A nurse is reinforcing teaching for a client regarding long-acting reversible contraception options. Which of the following client statements indicate an understanding of the teaching?

"If I decide to get implants in my arm, I will get them replaced every 10 years."

"If I decide to get pregnant again, tubal reconstruction is a reliable option

"I get the birth control injection, I will need an injection 4 times a year."

"If I get an IUD placed. I will not have menstrual bleeding”

Answer and Explanation

The Correct Answer is C

A. "If I decide to get implants in my arm, I will get them replaced every 10 years.": Contraceptive implants, such as etonogestrel (Nexplanon), typically last about 3 to 5 years, not 10 years. Misunderstanding the replacement timeline could leave a client unprotected against pregnancy if not corrected.

B. "If I decide to get pregnant again, tubal reconstruction is a reliable option.": Tubal ligation is considered a permanent form of contraception. Although tubal reversal surgery exists, it is not always successful and is not a reliable or guaranteed method for restoring fertility.

C. "I get the birth control injection, I will need an injection 4 times a year.": The birth control injection, such as depot medroxyprogesterone acetate (Depo-Provera), is administered every 3 months, which totals about 4 injections per year. This statement shows a correct understanding of the injection schedule.

D. "If I get an IUD placed, I will not have menstrual bleeding.": Some types of IUDs, particularly hormonal IUDs, may reduce menstrual bleeding significantly, but complete absence of bleeding does not occur in all clients. Copper IUDs, in contrast, may actually increase menstrual bleeding and cramping.

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Correct Answer is B

Explanation

A. Black out the line with a felt-tip pen: Blacking out a space or entry is inappropriate because it obscures the original documentation, making the record appear altered or falsified. Medical documentation must remain clear, transparent, and legally defensible at all times.

B. Draw a horizontal line through the space and sign at the end of the line: Drawing a single horizontal line through the blank space ensures that no unauthorized additions can be made later. Signing at the end of the line maintains the integrity and completeness of the medical record, following accepted documentation standards.

C. Place the date at the beginning of the space, followed by double lines: Simply dating the space without properly securing it with a line could leave it open to later insertions. Double lines are also not a recognized standard method for handling blank spaces in documentation.

D. Leave the space as it is within the entry: Leaving a blank space unmarked can create opportunities for someone to add unauthorized information later. This poses legal and ethical risks and compromises the reliability and security of the medical record.

A. Handling cat feces B. Drinking contaminated water C. Eating shellfish D. Touching body fluids

Correct Answer is A

Explanation

A. Handling cat feces: Toxoplasmosis is most commonly transmitted through exposure to Toxoplasma gondii, a parasite found in cat feces. Handling contaminated litter, soil, or sand without proper hygiene can lead to infection, making this the correct response.

B. Drinking contaminated water: While contaminated water can transmit various infections, toxoplasmosis is primarily associated with exposure to cat feces or undercooked meat, not typically with drinking water.

C. Eating shellfish: Eating shellfish can expose individuals to other types of infections, such as hepatitis A or certain bacterial infections, but it is not a known source of toxoplasmosis.

D. Touching body fluids: Toxoplasmosis is not spread through casual contact with body fluids like saliva, blood, or urine. It is mainly transmitted through ingestion of the parasite from contaminated sources.

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A nurse is reinforcing teaching for a client regarding long-acting reversible contraception options. Which of the following client statements indicate an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting client care in the nurses' notes and notices that a space was left blank. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has toxoplasmosis and asks about the cause of the infection. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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