What serum laboratory reports would the nurse expect in a bulimic client?

Correct Answer: A

Rationale: In a bulimic client, the nurse would expect serum laboratory reports indicative of electrolyte imbalances due to purging behaviors. Option A, Potassium 3.0 mEq/L, is correct as bulimia can lead to hypokalemia from repeated vomiting or laxative abuse. This electrolyte imbalance can result in cardiac arrhythmias and muscle weakness. Option B, Bicarbonate 30 mmol/L, is incorrect as it may be within a normal range and not specifically associated with bulimia. Option C, Platelet count 450,000 cells/mm3, is also incorrect as it is unrelated to the effects of bulimia on lab values. Option D, Hemoglobin A1C 9%, is incorrect as it is a measure of long-term glucose control in diabetes, not typically impacted by bulimia. Educationally, understanding the impact of eating disorders on lab values is crucial for nurses caring for clients with these conditions. Recognizing electrolyte imbalances in bulimic clients is essential for prompt intervention to prevent serious complications. Nurses must be knowledgeable about the specific alterations in lab values associated with eating disorders to provide effective care and support to these individuals.

Correct Answer: A

Rationale: In the context of intimate partner violence, the 'honeymoon phase' refers to a period where the abuser may express remorse, apologize, or make promises to change their behavior to manipulate and control the victim further. Option A is correct because the statement "My partner said he will never hurt me again" indicates a classic tactic used during this phase. This statement can give false hope to the victim, making them believe the abuse will stop. Options B, C, and D are incorrect because they do not specifically indicate behaviors associated with the 'honeymoon phase' of abuse. Alcohol consumption, yelling less, and insomnia are not necessarily indicators of an abusive relationship in the 'honeymoon phase.' Educationally, it is crucial for healthcare providers, especially those in maternal newborn nursing, to recognize signs of intimate partner violence and understand the dynamics of abusive relationships. By identifying subtle cues like promises of change in the 'honeymoon phase,' healthcare professionals can provide appropriate support, resources, and interventions to ensure the safety and well-being of their patients.

Correct Answer: A

Rationale: In the scenario of a woman entering the emergency department after a stranger rape, creating a safe environment is the highest priority intervention. This is crucial for ensuring the immediate physical and emotional well-being of the survivor. By creating a safe space, healthcare providers can help reduce further trauma and promote a sense of security and trust, which is essential for effective patient care and recovery. Offering postcoital contraceptive therapy and providing sexually transmitted disease (STD) prophylaxis are important interventions as well, but they are secondary to creating a safe environment. These interventions focus on preventing potential consequences of the assault. However, in the immediate aftermath of a traumatic event like rape, prioritizing the survivor's safety, comfort, and emotional needs is critical. Taking a thorough health history, while important for comprehensive care and follow-up, is not the highest priority in this situation. The immediate focus should be on addressing the survivor's acute physical and emotional needs. Educators should stress the significance of trauma-informed care, empathy, and prioritizing survivor-centered interventions in cases of sexual assault to provide effective and compassionate care to survivors.

Correct Answer: C

Rationale: The correct answer is C) Lesbian women should be tested for cervical cancer every three to seven years. This is because all individuals with a cervix, regardless of sexual orientation, are at risk for cervical cancer due to human papillomavirus (HPV) infection. Regular cervical cancer screening is essential for early detection and treatment. Option A is incorrect because sexual activity is not determined by sexual orientation, and assumptions about sexual behavior can be harmful and perpetuate stereotypes. Option B is incorrect because lesbian women, like all individuals, should be routinely screened for domestic violence as it can affect anyone regardless of sexual orientation. Option D is incorrect because sexual orientation does not determine the risk for bacterial vaginosis; it is influenced by various factors such as sexual practices and vaginal microbiota. In an educational context, it is crucial for nurses to provide culturally competent care to all clients, including those who identify as lesbian. This involves understanding and addressing their unique health needs without making assumptions or judgments based on sexual orientation. Nurses should create a safe and inclusive environment for all clients to ensure they receive appropriate care and support.

Correct Answer: A

Rationale: In educating women on breast self-examination (BSE), advising them to use the fingertips of their index, middle, and ring fingers (Option A) is essential for several reasons. First, using these fingers allows for better tactile sensitivity to detect any abnormalities in breast tissue. These finer fingers can detect small lumps or changes more effectively than using the entire hand. Option B, using pressure in two intensities, light and deep, is not the best advice for BSE. Applying pressure in varying intensities can lead to confusion and inconsistency in examining the breasts, potentially missing important findings. Consistency in pressure is key to accurately detecting abnormalities. Option C, looking for dimpling while bending forward from the waist, is not directly related to BSE. Dimpling of the skin can be a sign of advanced breast cancer, but it is not a specific technique used in BSE. Focusing on the proper method of palpation is more crucial for early detection. Option D, feeling for lumps while encircling the breast from nipple outward, is not as effective as using the specific fingers mentioned in Option A. Encircling the breast may lead to missing areas or not applying enough pressure to detect abnormalities thoroughly. In an educational context, it is vital for nurses to teach women the proper technique for BSE to empower them in taking charge of their breast health. By emphasizing the use of specific fingers with the correct technique, women can perform BSE accurately and regularly, increasing the likelihood of early detection of breast changes. This knowledge equips women with a proactive approach to their breast health and can lead to better health outcomes through early intervention.