NUR 350 Chap 53 Review Questions and Correct Answers
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Course
NUR 350
Institution
NUR 350
The nurse is working in the emergency department (ED) and caring for a woman admitted for reports of terrible nightmares and nausea accompanied by frequent diarrhea. She has a history of rape during a street mugging. Which of the following would most likely explain the patient's signs and symptoms?...
NUR 350 Chap 53 Review Questions and
Correct Answers
The nurse is working in the emergency department (ED) and caring for a woman
admitted for reports of terrible nightmares and nausea accompanied by frequent
diarrhea. She has a history of rape during a street mugging. Which of the following
would most likely explain the patient's signs and symptoms?
Rape trauma syndrome is a classification of posttraumatic stress syndrome and
includes flashbacks and nausea as signs and symptoms. Contraction of the H1N1
gastrointestinal flu would not include flashbacks. Additional rape is not mentioned in the
scenario. Gastroesophageal reflux disease would not include flashbacks as a sign.
p. 1263
A newly married couple is interested in using a combined oral contraceptive containing
both estrogen and progesterone. What information should the nurse include when
explaining about combined oral contraceptives to this couple?
Multiple selection question
Oral contraceptives increase risk of breast cancer.
Oral contraceptives increase risk of ovarian cancer.
Oral contraceptives decrease the risk of liver cancer.
Oral contraceptives need to be taken after sexual intercourse.
Oral contraceptives increase blood pressure and serum cholesterol. ✅Oral
contraceptives increase risk of breast cancer.
Oral contraceptives increase blood pressure and serum cholesterol.
,Oral contraceptives increase the risk of breast cancer. The combined pill may elevate
blood pressure and cholesterol. Oral contraceptives reduce the risk of ovarian cancer
and increase the risk of liver cancer. Oral contraceptives need to be taken on a
scheduled basis without any relation to sexual intercourse.
p. 1245
A female college student presents at the campus clinic reporting a headache and
increased lethargy with difficulty concentrating on studying. Which of the following
questions should the nurse include during the focused assessment?
Multiple selection question
Does the patient practice birth control?
When was the patient's last self-breast exam?
Does the patient wear contact lenses or glasses?
Does the patient have a history of menstrual cramps?
Did the patient bump or receive any hits to her head? ✅Does the patient practice birth
control?
Does the patient wear contact lenses or glasses?
Did the patient bump or receive any hits to her head?
The patient's symptoms may indicate that she has experienced sexual assault. Asking
about birth control may encourage the patient to open up about a sexual assault and is
an appropriate question given the patient's age and campus environment. Asking about
vision correction may reveal eye strain and fatigue that can result in a headache due to
frequent computer use for studying. Asking about any hits to the head is necessary
because the patient may have been subjected to violence during a sexual assault. A
concussion or subdural hematoma may have resulted. Asking about the patient's last
self-breast exam is not relevant to a headache and increased lethargy. Asking if the
patient is currently having her menses is preferable to asking about a history of
menstrual cramps since some patients experience headaches during their menstrual
cycles.
p. 1264
The nurse is caring for a patient who has been sexually assaulted. What nursing actions
are appropriate for this patient?
Multiple selection question
, Refer to crisis center.
Provide privacy and emotional support.
Train her about self-defense techniques.
Provide the primary care and admit the patient in hospital.
Discuss the possibility of pregnancy and offer effective emergency contraceptive pills.
✅Refer to crisis center.
Provide privacy and emotional support.
Discuss the possibility of pregnancy and offer effective emergency contraceptive pills.
Sexual assault victims undergo physical and mental trauma. Hence the initial role of the
nurse is to put the victim at ease by consoling and providing a private area and
emotional support. Because pregnancy is a possible outcome, the nurse may offer
emergency contraception. Crisis centers have professional and nonprofessional
volunteers who provide dignified medical and police procedures. They do counseling
and also provide court assistance. Self-defense techniques may help to prevent sexual
assaults. The patient may not need hospitalization unless a severe injury is present.
Care should be taken to see that the victim is sent home with family members, friends,
or a community resource person.
p. 1265
The nurse is educating a postmenopausal woman who is not receiving hormone
replacement therapy (HRT) about calcium supplementation. How many milligrams (mg)
per day is the recommended dose?
Multiple choice question
500 mg
1,000 mg
1,500 mg
2,000 mg ✅1,500 mg
For a woman not receiving HRT, a daily calcium supplement of 1,500 mg is
recommended to help offset bone loss. A dose of 500 mg is not enough to offset this
bone loss. The recommended dose for a woman receiving HRT is 1,000 mg, as HRT
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