What signs/symptoms should the nurse suspect in a bulimic client?

Correct Answer: C

Rationale: In this question, the correct answer is C) Dental caries and scars on her knuckles. The signs/symptoms of bulimia nervosa include repeated episodes of binge eating followed by compensatory behaviors such as self-induced vomiting, misuse of laxatives/diuretics, fasting, or excessive exercise. Dental caries result from exposure of teeth to stomach acid during vomiting. Scars on knuckles, known as Russell's sign, are caused by repeated contact of the teeth with the knuckles during induced vomiting. Option A) Significant weight loss and hyperkalemia are not specific to bulimia; significant weight fluctuations are more common. Hyperkalemia is not a typical finding in bulimia. Option B) Respiratory acidosis and hypoxemia are more commonly seen in conditions like chronic obstructive pulmonary disease, not specifically in bulimia. Option D) Hyperglycemia and large urine output are not typical signs of bulimia; these are more indicative of conditions like diabetes mellitus. Educationally, it is important for nurses to recognize the signs and symptoms of eating disorders like bulimia to provide appropriate care and support to clients. Understanding these manifestations helps in early identification and intervention, leading to better outcomes for individuals struggling with such disorders.

Correct Answer: B

Rationale: The correct answer is B) "Women who are abused often have injuries like yours." This response demonstrates empathy, validation, and a non-judgmental approach, which are essential when addressing potential cases of domestic violence. By acknowledging the possible underlying issue of abuse, the nurse opens the door for the woman to disclose more information and seek help without feeling blamed or pressured. This statement also conveys understanding and support, fostering trust between the nurse and the patient. Option A is incorrect because mandatory reporting laws typically require healthcare providers to report suspected cases of abuse to appropriate authorities, not necessarily the police department directly. It is important to follow proper reporting procedures to ensure the safety of the patient. Option C is inappropriate as it oversimplifies the complex issue of domestic violence. Leaving an abusive partner can be a difficult and dangerous process that requires careful planning and support. Telling a patient to leave without considering the potential risks involved is not a recommended approach. Option D is also incorrect as it implies victim-blaming by suggesting that the woman's actions may have caused the abuse. This kind of statement can further disempower the victim and perpetuate the cycle of abuse. In the context of maternal and reproductive health nursing, it is crucial for nurses to be well-versed in recognizing signs of domestic violence and providing appropriate support and resources to affected individuals. By using a patient-centered and trauma-informed approach, nurses can effectively address these sensitive issues and help promote the well-being and safety of their patients.

Correct Answer: D

Rationale: In this scenario, the most accurate assessment for a young woman admitted without memory of the previous evening is option D, which states that the woman unknowingly ingested a date rape drug. This answer is correct because it aligns with the common presentation of individuals who have been drugged without their knowledge, resulting in memory loss and confusion. Option A, stating that the woman is spoiled and seeking attention, is incorrect and inappropriate as it attaches blame to the woman without considering the possibility of foul play. Option B, suggesting a psychotic break, is also incorrect as it does not align with the lack of memory specifically related to the previous evening. Option C, indicating regret over consensual sex, is invalid as it does not explain the memory loss and does not consider the potential involvement of a date rape drug. Educationally, it is crucial for healthcare providers, especially in maternal and reproductive health nursing, to be able to recognize signs of potential sexual assault and provide appropriate care and support to victims. Understanding the effects of date rape drugs, the importance of trauma-informed care, and the significance of non-judgmental assessment are essential components of nursing education in this field. By choosing the correct answer, nurses can ensure proper care for patients in vulnerable situations.

Correct Answer: D

Rationale: Rationale: The correct answer is D) EC is best when used within 72 hours of contact. This is because emergency contraception is most effective the sooner it is taken after unprotected intercourse. Educating clients about the time sensitivity of EC is crucial in ensuring its efficacy. Option A is incorrect because emergency contraception is legal in all 50 states. Providing accurate information to clients is essential to dispel myths and ensure they have access to necessary healthcare services. Option B is incorrect as the most common side effect of EC is not excessive vaginal bleeding. While some individuals may experience changes in their menstrual cycle or spotting, excessive bleeding is not a typical side effect. Providing accurate information about common side effects helps clients make informed decisions. Option C is incorrect because emergency contraception is not the same as medication used to induce abortions. EC works by preventing or delaying ovulation, fertilization, or implantation of a fertilized egg, whereas abortion medication is used to terminate an established pregnancy. Clarifying these distinctions is important to avoid confusion and misinformation. In an educational context, it is vital for nurses to provide evidence-based information on emergency contraception to empower clients to make informed decisions about their reproductive health. Understanding the correct timing for EC administration and dispelling misconceptions about its legality and side effects are essential components of comprehensive maternal and reproductive health nursing education.

Correct Answer: D

Rationale: The correct answer is D) You do not have cancer, but it is especially important for you to have regular mammograms to monitor for any changes. This response is appropriate because it provides accurate information to the client about fibrocystic breast disease not being cancerous. It also emphasizes the importance of regular mammograms for monitoring any changes in the breast tissue, which is crucial for early detection of any potential issues. Option A is incorrect as it gives misinformation by assuming the client has cancer without any confirmation. This can cause unnecessary fear and distress to the client. Option B is not the best response as it deflects the client's question without giving any helpful information or guidance. It is important for healthcare providers to offer support and accurate information to clients seeking clarification. Option C is incorrect as it provides misleading information about how to differentiate between cancerous and non-cancerous lumps in the breast. This oversimplified explanation can lead to confusion and anxiety for the client. In an educational context, it is essential for nurses specializing in maternal and reproductive health to be knowledgeable about common breast conditions like fibrocystic breast disease. Providing accurate information and guidance to clients can empower them to take charge of their health and make informed decisions about their care. Effective communication and education play a vital role in promoting women's health and well-being.