vagina."
A client has a total hysterectomy with bilateral salpingo-oophorectomy for cancer of the ovary.
In addition to encouraging ambulation, what exercise should the nurse instruct the client to
perform to help prevent postoperative deep vein thrombosis (DVT)? - Answers Ankle pumping is
the most effective of the four exercises presented to prevent DVT.
A nurse is teaching a class of expectant parents about nutritional needs during pregnancy. What
information should the nurse include? - Answers Protein needs increase to at least 70 g/day
during pregnancy.
A nurse in the emergency department is assessing a client who has been physically and
sexually assaulted. What is the nurse's priority during assessment? - Answers The client's ability
to cope with the situation
While admitting a client who is in labor to the birthing unit, the nurse asks the client about her
marital status. The client refuses to answer and becomes very agitated, telling the nurse to
leave. How should the nurse respond? - Answers By asking questions that are restricted to the
client's present situation
A client asks for and receives instruction regarding birth control methods. She elects to use a
diaphragm with a spermicide. What disadvantage of using a diaphragm should be explained to
the client? - Answers Some women find its insertion and removal inconvenient.
A client is scheduled for a vacuum aspiration abortion to terminate an unwanted pregnancy.
What information should the nurse's teaching plan include? - Answers A temperature of 100.4° F
(38° C) or higher should be reported immediately
A pilot program is being developed to assist new mothers who are at risk for mother-infant
relationship problems. Which mother's situation would make her a candidate for the program? -
Answers One who had a preference for a child of one sex but gave birth to a baby of the other
sex
A female client who has been sexually active for 5 years is found to have gonorrhea. The client
is upset and asks the nurse, "What can I do to keep from getting another infection in the future?"
Which statement by the client indicates that the teaching by the nurse was effective? - Answers
"My partner has to use a condom all the time."