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
1.
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.
2.
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.
3.
A nurse is providing teaching to a patient who has alcohol use disorder and a new prescription for disulfiram (Antabuse). Which information should the nurse include in the teaching?
- A This medication will decrease the intensity of withdrawal manifestations
- B Taking this medication will suppress the craving for alcohol
- C Taking this medication with alcohol will produce unpleasant physical effects
- D This medication will help prevent seizures during alcohol withdrawal
Explanation
Correct Answer Is:
C. Taking this medication with alcohol will produce unpleasant physical effectsExplanation
Disulfiram works by disrupting alcohol metabolism, causing a buildup of acetaldehyde if alcohol is consumed. This produces an intense physiological reaction, including flushing, nausea, vomiting, palpitations, hypotension, and severe headache. The purpose is to deter alcohol use by creating a strong aversion to drinking. The nurse should emphasize complete avoidance of alcohol in all forms, including hidden sources such as mouthwash, cough syrups, vinegar products, and certain sauces, because even small amounts can trigger the disulfiram–alcohol reaction.
4.
A nurse reviews labs of a client with HIV. Which finding is most concerning?
- A CD4 count of 700
- B Platelets 150,000
- C Viral load of 1 million copies/mL
- D Hemoglobin 13 g/dL
Explanation
Correct Answer Is:
C. Viral load of 1 million copies/mLExplanation
A viral load of 1 million copies/mL is extremely concerning because it indicates active, uncontrolled viral replication and rapid disease progression. High viral loads significantly increase the risk of opportunistic infections, decline in immune function, and transmission to others. This finding suggests the client may not be adherent to antiretroviral therapy or may be experiencing treatment failure. Immediate evaluation and adjustment of the HIV treatment plan are necessary to prevent irreversible immune system damage.
5.
A patient with bulimia nervosa has developed maladaptive coping mechanisms due to feelings of loneliness and isolation, which has resulted in overeating and self-induced vomiting. What is the priority outcome for this patient within 2 weeks?
- A Verbalize the importance of eating a balanced diet
- B Identify two alternative methods of coping with loneliness and isolation
- C Appropriately express angry feelings
- D Verbalize two positive things about self
Explanation
Correct Answer Is:
B. Identify two alternative methods of coping with loneliness and isolationExplanation
The priority outcome focuses on addressing the cause of the patient’s bulimic behaviors—using food and purging to cope with emotional distress, loneliness, and isolation. Within two weeks, the most clinically meaningful improvement is the patient’s ability to recognize and practice healthier coping strategies. Identifying alternative coping methods reduces reliance on maladaptive behaviors, interrupts the binge-purge cycle, and promotes long-term stabilization. Without improving coping skills, nutritional or emotional goals cannot be sustained.
6.
When obtaining a health history from a patient with acute pancreatitis, the nurse asks the patient specifically about a history of what?
- A Cigarette smoking
- B Diabetes mellitus
- C Alcohol use
- D High protein diet
Explanation
Correct Answer Is:
C. Alcohol useExplanation
Alcohol use is one of the primary causes of acute pancreatitis and is a critical part of the patient’s history. Chronic or heavy alcohol intake can trigger inflammation of the pancreas by increasing digestive enzyme activation and damaging pancreatic tissue. Identifying alcohol use helps the nurse determine the likely cause, anticipate complications, guide patient education, and collaborate on appropriate treatment strategies, including alcohol cessation support.
7.
What is the role of the nurse for a patient diagnosed with a paraphilia, in assisting the patient to attain, gain, and maintain sexual wellness? Select all that apply.
- A Focus on preventive measures
- B Provide therapeutic care
- C Conduct sexual counseling sessions
- D Sexual therapist
- E Provide educational interventions
Explanation
Correct Answer Is:
A Focus on preventive measuresB Provide therapeutic care
E Provide educational interventions
Explanation
A Focus on preventive measuresNurses play an important preventive role by helping the patient identify triggers, understand risk factors, and develop safer coping strategies. Prevention includes early recognition of behaviors that could escalate, patient education on boundaries, and interventions that reduce harm. This approach supports long-term wellness, decreases relapse risk, and reinforces personal responsibility for maintaining healthy sexual behaviors.
B Provide therapeutic care
Nurses provide therapeutic care through supportive communication, emotional stabilization, crisis intervention, and reinforcement of treatment goals. Although nurses do not act as psychotherapists, they create a safe environment that promotes insight, reduces shame, and encourages compliance with treatment. This includes monitoring progress, supporting behavioral changes, and collaborating with the interdisciplinary team to ensure comprehensive care.
E Provide educational interventions
Education is a key nursing responsibility. Nurses teach patients about the nature of paraphilias, the importance of treatment adherence, legal and ethical boundaries, and strategies for healthy sexual expression. Providing accurate information helps reduce misconceptions, empowers the patient, and promotes active participation in the recovery process. Clear education also reinforces accountability and aids in preventing harmful or inappropriate behaviors.
8.
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.
9.
An adult in the emergency department states, “I see waves. I am outside my body looking at myself. I think I'm losing my mind." Vital signs reveal: BP 140/80, Pulse 102, Resp 22, Temp 100.0. What should the nurse suspect?
- A LSD (Lysergic acid diethylamide) ingestion
- B Cocaine overdose
- C Schizophrenic episode
- D Opium intoxication
Explanation
Correct Answer Is:
A. LSD (Lysergic acid diethylamide) ingestionExplanation
The patient’s symptoms—visual distortions (“I see waves”), depersonalization (“I am outside my body looking at myself”), and fear of losing control—are classic features of LSD and other hallucinogen intoxication. These substances commonly cause perceptual disturbances, altered sensory processing, mild tachycardia, anxiety, and heightened temperature. The vital signs are consistent with a hallucinogenic experience rather than opioid intoxication, cocaine overdose, or a primary psychotic episode. Understanding these hallmark effects helps guide safe, calm, supportive care until the drug’s effects subside.
10.
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.
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