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NEW QUESTION 53
The nurse would assess the client's correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

A. "At ovulation, my basal body temperature should rise about 0.5F."B. "My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle."C. "My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy."D. "I should douche immediately after intercourse."

Answer: A

Explanation:
(A)
At ovulation, the cervical mucus is increased, stretchable, and watery clear. (B) Under the influence of progesterone, the basal body temperature increases slightly after ovulation.
(C)
To enhance fertility, measures should be taken that promote retention of sperm rather than removal. (D) Ovulation, the optimal time for conception, occurs 14+2 days before the next menses; therefore, the date of ovulation is directly related to the length of the menstrual cycle.

 

NEW QUESTION 54
A chronic alcoholic client's condition deteriorates, and he begins to exhibit signs of hepatic coma. Which of the following is an early sign of impending hepatic coma?

A. HiccupsB. Fetor hepaticusC. AnorexiaD. Mental confusion

Answer: D

Explanation:
Explanation
(A) Hiccups are not a sign of impending hepatic coma. (B) Anorexia is not a sign of impending hepatic coma.
(C) One of the earliest symptoms of hepatic coma is mental confusion. Asterixis, a flapping tremor of the hand, may also be seen. (D) This sign is associated with the later stages of hepatic coma. Fetor hepaticus, a characteristic odor on the breath that smells like acetone, may sometimes be noted when the liver fails.

 

NEW QUESTION 55
As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

A. Enlarged penisB. HepatomegalyC. Secondary lymphadenitisD. Epididymitis

Answer: D

Explanation:
Section: Questions Set A
Explanation:
(A) An enlarged penis is not a sign of chlamydia. (B) Secondary lymphadenitis is a complication of lymphogranuloma venereum. (C) Untreated chlamydial infection can spread from the urethra, causing epididymitis, which presents as a tender, scrotal swelling. (D) Hepatomegaly is not a complication.

 

NEW QUESTION 56
A client was admitted to the hospital for a TURP. Within 48 hours of admission and 12 hours postoperatively, both the blood pressure and pulse increased. He became agitated, thought snakes were crawling on his arms and legs, and generally became unmanageable. He pulled out his IV and urinary catheter in attempt to rid himself of the snakes. He was sweating profusely. The admission nurse's notes indicated that the client admitted to "having a few drinks now and then." He is probably experiencing which of the following?

A. Delirium tremensB. Generalized anxiety disorderC. Major psychotic depressionD. Adjustment disorder with mixed features

Answer: A

Explanation:
Section: Questions Set D
Explanation:
(A) Symptoms of psychotic depression must exist for at least 2 weeks, and the symptoms must represent a change from previous functioning. (B) Delirium tremens occur approximately on the second- or third-day following cessation or reduction of alcohol intake. Symptoms would be all those described in the situation. (C) Symptoms exhibited by this client are not exhibited in clients with anxiety disorders, who manifest excessive or unrealistic worry about life circumstances for at least 6 months. (D) Symptoms for adjustment disorders with mixed emotional features (e.g., depression and anxiety) are different from those exhibited by the client in this situation.

 

NEW QUESTION 57
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