A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most reliable?

A male condom.

An oral contraceptive.

A diaphragm with spermicide.

An intrauterine device (IUD).

Answer and Explanation

The Correct Answer is D

Choice A rationale

While male condoms are a popular method of contraception due to their accessibility and ease of use, they are not the most reliable method. They have a higher failure rate compared to other methods, particularly if not used correctly or consistently.

Choice B rationale

Oral contraceptives are more reliable than male condoms, but they require consistent daily use and can be affected by other factors such as certain medications or vomiting/diarrhea.

Choice C rationale

A diaphragm with spermicide is a barrier method of contraception that is less reliable than hormonal methods or intrauterine devices. It also requires correct placement and use with every act of intercourse.

Choice D rationale

An intrauterine device (IUD) is one of the most reliable methods of contraception. Once inserted by a healthcare provider, it provides long-term, reversible contraception without requiring daily adherence.

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Correct Answer is C

Explanation

The correct answer is choice C: Respiratory rate.

Choice A rationale:

Fetal heart rate (FHR) is an important assessment for clients experiencing preterm labor, but it is not the priority assessment when administering magnesium sulfate. FHR monitoring is crucial to ensure fetal well-being but is not directly related to the potential adverse effects of magnesium sulfate.

Choice B rationale:

Temperature is an essential assessment parameter, but it is not the priority in this case. Magnesium sulfate administration can cause adverse effects, particularly on the respiratory system, which should be closely monitored.

Choice C rationale:

Respiratory rate is the correct choice because respiratory rate is a priority assessment when administering magnesium sulfate. The drug can cause respiratory depression and other respiratory complications, so monitoring the respiratory rate is essential to ensure the client's safety.

Choice D rationale:

Bowel sounds are not a priority assessment for a client receiving magnesium sulfate. While gastrointestinal side effects can occur with magnesium sulfate use, respiratory assessments take precedence.

In conclusion, the priority nursing assessment for a client receiving magnesium sulfate is the respiratory rate due to the potential respiratory complications associated with the drug. Monitoring respiratory function closely can help prevent adverse outcomes and ensure the client's safety during treatment.

A. Cover the cord with the diaper. B. Wash the cord daily with mild soap and water. C. Apply petroleum jelly to the cord stump. D. Give a sponge bath until the cord stump falls off.

Correct Answer is D

Explanation

Choice A rationale

Covering the cord with the diaper can create a moist environment that promotes bacterial growth and delays healing.

Choice B rationale

Washing the cord daily with mild soap and water is not recommended. It’s better to keep the cord dry and clean.

Choice C rationale

Applying petroleum jelly to the cord stump is not advised. It can create a moist environment that can delay the drying and falling off of the stump.

Choice D rationale

Giving a sponge bath until the cord stump falls off is the correct instruction. This prevents the stump from getting wet, which can delay healing and increase the risk of infection.

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A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

Correct Answer is C

Explanation

A nurse is teaching a newborn’s parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most reliable?