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 B

Explanation

Choice A rationale:

Dysuria is not typically associated with lightening.

Choice B rationale:

Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.

Choice C rationale:

Constipation is not typically associated with lightening.

Choice D rationale:

Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.

A. -2. B. +1. C. 0. D. -1. E. -1.

Correct Answer is C

Explanation

Choice A rationale:

Station -2 means the presenting part is 2 cm above the ischial spines. Engagement usually occurs at 0 station.

Choice B rationale:

Station +1 means the presenting part is 1 cm below the ischial spines. This usually occurs during labor, not necessarily at engagement.

Choice C rationale:

Station 0 means the presenting part is at the level of the ischial spines. This is typically when engagement occurs.

Choice D rationale:

Station -1 means the presenting part is 1 cm above the ischial spines. Engagement usually occurs at 0 station.

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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

The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother likely experience at that time?.

Correct Answer is B

Explanation

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

Correct Answer is C

Explanation

A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?

A nurse is explaining the fetus's position to a female client whose baby is in the frank breech position. Which statement by the client would indicate that the teaching was understood?.

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 nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

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

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?.

Which measure would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause?.

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?.