NCLEX Question for Intrauterine Device

NCLEX Question for intrauterine device
For which of the following clients would the nurse expect that an intrauterine device would not be recommended?

1. Woman over age 35
2. Nulliparous woman
3. Promiscuous young adult
4. Postpartum client  

Correcy Answer: C.

Rationale:  An IUD may increase the risk of pelvic inflammatory disease, especially in women with more than one sexual partner, because of the increased risk of sexually transmitted infections. An UID should not be used if the woman has an active or chronic pelvic infection, postpartum infection, endometrial hyperplasia or carcinoma, or uterine abnormalities. Age is not a factor in determining the risks associated with IUD use. Most IUD users are over the age of 30. Although there

NCLEX Question for Intrauterine Device

NCLEX Question for intrauterine device
For which of the following clients would the nurse expect that an intrauterine device would not be recommended?

1. Woman over age 35
2. Nulliparous woman
3. Promiscuous young adult
4. Postpartum client  

Correcy Answer: C.

Rationale:  An IUD may increase the risk of pelvic inflammatory disease, especially in women with more than one sexual partner, because of the increased risk of sexually transmitted infections. An UID should not be used if the woman has an active or chronic pelvic infection, postpartum infection, endometrial hyperplasia or carcinoma, or uterine abnormalities. Age is not a factor in determining the risks associated with IUD use. Most IUD users are over the age of 30. Although there

NCLEX Review Question for Hypothyroidism with Answer and Rationale

The following are clinical manifestations of nontoxic goiter (hypothyroidism), EXCEPT:

A.       dry skin

B.       lethargy

C.       insomnia

D.       sensitivity to cold

The correct answer is C. 

Rationale: Hypothyroidism causes a decrease in thyroid hormones, which in turn causes decreased metabolism. Options A, B and D are all consistent with decreased metabolism. Option C is a symptom of increased metabolism found in hyperthyroidism. 

NCLEX Review Question for Epiglotis

What is the nursing priority for a patient with epiglottitis?
A. administer steroids
B. assist in endotracheal intubation
C. assist in tracheostomy
D. apply warm moist pack

The correct answer is C.

Rationale: Epiglottitis is an emergency situation requiring immediate intervention: the inflamed epiglottis is blocking the entrance to the trachea, therefore clearing the patient’s AIRWAY is the priority nursing action (eliminate options A and D).  Option C is better than Option B; endotracheal intubation will be difficult because the inflamed epiglottis will not permit the insertion of a laryngoscope.