You are the nurse providing care for a patient with pelvic inflammatory disease. Which is a priority nursing intervention for this patient?

Provide education on oral contraceptives

Removal of intrauterine device prior to treatment

Institute contact precautions

Administer acyclovir as ordered

Answer and Explanation

The Correct Answer is B

A. Provide education on oral contraceptives. This is not a priority for treating acute PID, though education on preventing sexually transmitted infections (STIs) that can lead to PID is important.
B. Removal of intrauterine device prior to treatment. This is a priority intervention because an intrauterine device (IUD) can be a source of infection and inflammation, exacerbating pelvic inflammatory disease (PID). Removing it can help reduce infection risk and facilitate treatment.
C. Institute contact precautions. PID is typically not spread by casual contact, so standard precautions are sufficient.
D. Administer acyclovir as ordered. Acyclovir is used to treat viral infections like herpes and is not relevant for bacterial infections like PID, which is usually treated with antibiotics.

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Correct Answer is ["C","D"]

Explanation

Answer: C, D

A. Hypertonia
Hypertonia, or increased muscle tone, is not a common characteristic of Trisomy 21. In fact, many infants with Down's Syndrome typically exhibit hypotonia, or decreased muscle tone, which can affect their overall strength and development.

B. Large ears
While individuals with Down's Syndrome may have unique ear shapes, "large ears" are not specifically characteristic of Trisomy 21. Instead, the ears may appear small or have a different shape compared to those of typically developing children.

C. Transverse palmar creases
Transverse palmar creases, also known as simian lines, are commonly seen in individuals with Down's Syndrome. This feature is a characteristic finding that can help in identifying the condition during physical assessment.

D. Protruding tongue
A protruding tongue is a common feature in individuals with Down's Syndrome. This occurs due to hypotonia of the oral muscles, which can lead to difficulties in tongue control and positioning.

E. Low birth weight
Low birth weight is not a defining characteristic of Trisomy 21. In fact, newborns with Down's Syndrome can have varying birth weights; they are often average weight or slightly above average, although some may be below average due to other factors related to maternal health or gestational issues.

A. Have you passed any clots? B. Do you have to go to the bathroom? C. When was the last time you changed your pad? D. Are you having any cramping?

Correct Answer is A

Explanation

A. Have you passed any clots? This is important to assess for potential postpartum hemorrhage, which can be indicated by passage of large clots.
B. Do you have to go to the bathroom? This does not directly address the issue of excessive bleeding.
C. When was the last time you changed your pad? This provides information about the amount of bleeding but does not address clotting.
D. Are you having any cramping? Cramping is common postpartum but does not directly assess for hemorrhage.

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You are the nurse providing care for a patient with pelvic inflammatory disease. Which is a priority nursing intervention for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

When caring for a postpartum client the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority question to ask the client?

Correct Answer is A

Explanation

After educating a client on use of a diaphragm for contraception, which statement made by the client demonstrates an understanding of the teaching provided?

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

The nurse knows which congenital cardiac defect is characterized by a mixing of well-oxygenated blood with poorly oxygenated blood.

A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following Information should the nurse manager include in the teaching? (Select all that apply.)

Which nursing interventions are appropriate while caring for a newborn whose mother was addicted to heroin during the pregnancy? (Select All that Apply.)

The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?

A nurse is caring for a client diagnosed with anorexia nervosa and over exercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?

Which of the following statements is NOT true about baseline fetal heart rates (FHR)?