Reference no: EM133843809
Question
The registered nurse is giving instructions to a client who is to have a sperm analysis completed.
Which instructions should the RN include in the education of the client?
Abstain from intercourse for at least one week.
Use a clean, dry glass container for the specimen.
Place the specimen on ice until it is delivered to the laboratory.
The specimen must arrive at the laboratory within two hours.
Do not use any lubricants while obtaining the specimen.
2. Which topics should the RN include in a teaching plan for the female client who is newly diagnosed with herpes simplex virus type 2?.
STI prevention
Gardasil injection
Hygiene practices
Support groups
Avoiding pregnancy
3. A 56-year-old menopausal woman tells the registered nurse that she has been experiencing vaginal itching, burning, and increased vaginal infections over the last 3 years. Which fact would the RN need to consider before replying to the client?
Vaginal infections are a precursor to cervical cancer..
Vaginal secretions increase during menopause.
Vaginal pH increases during menopause.
The source of the allergic reaction needs to be identified
4. The patient diagnosed with endometriosis asks for an explanation of the disease. What is an appropriate response by the registered nurse?
"The lining of the uterus is too thin because endometrial tissue has implanted outside the
uterus."
"Tissue from the lining of the uterus has implanted in areas outside the uterus."
"The lining of the uterus is thicker than usual, causing heavy bleeding and cramping."
"An infection in the lining of the uterus has developed."
5. An antenatal patient who is 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. Which is the priority nursing intervention?
Administer parenteral antibiotics.
Prepare patient for induction of labor
Provide emotional support.
Assess for cervical dilation every 6 hours.
6. A client who is 16 weeks pregnant is passing pieces of body tissue along with blood clots and dark red blood from the vagina calls the clinic. What should the RN direct the client to do now?
Continue with normal daily activities and monitor pulse every hour
Begin bed rest immediately
Count the number of perineal pads that are saturated with blood
Seek immediate medical attention and bring the expelled vaginal material
7. A patient's obstetrical history includes: A spontaneous abortion at 9 weeks 4 years ago, a first trimester abortion 10 years ago, a vaginal delivery at 39 weeks 3 years ago, a vaginal delivery at 40 weeks 5 years ago, and she is now pregnant again. What is the correct way for the RN to document the gravida and para for this patient?
G5 P2
G4 P3
G4 P2
G5 P3
8. A woman is admitted with a threatened abortion. Which assessment findings would the registered nurse notify the health care provider for further orders?
Body Mass Index of 19
Smokes ½ pack per day
Blood type B negative
Blood pressure of 100/60
9. Which question would the registered nurse ask to determine if the patient with leiomyomas is experiencing complications?
"Have you had any dizziness?"
"Have you had any lesions on your vulva?
"Do you more vaginal discharge?"
"How many periods have you missed?
10. Which of these situations represents a breach of private healthcare information?
A verbal report regarding the client's medical history to the anesthesiologist while present in
the client's room.
A telephone report to the neonatologist regarding the progress of a client who is in preterm
labor.
A laboratory report from the prenatal provider's electronic health record containing the
client's blood type.
A text message to the resident to come immediately to see a client who is experiencing
vaginal bleeding.
11. A couple who are being seen in the genetic clinic has just been informed that they have a 25% chance of having a child with a particular genetic disorder. Which statement by the couple indicates their understanding of the probability that a child of theirs would inherit the disorder?
"If we have 4 children, only one of them will have the disorder."
"Each child will have a 25% chance of having the disorder."
"75% of my children will not have the disorder."
"Only the male children will have the chance of having the disorder."
12. In which room location should the RN place the pregnant client who is being admitted for severe preeclampsia?
Next to the elevator
Near the nursery
Across from the nurse's station
In a private room
13. The RN identifies all these assessment findings in a client who is 36 weeks' gestation. Which should be reported to the obstetrician immediately?
BP of 144/94 mm/hg left arm
Copius leukorrhea
Dyspnea on exertion
Positive rubella serum antibody titer
14. Which statement indicates to the registered nurse that the patient understands her risk for an ectopic pregnancy?
"I have had an ectopic pregnancy already so I have no risk of having another one."
"I have used an intrauterine device which prevents an ectopic pregnancy."
"I have had pelvic inflammatory disease which increases my risk for an ectopic pregnancy."
"I have had a tubal ligation which provides protection against all types of pregnancies."
15. At 32 weeks gestation, a pregnant patient receiving Rho(D) immune globulin (RhoGam) for her Rh-negative status asks if she is going to need it again. Which response by the registered nurse is most appropriate?
"To prevent you from building up antibodies against your next baby's blood you will need
Rho(D) immune globulin again within the next 72 hours."
"One dose of Rho(D) immune globulin will last for a lifetime."
"You will need Rho(D) immune globulin again since you got it during your pregnancy."
"You will need Rho(D) immune globulin again if your newborn is Rh Positive."