A nurse is providing client teaching about the basal body temperature method of birth control. Which of the following information should the nurse include in the teaching?

"Your body temperature will drop approximately 1 degree 1 week after ovulation."

"You should take your body temperature each evening prior to going to sleep."

"Your body temperature might decrease slightly just prior to ovulation."

"Your body temperature is at its highest during menstruation."

Answer and Explanation

The Correct Answer is C

A. This choice is incorrect because the body temperature does not drop 1 degree 1 week after ovulation. The body temperature rises slightly (about 0.4 to 0.8 degrees Fahrenheit) after ovulation and remains elevated until the next menstrual period.

B. This choice is incorrect because the body temperature should be taken each morning before getting out of bed or doing any activity. Taking the temperature in the evening can result in inaccurate readings due to variations in daily activities, meals, stress, exercise, etc.

C. This choice is correct because the body temperature might decrease slightly (about 0.2 degrees Fahrenheit) just prior to ovulation due to a surge in estrogen levels. This dip in temperature can indicate that ovulation is about to occur and that the client should avoid unprotected intercourse if she wants to prevent pregnancy.

D. This choice is incorrect because the body temperature is not at its highest during menstruation. The body temperature drops at the onset of menstruation due to a decline in progesterone levels and marks the beginning of a new cycle.

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Correct Answer is D

Explanation

Choice A reason:

Urine specific gravity should not be reported by the nurse. While urine specific gravity is an important indicator of hydration status and kidney function, the provided information does not suggest any abnormalities in urinary output or signs of kidney issues. It is not the most critical finding to report in this scenario.

Choice B reason:

Prealbumin should not be reported by the nurse. Prealbumin is a protein used to assess nutritional status, but its significance in this situation is not apparent from the provided data. It may be relevant in other contexts, such as assessing malnutrition, but it does not directly address the current findings.

Choice C reason:

Temperature should not be reported by the nurse. The provided information does not include any data about the client's temperature, and there are no signs of infection mentioned. While temperature is an important vital sign, it is not relevant to the findings presented in this scenario.

Choice D reason

The nurse should report the "hypoactive bowel sounds upon auscultation" to the provider. Hypoactive bowel sounds can be a sign of gastrointestinal (GI) motility issues, which may indicate a potential problem with the client's digestive system. It could be due to various causes such as bowel obstruction, inflammation, or other GI disorders. Reporting this finding to the provider is essential so that appropriate assessments and interventions can be taken to address the client's condition.

A. The solution temperature should be determined by the client's comfort level. B. The temperature of the enema is unrelated to the enema's eﬀectiveness. C. The solution should approximate the client's body temperature (98°F or 36°C). D. The temperature should be higher (110°F or 43°C) than the client's body temperature.

Correct Answer is C

Explanation

An oil retention enema is used to soften the stool and lubricate the rectum, making it easier to pass the

stool. It is usually oil-based and contains 90-120 ml of solution.

The temperature of the enema solution aﬀects the eﬀectiveness and comfort of the procedure. If the solution is too hot or cold, it can cause pain, cramps, or damage to the rectal tissue. If the solution is too warm, it can also stimulate peristalsis and cause the client to expel the enema before it has time to work.

The ideal temperature for an enema solution is close to the client's body temperature, which is around 98°F or 36°C. This temperature ensures that the solution is comfortable and does not cause adverse reactions .

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A nurse is providing client teaching about the basal body temperature method of birth control. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client. These are the medical reports; Hypoactive bowel sounds upon auscultation, abdomen soft, not distended on palpation and urinary output of 130mL/4hr. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

An oil retention enema is prescribed for a hospitalized client. The practical nurse (PN) should administer the enema solution at which temperature?

Correct Answer is C

Explanation

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