During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

"What do you do to prevent sexually transmitted infections?".

"The chance of acquiring a sexually transmitted infection increases with multiple sex partners.".

"It is hard to find a good partner these days.".

"You are putting yourself at risk when you have multiple sex partners.".

Answer and Explanation

The Correct Answer is B

"The chance of acquiring a sexually transmitted infection increases with multiple sex partners." This response is appropriate and accurate because having multiple sex partners increases the risk of acquiring sexually transmitted infections. The nurse's response can help educate the client and encourage safer sexual practices.

Choice A is incorrect because it assumes the client already practices safe sex.

choice C is not relevant to the conversation.

Choice D is not necessarily incorrect, but it does not provide as much information or education to the client as choice B does.

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Correct Answer is A

Explanation

Giving non-prescription laxatives to a client with cirrhosis can cause severe dehydration and electrolyte imbalances, which can be life-threatening. The nurse should report this intervention immediately to the physician.

Choice B is incorrect because measuring abdominal girth is a standard nursing intervention for clients with cirrhosis to assess for ascites.

Choice C is incorrect because asking the client about food intake is a standard nursing intervention for assessing nutritional status.

Choice D is incorrect because checking for signs of hepatic encephalopathy is a standard nursing intervention for clients with cirrhosis.

A. Tissue hypoxia. B. Cardiac failure. C. Hypovolemia. D. Infection.

Correct Answer is C

Explanation

Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.

A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.

D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.

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During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?

Correct Answer is A

Explanation

Following a serious thermal burn, which complication will the nurse take action to prevent first?

Correct Answer is C

Explanation

The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?

The client is undergoing a tuning fork test to assess for hearing conduction. The nurse performs a Rinne test. How will this test be performed?

On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments, such as liners and protective pants. Which suggestion would be most appropriate to help the client maintain skin integrity?

An older adult male client is participating in bladder training for urinary incontinence. The nurse advises him to wear a pad. Which suggestion would be most appropriate to help the client?

The nurse is caring for a client admitted with a stroke. Imaging studies indicate an occlusion partially obstructing the right carotid artery. What type of stroke does the nurse know the client has?

The nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common?

The nurse is caring for clients with spinal deformities. Which type of deformity would have the most significant consequences on the respiratory system?