With regard to endometriosis, nurses should be aware that

it is characterized by the presence and growth of endometrial tissue inside the uterus.

It is unlikely to affect sexual intercourse or fertility

It may worsen with repeated cycles or remain asymptomatic and disappear after menopause.

It affects 25% of women.

Answer and Explanation

The Correct Answer is C

A. It is characterized by the presence and growth of endometrial tissue inside the uterus: Endometriosis involves the growth of endometrial-like tissue outside the uterus, not inside. These ectopic tissues respond to hormonal changes, causing pain and inflammation.

B. It is unlikely to affect sexual intercourse or fertility: Endometriosis often causes dyspareunia (painful intercourse) and is a leading cause of infertility. The inflammation and scarring associated with ectopic endometrial tissue can impair ovulation, fertilization, or implantation.

C. It may worsen with repeated cycles or remain asymptomatic and disappear after menopause: Endometriosis symptoms typically worsen during reproductive years due to cyclic hormonal stimulation. After menopause, decreased estrogen levels usually lead to regression or disappearance of the disease.

D. It affects 25% of women: The prevalence is lower; endometriosis affects approximately 10% of women of reproductive age, though exact figures may vary due to underdiagnosis.

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Correct Answer is C

Explanation

A. Oral: Only a few vaccines, such as the rotavirus and oral polio vaccines, are given orally. While effective for specific immunizations, this route is not the most frequently used in general pediatric immunization schedules.

B. Intradermal: The intradermal route is used rarely, primarily for tuberculosis (Mantoux) testing or specific research-based vaccines. It is not commonly used for routine childhood immunizations.

C. Intramuscular: The intramuscular route is the most common method for administering vaccines in children. It ensures optimal immune response and rapid absorption. Common vaccines given intramuscularly include DTaP, Hepatitis B, and influenza vaccines.

D. Topical: Topical administration is not used for vaccination. This route is typically used for local skin treatments or analgesic applications, not for systemic immunization purposes.

A. Provide a high-carbohydrate meal. B. Contact the poison control center. C. Bring the child to the office for a rapid infusion of deferoxamine. D. Give the child syrup of ipecac.

Correct Answer is B

Explanation

A. Provide a high-carbohydrate meal: Offering food will not reduce iron absorption or counteract toxicity. Iron poisoning causes gastrointestinal irritation, metabolic acidosis, and possible organ damage, requiring urgent medical evaluation rather than dietary measures.

B. Contact the poison control center: Iron overdose is potentially life-threatening, and poison control can provide immediate, specific guidance based on the child’s age, weight, and amount ingested. Prompt emergency intervention may be needed.

C. Bring the child to the office for a rapid infusion of deferoxamine: Deferoxamine is the antidote for severe iron toxicity but should only be administered in a healthcare facility after diagnostic confirmation of toxicity levels. The parent must first receive instructions from poison control or emergency services.

D. Give the child syrup of ipecac: Inducing vomiting with syrup of ipecac is no longer recommended due to the risk of aspiration and limited efficacy in toxin removal. The child should instead receive immediate evaluation and treatment in an emergency setting.

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With regard to endometriosis, nurses should be aware that

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering immunizations to children in a neighborhood clinic. What is the most frequent route of administration?

Correct Answer is C

Explanation

A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent?

Correct Answer is B

Explanation

The nurse is performing a physical examination on a sleeping newborn. Which body system should the nurse examine last?

A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would identify which finding as associated with the client's condition?

A nurse should instruct a client who has premenstrual syndrome (PMS) to make which of these lifestyle modifications?

A nurse has just administered medication via an orogastric tube. What is the priority nursing action following administration?

The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of postoperative pain and obtains a score of 9. The nurse interprets this to indicate that the child is experiencing:

The nurse is planning to speak at a local community center to a group of middle-aged women about osteoporosis. Which measure would the nurse be sure to include as effective in reducing the risk for osteoporosis?

The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply.