NURS 218 Fall 25 Eating Disorder Sexual Dysfunction at Baton Rouge Community College
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Free NURS 218 Fall 25 Eating Disorder Sexual Dysfunction at Baton Rouge Community College Questions
Which nursing action has the highest priority for a hospitalized client with suspected TB?
- A Start the client on a clear liquid diet
- B Begin IV fluid therapy
- C Place the client in a negative pressure room
- D Initiate contact precautions
Explanation
Correct Answer Is:
C. Place the client in a negative pressure roomExplanation
The highest-priority nursing action for a client with suspected tuberculosis is immediate airborne isolation in a negative pressure room. TB spreads through airborne droplets that can remain suspended in the air for long periods, making rapid isolation essential to prevent transmission to staff, visitors, and other patients. A negative pressure environment ensures contaminated air does not escape the room but is filtered and vented safely. This action aligns with CDC isolation guidelines for suspected or confirmed TB and must occur before any other interventions.The nurse is caring for a patient admitted with substance use disorder who recently injected heroin. During the physical assessment, which findings are likely to be present?
- A Drowsiness, constricted pupils, slurred speech
- B Anxiety, restlessness, paranoid delusions
- C Muscle aching, dilated pupils, tachycardia
- D Heightened sexuality, insomnia, euphoria
Explanation
Correct Answer Is:
A. Drowsiness, constricted pupils, slurred speechExplanation
Heroin is an opioid, and recent opioid use produces classic signs of central nervous system depression. These include profound drowsiness, slowed or slurred speech, and pinpoint (constricted) pupils, which are hallmark indicators of opioid intoxication. Other findings may include slowed breathing, decreased level of consciousness, and impaired coordination. Because these symptoms reflect active opioid effects rather than withdrawal or stimulant use, they are the most accurate for a patient who has recently injected heroin.A patient with a history of Esophageal Varices due to Liver Cirrhosis is complaining of abdominal cramping and has not had a bowel movement (BM) in 3 days. Which of the following nursing actions are most important?
- A Educating patient not to strain for a BM
- B Educating patient on balloon tamponade procedures
- C Encouraging natural remedies for constipation
- D Administering a PRN stool softener
Explanation
Correct Answer Is:
A Educating patient not to strain for a BMD Administering a PRN stool softener
Explanation
A Educating patient not to strain for a BMStraining increases intra-abdominal and portal pressure, which can trigger rupture of fragile esophageal varices and cause massive, life-threatening bleeding. Patients with cirrhosis must be taught to avoid Valsalva maneuvers and excessive straining. This education is critical because preventing variceal hemorrhage is one of the highest-priority safety concerns in these patients.
D Administering a PRN stool softener
A stool softener is essential to relieve constipation without causing straining. Pharmacologic softening of the stool reduces the risk of increased portal pressure and protects the patient from variceal rupture. Stool softeners are safer than laxatives that may cause cramping or rapid electrolyte shifts, making this intervention both appropriate and high priority for a cirrhotic patient with constipation.
When lactulose 30 mL four times daily is ordered for a patient with advanced cirrhosis, the patient complains that it causes diarrhea. The nurse explains to the patient that it is still important to take the medication because the lactulose will result in which outcome?
- A Prevention of gastrointestinal (GI) bleeding
- B Improved nervous system function
- C Promotion of fluid loss
- D Prevention of constipation
Explanation
Correct Answer Is:
B. Improved nervous system functionExplanation
Lactulose is given to patients with cirrhosis to reduce ammonia levels, which are responsible for hepatic encephalopathy. It works by trapping ammonia in the stool and promoting its excretion. Although diarrhea is an expected side effect, the medication is essential because lowering ammonia levels improves cognitive function, decreases confusion, and prevents progression to severe encephalopathy or coma. The primary goal is neurological improvement, not bowel regulation.The patient is at the HIV Clinic for a follow-up appointment after a new diagnosis of HIV. The nurse provides verbal and written education on the transmission of HIV. The nurse includes which predominant mode of transmission in the HIV education?
- A Saliva
- B Plasma
- C Tears
- D Perspiration
Explanation
Correct Answer Is:
B. PlasmaExplanation
HIV is transmitted through contact with infected bodily fluids that contain a high concentration of the virus. Blood and plasma carry the highest viral load and represent a predominant mode of transmission, especially through needle sharing, blood exposure, or sexual contact involving microscopic bleeding. In contrast, saliva, tears, and perspiration contain either no virus or only trace amounts insufficient to cause infection. Educating patients on high-risk bodily fluids helps promote accurate understanding and safe practices.A nurse receiving a post-op bariatric surgery patient can expect to perform which of the following nursing actions?
- A Perform assessment and compare to baseline assessment
- B Assist with informed consent
- C Position the patient upright at at least 45° HOB
- D Teach patient to avoid drinking with a straw
- E Assess baseline height and weight
- F Assess abdominal wound for amount and type of drainage
- G Give pain medications as needed
Explanation
Correct Answer Is:
A Perform assessment and compare to baseline assessmentC Position the patient upright at at least 45° HOB
F Assess abdominal wound for amount and type of drainage
G Give pain medications as needed
Explanation
A Perform assessment and compare to baseline assessmentA full postoperative assessment is essential to identify early complications such as respiratory compromise, fluid imbalance, or bleeding. Comparing postoperative findings to baseline values allows the nurse to detect subtle but clinically important changes. Bariatric patients have increased postoperative risk, making a thorough assessment a priority upon arrival from surgery.
C Position the patient upright at at least 45° HOB
Positioning the patient upright decreases the risk of aspiration and promotes optimal ventilation. Bariatric surgery patients are at increased risk for hypoventilation, atelectasis, and respiratory depression following anesthesia. Upright positioning supports lung expansion and reduces strain on the diaphragm and surgical site, promoting safer and more comfortable recovery.
F Assess abdominal wound for amount and type of drainage
Postoperative bariatric patients require close monitoring of abdominal incisions or laparoscopic sites for signs of excessive bleeding, infection, or anastomotic leakage. Early detection of abnormal drainage characteristics—such as bright-red bleeding, foul odor, or cloudy fluid—allows prompt intervention and prevents severe postoperative complications.
G Give pain medications as needed
Adequate pain control helps the patient participate in deep breathing, coughing, and early ambulation, all essential for preventing postoperative complications. Bariatric surgery can cause significant discomfort, and poorly controlled pain increases risks such as hypoventilation, pneumonia, and delayed recovery. Providing analgesics as ordered supports healing and maintains patient comfort.
The nurse is performing an admission assessment on a new patient. During the interview, the patient reports becoming sexually aroused only by being handcuffed and beaten by a partner. The nurse documents this as which paraphilia?
- A Pedophilia
- B Sadism
- C Masochism
- D Frotteurism
Explanation
Correct Answer Is:
C. MasochismExplanation
Masochism is characterized by sexual arousal derived from being humiliated, beaten, bound, or otherwise made to suffer. In this case, the patient reports arousal only when being handcuffed and beaten, which directly aligns with masochistic behaviors. This paraphilia involves the individual being the recipient of pain or humiliation. Proper identification is important for accurate documentation, mental health assessment, and determining whether the behavior causes distress or impairment requiring clinical intervention.A nurse assesses four newly hospitalized patients. Which patient is most important for the nurse to ask about sexual functioning?
- A 35-year-old woman having a laparoscopic cholecystectomy.
- B 48-year-old man with a diabetic foot ulcer.
- C 24-year-old woman having a laparoscopic appendectomy.
- D 8-year-old boy on chemotherapy for myelogenous leukemia
Explanation
Correct Answer Is:
D. 8-year-old boy on chemotherapy for myelogenous leukemiaExplanation
Chemotherapy for leukemia often causes significant alterations in sexual development, including delayed puberty, impaired fertility, hormonal suppression, and long-term reproductive complications. Although an 8-year-old is not sexually active, sexual functioning in pediatrics refers to growth and developmental milestones. Cancer treatment can profoundly impact testicular growth, sperm production, and endocrine function. Early assessment allows the nurse to monitor pubertal progression, address fertility preservation options, provide anticipatory guidance, and support the child and family in understanding potential long-term effects.When caring for a patient with a Gender Identity disorder, it is important for the nurse to attempt to correct misperceptions. What is the nursing intervention that best elicits this information?
- A Spend time with the patient and show positive regard.
- B Allow the patient to describe their perception of the problem.
- C Discuss types of culturally accepted behaviors with the patient.
- D Interview the patient’s family and discuss their concerns.
Explanation
Correct Answer Is:
B. Allow the patient to describe their perception of the problem.Explanation
The most effective way to identify and correct misperceptions is to first understand exactly how the patient views their gender-related concerns. Encouraging the patient to openly describe their thoughts, feelings, and perceptions allows the nurse to identify distortions, misinformation, or emotional conflicts that may be present. This patient-centered approach fosters trust and helps the nurse tailor education, emotional support, and therapeutic interventions that align with the patient’s lived experience.When the nurse is caring for a patient whose human immunodeficiency virus (HIV) status is unknown, which patient exposure is most likely to require postexposure prophylaxis?
- A Needle stick injury used to administer an IM injection
- B Splash into the eyes when emptying a bedpan containing stool
- C Contamination of open skin lesions
- D Needle stick injury used to draw blood
Explanation
Correct Answer Is:
D. Needle stick injury used to draw bloodExplanation
A needle stick injury involving blood is considered the highest-risk exposure when a patient’s HIV status is unknown because blood contains the greatest concentration of HIV if the patient happens to be positive. Deep injuries with hollow-bore needles used for venous or arterial access significantly increase the risk of transmission. Because the exposure involves fresh blood and direct inoculation into the bloodstream, this situation requires immediate evaluation and the initiation of postexposure prophylaxis to prevent seroconversion.How to Order
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