GCC 600 - 625

A female client considers using spermicidal agents because she wants both birth control and protection from sexually transmitted infections (STIs). The nurse educates the client that spermicidal agents:

• Are also effective in reducing vaginal fungal infections such as Candida albicans.
• Eliminate bacterial and viral STIs.
• Are more effective when used in conjunction with barrier methods, such as the diaphragm or condom.
• Are used on an "as-needed" basis and exhibit few side effects.
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Which statement made by the client would alert the nurse to a possible fluid and electrolyte imbalance in an 80-year-old client being admitted to a nursing home?

• My skin is always so dry.
• I often use a laxative for constipation.
• I have always liked to drink a lot of water.
• I sometimes have a problem with dribbling urine.
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A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:

• Remove the unsightly markings with acetone or alcohol
• Cover the radiation site with loose gauze dressing
• Sprinkle baby powder over the radiated area
• Refrain from using soap or lotion on the marked area
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While assessing a patient's heart sounds, the nurse hears a murmur at the second left intercostal space along the left sternal border. Which valve is most likely involved?

• Aortic
• Mitral
• Pulmonic
• Tricuspid
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Which form of therapy uses radiation to kill cancerous cells?

• Chemotherapy.
• Chirotherapy.
• Radiotherapy.
• Ultratherapy.
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Which exam is most reliable in diagnosing peptic ulcer disease?

• Upper-gastrointestinal x-ray
• Gastric analysis
• Endoscopy
• Barium studies
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Which action is included in the principles of asepsis?

• Maintaining a sterile environment
• Keeping the environment as clean as possible
• Testing for microorganisms in the environment
• Cleaning an environment until it is free from germs
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The nurse cares for a client who returns from a cystoscopy. The nurse knows that which assessment finding is within normal limits for this client?

• Blood-tinged urine.
• Decreased urine output.
• Severe abdominal or pelvic pain.
• Fever.
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The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The reason for this order is:

• To treat general discomfort
• To correct electrolyte imbalances
• To prevent stress ulcers
• To treat nausea
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A 33-year-old patient undergoes an L4-L5 laminectomy. Which of the following would work best to prevent postoperative complications?

• Encouraging the patient to be out of bed the first postoperative day
• Maximizing bracing while in bed
• Limiting movement in bed and repositioning only when necessary
• Using a soft mattress
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