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AA nurse is performing a skin and peripheral vascular assessment on a client in
later adulthood. Which observation should the nurse expect to note as an age-
related finding?
A. Thin, ridged toenails
B. Thick skin on the lower legs
C. Bounding dorsalis pedis pulse
D. Loss of hair on the lower legs - D. Loss of hair on the lower legs
AA nurse performing a neurological assessment of a client in later adulthood notes
that the client has tremors of the hands. Based on this finding, which action should the
nurse take?
A. Document the findings
B. Notify the health care provider immediately
C. Obtain a prescription for a muscle relaxant
D. Ask the health care provider about referring the client to a neurological
specialist - A. Document the findings
AA nurse observes an unlicensed assistive personnel (UAP) communicating with a
hearing-impaired client in later adulthood. The nurse should intervene if the UAP
performs which action?
A. Uses short sentences
B. Overarticulates words
C. Uses facial expressions or gestures
D. Speaks at a normal rate and volume - B. Overarticulates words
A nurse gathering subjective data from a client during a health assessment plans to
ask the client about the medical history of the client's extended family. About which
family members should the nurse ask the client?
A.Spouse and spouse's parents
,B. Foster children and their parents
C. Spouse's children from a previous marriage
D. Aunts, uncles, grandparents, and cousins - D. Aunts, uncles, grandparents, and
A home health care nurse is visiting a male African-American client who was
recently discharged from the hospital. Which family member does the the nurse
ensure is present when teaching the client about his prescribed medications?
cousins
A
A. The client's son
B. The client's father
C. The client's mother
D. The client's grandson - C. The client's mother
A A female client asks a nurse about the advantages of using a female
condom. Which should the nurse tell the client?
A. It can be used along with a male condom
B. That it is 100% safe in preventing pregnancy
C. That it offers protection against sexually transmitted infections (STIs)
D. That it does not have to be discarded after use and can be used several
times before a new one must be obtained - C. That it offers protection
against sexually transmitted infections (STIs)
AA nurse provides information to a client about the use of a diaphragm. Which
statement indicates to the nurse that the client needs further information on how to
use the diaphragm?
A. "I need to reapply spermicidal cream with repeated intercourse."
B. "The diaphragm needs to be filled with spermicidal cream before
insertion."
C.
"The diaphragm can be inserted as long as 6 hours before intercourse."
D.
"I can leave the diaphragm in place as long as I want after intercourse." -
D. "I can leave the diaphragm in place as long as I want after intercourse."
,AA nurse is discussing birth control methods with a client who is trying to decide which
method to use. On which major factor that will provide the motivation needed for
consistent implementation of a birth control method should the nurse focus?
A. Personal preference
B. Family planning goals
C. Work and home schedules
D. Desire to have children in the future - A. Personal preference
AA sexually active married couple, discussing birth control methods with the nurse,
express the need for a method that is convenient. Because the couple has told the
nurse that family-planning goals have been met, which method of birth control does
the nurse suggest?
A. Diaphragm
, B. Spermicide
C. Sterilization
D. Male condom - C. Sterilization
40. AA nurse is gathering subjective data from a client who is seeking a prescription for
an oral contraceptive. To identify risk factors associated with the use of an oral
contraceptive, which question should the nurse ask?
A. "Are you dieting?"
B. "Do you smoke cigarettes?"
C. "Do you engage in strenuous exercise such as jogging?"
D. "Do you normally have menstrual cramps with your periods?" - B. "Do you
smoke cigarettes?"
41. AA nurse reviews the health history of a client who will be seeing the health care
provider to obtain a prescription for a combination oral contraceptive (estrogen and
progestin). Which finding in the health history would cause the nurse to determine
that use of a combination oral contraceptive is contraindicated?
A. The client has hyperlipidemia.
B. The client has type 2 diabetes mellitus.
C. The client is being treated for hypertension.
D. The client has been treated for breast cancer. - D. The client has been
treated for breast cancer.
42. Clomiphene (Clomid, Serophene) is prescribed for a female client to treat infertility.
The nurse is providing information to the client and her spouse about the medication.
What should the nurse tell the couple?
A. The couple should engage in coitus once a week during treatment
B. The health care provider should be notified immediately if breast
engorgement occurs
C. If the oral tablets are not successful, the medication will be administered
intravenously
A.
B.
C.