When obtaining a reproductive health history from a female patient, the nurse should:.
Limit the time spent on exploration of intimate topics.
Avoid asking questions that may embarrass the patient.
Use only accepted medical terminology when referring to body parts and functions.
Explain the purpose for the questions asked and how the information will be used.
The Correct Answer is D
Choice A rationale:
Limiting the time spent on exploration of intimate topics may result in incomplete information, leading to potential gaps in the patient's health history. It's essential to create a safe and supportive environment, allowing the patient to share necessary information freely.
Choice B rationale:
Avoiding questions that may embarrass the patient could prevent the nurse from gathering crucial information related to the patient's reproductive health. Sensitivity and non-judgmental communication are essential, enabling the patient to openly discuss sensitive topics.
Choice C rationale:
Using accepted medical terminology is important, but it should be balanced with clear communication. Complex medical terms might confuse the patient. It's essential to use language that the patient can understand, ensuring effective communication and a better understanding of their health.
Choice D rationale:
This statement indicates a correct understanding of the best approach when obtaining a reproductive health history. Explaining the purpose for the questions asked and how the information will be used builds trust and helps the patient feel more comfortable sharing sensitive information. It also ensures that the patient understands the relevance of the questions, fostering open communication between the patient and the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Explaining how SIDS could have been predicted and prevented might not be appropriate immediately after the loss, as it can come across as insensitive. The focus should be on providing emotional support to the grieving family.
Choice B rationale:
While it's essential to gather information about the circumstances surrounding the infant's death, conducting an in-depth interview immediately might be overwhelming for the parents. Sensitivity and timing are crucial in approaching this aspect of the situation.
Choice C rationale:
Discouraging parents from making a last visit with the infant is highly inappropriate and insensitive. Parents should be allowed to have their final moments with their children and say their goodbyes in a way that brings them comfort and closure.
Choice D rationale:
Making a follow-up home visit to parents as soon as possible after the infant's death is a crucial nursing responsibility. This visit provides an opportunity to offer emotional support, answer any questions the parents might have, and connect them with appropriate resources for coping with their loss. It demonstrates the nurse's ongoing commitment to the family's well-being during this challenging time.
Correct Answer is D
Explanation
Choice A rationale:
The child's fever in Kawasaki disease is typically unresponsive to antibiotics. The disease primarily affects blood vessels and can lead to the development of coronary artery aneurysms. Antibiotics are not the mainstay of treatment for Kawasaki disease.
Choice B rationale:
Kawasaki disease does not primarily involve the joints. It is a systemic vasculitis that affects medium-sized arteries throughout the body, including the coronary arteries. Joint involvement is not a characteristic feature of this condition.
Choice C rationale:
Aspirin is actually a crucial part of the treatment for Kawasaki disease. High-dose aspirin therapy (80-100 mg/kg/day) is administered until the child is afebrile, then the dose is reduced and continued for several weeks to prevent blood clots and inflammation in the coronary arteries.
Choice D rationale:
This is the correct answer. The therapeutic management of Kawasaki disease includes the administration of intravenous immunoglobulin (IVIG) and aspirin. IVIG helps reduce inflammation and prevent coronary artery abnormalities, while high-dose aspirin is used for its anti-inflammatory and antiplatelet effects. This combination of treatments has been shown to be effective in reducing the risk of coronary artery complications associated with Kawasaki disease.
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