A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence.
To promote adherence, which area would be most important for the nurse to assess?.

Beliefs and education.

Family and living arrangements.

Activity level and nutrition.

Financial situation and insurance.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Understanding the patient’s beliefs and education level can help tailor an adherence plan that the patient can understand and follow.

Choice B rationale:

Knowing the patient’s living arrangements can help identify potential barriers to adherence, such as lack of privacy.

Choice C rationale:

While important for overall health, these factors may not directly impact adherence to ART6.

Choice D rationale:

Financial constraints and lack of insurance can significantly impact a patient’s ability to access and adhere to ART6.

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Correct Answer is A

Explanation

Choice A rationale:

Estrogen deficiency is the primary cause of hot flashes and night sweats in postmenopausal women. As estrogen levels decrease, it affects the hypothalamus, which is responsible for regulating body temperature, leading to these symptoms.

Choice B rationale:

Changes in vaginal pH occur during menopause due to estrogen deficiency, but this is not the primary cause of hot flashes and night sweats.

Choice C rationale:

An active lifestyle can help manage symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

Choice D rationale:

Poor dietary intake can exacerbate symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

A. Notify the primary care provider immediately. B. Perform a vaginal exam. C. Change the linen saver pad. D. Check the fetal heart rate.

Correct Answer is D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

Correct Answer is A

Explanation

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Correct Answer is D

Explanation

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as

The skull is the most important factor in relation to the labor and birth processes. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible?

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?.

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement?.

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence.
To promote adherence, which area would be most important for the nurse to assess?.