NURS 306 EXAM 2 Questions with answers

NURS 306 EXAM 2 Questions with |\ |\ |\ |\ |\ |\




answers


A nurse is reviewing the chart of a new client in the family
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medicine clinic and notes the client is identifiedas George Smith.
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The nurse enters the room and finds a woman in a skirt. What
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action by the nurse is best?
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a. Apologize and declare confusion about the client
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b. Ask Mrs. Smith where her husband is right now.
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c. Ask the client about preferred forms of address.
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d. Explain that the chart must contain an error. - CORRECT
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ANSWERS ✔✔C |\




A nurse is providing health teaching to a middle-aged male-to-
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female (MtF) client who has undergonegender reassignment
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surgery. What information is most important to this client?
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a. Be sure to have an annual prostate examination.
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b. Continue your normal health screenings.
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c. Try to avoid being around people who are ill.
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d. You should have an annual flu vaccination. - CORRECT
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ANSWERS ✔✔A |\




A transgender client is taking transdermal estrogen (Climara).
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What assessment finding does the nursereport immediately to
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the provider?
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a. Breast tenderness
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,b. Headaches
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c. Red, swollen calf
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d. Swollen ankles - CORRECT ANSWERS ✔✔C
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A transgender client taking spironolactone (Aldactone) is in the
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internal medicine clinic reporting heartpalpitations. What action
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by the nurse takes priority?
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a. Draw blood to test serum potassium.
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b. Have the client lie down.c. Obtain a STAT electrocardiogram
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(ECG).
d. Take a set of vital signs. - CORRECT ANSWERS ✔✔C
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A client is preparing for gender reassignment surgery and will
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transition from male to female. The client isworried about the
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voice not sounding feminine enough. What action by the nurse is
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best?
a. Ask if the client has considered vocal cord surgery to change
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the voice. |\




b. Refer the client for vocal therapy with speech-language
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pathology.
c. Teach the client that there will be no effect on the clients
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voice.
d. Tell the client that the use of hormones will eventually change
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the voice - CORRECT ANSWERS ✔✔B
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A client has returned from the postanesthesia care unit after a
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vaginoplasty. What comfort measure does thenurse provide for |\ |\ |\ |\ |\ |\ |\ |\


this client? |\

, a. Apply ice to the perineum.
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b. Elevate the legs on pillows.
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c. Position the client on the left side.
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d. Raise the head of the bed. - CORRECT ANSWERS ✔✔A
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A client had a vaginoplasty under epidural anesthetic. Which
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action by the nurse is most important?
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a. Ensure that the urinary catheter is securely attached to the
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leg.
b. Instruct the client not to try to get out of bed unassisted.
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c. Monitor the clients dressings and wound drainage.
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d. Position the Jackson-Pratt drain to the contralateral side -
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CORRECT ANSWERS ✔✔B |\ |\




After a vaginoplasty, what instruction by the nurse is most
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important?
a. Avoid vaginal douching to prevent infection.
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b. Do not have sexual intercourse for at least 6 months.
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c. Use oil-based lubricants with the vaginal dilators.
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d. You must dilate the vagina several times a day for months. -
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CORRECT ANSWERS ✔✔D |\ |\




1. The nurse is reviewing possible complications from a
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phalloplasty. What factors does the nurse include?(Select all that
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apply.)
a. Infection of donor site
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