What action should the nurse take regarding a young woman with low weight and excessive exercise?

Correct Answer: A

Rationale: In this scenario, the correct action for the nurse to take is option A) Ask the client the date of her last menstrual period. This is the appropriate course of action because a young woman with low weight and excessive exercise may be at risk for developing or already have an eating disorder, which could impact her menstrual cycle and overall health. By inquiring about her last menstrual period, the nurse can gather important information to assess the client's health status and potential risks. Option B) Encouraging the client to continue her excellent exercise schedule would be incorrect because excessive exercise can contribute to further health complications, especially in individuals who are underweight. Option C) Congratulating the client on her ability to maintain such a good weight could reinforce unhealthy behaviors and attitudes towards body image, potentially exacerbating the situation. Option D) Advising the client that she will have to stop swimming once soccer starts is irrelevant to the issue at hand and does not address the underlying concerns related to the client's low weight and excessive exercise. In the field of maternal and newborn nursing, it is crucial for healthcare providers to be vigilant in identifying signs of eating disorders, as they can have serious implications for both maternal and fetal health. By addressing these concerns early on and providing appropriate support and interventions, nurses can help promote the overall well-being of both the mother and baby.

Correct Answer: A

Rationale: The correct response, "A) The evidence kit may still reveal important information," is the most appropriate because in cases of sexual assault, preserving evidence is crucial for legal proceedings and obtaining justice. The evidence kit can provide critical information to support the victim's case and potentially lead to the perpetrator's identification and conviction. Option B, "It was important for you to do that for yourself," while empathetic, does not address the immediate need for evidence collection. Option C, "Have you washed your clothes? If not, we might be able to obtain evidence from them," is partially correct but does not emphasize the urgency of preserving evidence from the victim's body. Option D, "Do you remember what happened? If not, someone may have put a drug in your drink," is not the first priority and may lead to victim-blaming or unnecessary speculation. From an educational standpoint, it is essential for nurses to understand the legal and medical implications of sexual assault cases. Teaching healthcare providers to prioritize evidence collection in a sensitive and timely manner can help ensure proper care for victims and increase the chances of obtaining justice. Nurses should be trained to respond with empathy while also emphasizing the importance of evidence preservation in such traumatic situations.

Correct Answer: C

Rationale: In the context of maternal and newborn nursing, it is crucial for healthcare providers to be aware of the signs and symptoms of ovarian cancer as early detection can significantly impact outcomes. Option C, which includes abdominal pain, bloating, and a constant feeling of fullness, is the correct choice. These symptoms are commonly associated with ovarian cancer and should prompt a woman to seek assessment promptly. Option A, vaginal bleeding and weight loss, are more commonly seen in other conditions such as cervical or uterine cancer, but they are not specific to ovarian cancer. Option B, frequent urination, breast tenderness, and extreme fatigue, are not typical symptoms of ovarian cancer and are more likely related to other gynecological or hormonal issues. Option D, hardness on one side of the abdomen, is a vague symptom and not specific to ovarian cancer. Educationally, it is important to highlight the importance of recognizing the hallmark symptoms of ovarian cancer to facilitate early diagnosis and treatment. Nurses and other healthcare professionals play a vital role in educating women about these signs and encouraging them to seek assessment if they experience such symptoms. This knowledge empowers women to take control of their health and potentially improve their prognosis in case ovarian cancer is detected.

Correct Answer: C

Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.

Correct Answer: A

Rationale: In this scenario, the priority responsibility of the nurse is option A) Asking relevant questions to determine the client's understanding. This is crucial because ensuring that the client has a clear understanding of the procedure and its implications is essential for obtaining informed consent. By asking questions, the nurse can assess the client's level of comprehension, address any misconceptions, and provide further information as needed to ensure the client can make a well-informed decision. Option B) Providing a detailed description of the risks and benefits of the procedure is important, but it should come after assessing the client's understanding to tailor the information appropriately. Option C) Explaining the exact steps that will occur during the procedure is important but not the priority at this stage as understanding the broader implications and risks should come first. Option D) Offering suggestions for alternative options for treatment is not the priority when obtaining informed consent for a specific procedure; the focus should be on ensuring understanding and consent for the proposed procedure. In an educational context, this rationale highlights the critical role of the nurse in ensuring informed consent, which is a fundamental ethical and legal principle in healthcare. Nurses must prioritize assessing the client's understanding to empower them to make autonomous decisions about their care. This process fosters trust, promotes client autonomy, and enhances the quality of care provided.