A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

Deep-vein thrombosis.

Tobacco use.

Recurrent urinary tract infections.

History of positive group B streptococcus B-hemolytic.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale: Deep-vein thrombosis is not a contraindication for using a diaphragm. The diaphragm does not affect blood clotting mechanisms.

Choice B rationale: Tobacco use is a risk factor for cardiovascular disease but is not a contraindication for diaphragm use.

Choice C rationale: Recurrent urinary tract infections are a contraindication for diaphragm use. The diaphragm can increase the risk of urinary tract infections due to its placement and the need for spermicide, which can disrupt the natural flora of the vagina.

Choice D rationale: A history of positive group B streptococcus B-hemolytic is not a contraindication for diaphragm use. Group B strep colonization is managed with antibiotics during labor, not by contraceptive choice.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The nurse should prepare to reinforce teaching with the client about a diabetic diet with a prescription of insulin therapy.

So, correct options are:

A. diabetic diet
A. insulin therapy
Diabetic diet:
1. The client has a history of gestational diabetes mellitus (GDM) during her previous pregnancy and is currently experiencing elevated blood glucose levels, as indicated by the oral glucose tolerance test and fasting glucose levels.
2. A diabetic diet is essential to help manage blood glucose levels and prevent complications for both the mother and the baby.
Insulin therapy:
1. The client is already adhering to a diabetic diet and is taking insulin as prescribed, indicating that insulin therapy is part of her current management plan.
2. Her glucose levels are still elevated despite dietary management, which means insulin therapy is necessary to maintain optimal glucose levels and reduce the risk of complications associated with GDM.

A. Cleanse the heel with an antiseptic. B. Cover the heel with an adhesive bandage. C. Puncture the heel and collect the blood. D. Apply pressure with a dry gauze pad. E. Wrap a warm, moist cloth around the heel.

Correct Answer is E,A,C,D,B

Explanation

Wrap a warm, moist cloth around the heel.
Cleanse the heel with an antiseptic.
Puncture the heel and collect the blood.
Apply pressure with a dry gauze pad.
Cover the heel with an adhesive bandage. .

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A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a provider's office is caring for a 32-year-old female client. Exhibits Complete the following sentence by using the lists of options. The nurse should prepare to reinforce teaching with the client about a dropdown with a prescription of dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is E,A,C,D,B

Explanation

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