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1) A female client receiving antibiotic therapy for a urinary tract infection complains of itching, burning, and an inflamed perineum

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1) A female client receiving antibiotic therapy for a urinary tract infection complains of itching, burning, and an inflamed perineum. What instruction should the nurse provide? a. Use nylon undergarments at least every other day. b. Dry skin thoroughly and apply clotrimazole (Lotrmin) to affected area TID. c. Keep perineum moist and use miconazole nitrate ( Monistat-Derm 2%) PRN. d. Stop the antibiotics immediately due to possible allergic reaction.

2) Vaginal exam of a client who is admitted in early labor reveals cervical dilatation of 2 cm with 50% effacement and a -3 fetal station. The client tells the nurse that a friend's bag of waters was ruptured by the doctor to make labor progress faster, and she is concerned because the doctor did not rupture the membranes. What response is best for the nurse to provide? a. Cervical dilatation to 4 cm is needed to rupture the membranes. b. The bag of waters is not ruptured until the birth is imminent. c. Rupturing the bag of water does not have any effect on labor. d. The baby's cord can prolapse if the fetal head is high in the pelvis.

3) The nurse initiates a one to one relationship with a 36-year-old depressed female client who was recently admitted to the psychiatric facility. Which nursing action is most effective in promoting the development of a therapeutic relationship? a. At your first meeting clearly define the unit's rules and polices. b. Ensure that scheduled appointments begin according to the schedule. c. Re-direct all conversations to discussions about feelings of low-self esteem. d. Obtain client data from her family to use at the first meeting with the client.

4) A client at 40-weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive. What actions should the nurse plan to perform? (Select all that apply.) a. Place her in a negative pressure room. b. Use standard precautions. c. Establish contact isolation. d. Notify the pediatrician that the mother is HIV positive. Administer zidovudine (AZT) intravenously. Promote bonding by encouraging breastfeeding.

5) It is most important for the registered nurse (RN) who is working on a medical unit to provide direct supervision in which situation? A postpartum nurse pulled to the unit needs to start a transfusion of packed red blood cells.