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JCat JCat
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Posts: 347
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6 years ago
The nurse determines that a female client is at risk for developing a gynecological malignancy because which of the following is assessed?
 
  1. Alcohol intake of one drink every week
  2. Currently overweight
  3. Smoking history
  4. History of constipation

Question 2

The nurse is instructing a client diagnosed with type 2 diabetes mellitus on dietary intake. Which of the following statements indicates that the client understands the instructions?
 
  1. It's okay to skip a meal if I make it up later.
  2. Keeping to the diet plan will keep my blood sugars at a regular level.
  3. When I am in a hurry, I should take my medications without testing.
  4. When I go out to dinner, it's okay to share a couple of bottles of wine.

Question 3

The nurse is instructing a client on ways to reduce formation of future kidney stones. Which of the following should be included in these instructions? (Select all that apply.)
 
  1. Drink plenty of fluids.
  2. Drink soft drinks.
  3. Limit the intake of spinach.
  4. Take a vitamin B-12 supplement or eat foods rich in vitamin B-12.
  5. Take a magnesium citrate supplement or eating foods rich in magnesium citrate.
  6. Adjust calcium intake.

Question 4

A female client has had a type 1 female circumcision. The nurse realizes that which of the following has been surgically removed on the client?
 
  1. Clitoris
  2. Clitoris and labia minora
  3. Clitoris, labia minora, inner surface of labia majora, and suturing of the vagina
  4. Clitoris and uterus

Question 5

A client is prescribed meglitinide as oral treatment for type 2 diabetes mellitus. Which of the following should the nurse instruct as a possible side effect of this medication?
 
  1. Diarrhea
  2. Constipation
  3. Flatulence
  4. Hunger

Question 6

A client is diagnosed with an upper urinary tract infection. Which structures are affected by this infection? (Select all that apply.)
 
  1. Bladder
  2. Kidney
  3. Prostate
  4. Ureters
  5. Urethra
  6. Rectum

Question 7

A client is diagnosed with septic shock. The nurse realizes that the major cause of this type of shock is:
 
  1. gram-negative bacteria.
  2. gram-positive bacteria.
  3. fungi.
  4. viruses.

Question 8

A 52-year-old female client had been treated for human papillomavirus. After 3 years of testing, the client's Pap smears are normal. The nurse realizes that the client's next Pap smear should be in:
 
  1. 2 years
  2. 3 years
  3. 5 years
  4. 10 years
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Replies
wrote...
6 years ago
The answer to question 1  3
Smoking increases the female client's risk of developing gynecological malignancies. Alcohol intake, being overweight, and having a history of constipation do not increase a client's risk of developing the disorder.

The answer to question 2  2
The diet plan is individualized for each client. The food plan will have an emphasis on maintaining blood glucose levels, lowering blood pressure, and reducing weight since there is a high incidence of obesity in clients with type 2 diabetes. Alcohol can be part of a diet plan if in moderation. Sharing a couple of bottles of wine would not be alcohol in moderation. The food plan is combined with exercise, blood glucose testing, and medications (if needed). The client should be instructed to not skip meals. The client should be instructed to not take any medication prior to testing. The client should be instructed that alcohol intake should be in moderation.

The answer to question 3  1, 3, 5, 6
Instructions to reduce the formation of kidney stones in the future include: drink plenty of fluids; avoid soft drinks; limit the intake of spinach to reduce urinary oxalate levels; vitamin B6 helps reduce the formation of kidney stones; magnesium citrate helps prevent the formation of kidney stones; and calcium intake should be adjusted to prevent the formation of kidney stones.

The answer to question 4  1
Type 1 female circumcision is the removal of the clitoris. Type II includes the removal of the clitoris and labia minora. Type III is the removal of the clitoris, labia minora, inner surface of the labia majora, and suturing of the labia majora together to cover the urethra and vagina. There is not a type that is the removal of the clitoris and uterus.

The answer to question 5  3
The most common side effect of meglitinide is flatulence, which can cause the client minor discomfort. The nurse should instruct the client regarding this side effect. Meglitinide does not cause diarrhea, constipation, or hunger.

The answer to question 6  2, 4
Upper urinary tract infections are of the ureters or kidney. Lower urinary tract infections are infections of the urethra, bladder, or prostate. The rectum is not affected by an upper urinary tract infection.

The answer to question 7  1
All are potential causes of septic shock, but gram-negative bacteria are considered the major cause of septic shock.

The answer to question 8  2
If the client is between the ages of 30 to 70 and has three normal Pap smear results, the client does not need to have another Pap smear for 3 years. If the client is between the ages of 21 to 30 and has normal Pap smear results, the client needs another Pap smear in 2 years. If the client is over the age of 70 and the last three Pap smear results were normal, within 10 years, the Pap smears can be discontinued.
JCat Author
wrote...
6 years ago
Appreciate this a lot, answers were right.
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