When taking a sexual history from a client, the nurse should: ...

[littleanan]

When taking a sexual history from a client, the nurse should:
 
  1. Ask questions that the client can answer with a yes or no.
  2. Ask mostly open-ended questions.
  3. Have the client fill out a comprehensive questionnaire, and review it after the client leaves.
  4. Try not to make much direct eye contact.

Question 2

The nurse manager of the neonatal intensive care unit is preparing a handout for parents of ill newborns. Which statement should the nurse include?
 
  1. Newborns can eliminate excess fluid as quickly as an adult.
  2. The kidneys are fully functional by 30 weeks' gestation.
  3. Neonates have a tendency to become dehydrated.
  4. Sugar is rarely present in the urine of a newborn.

[gstein359]

Answer to Question 1

2

Rationale:
1. Yes-or-no answers indicate closed-ended questions that will not encourage the client to share the necessary information.
2. Open-ended questions are often useful in eliciting information because they encourage more than a one-word answer.
3. Filling out a questionnaire and reviewing it after the client leaves is not appropriate. It should be reviewed in the presence of the client, encouraging conversation regarding the results.
4. It is helpful to use direct eye contact as much as possible, unless culturally unacceptable. Eye contact encourages a connection between the involved parties, and shows care and concern.

Answer to Question 2

3
Rationale:
1. Newborns have difficulty eliminating excess fluid because of their relatively low glomerular filtration rate.
2. Full nephron function doesn't develop until 3436 weeks.
3. Neonates cannot concentrate their urine or pull water back into the vascular volume, and thus can become dehydrated easily.
4. Tubular reabsorption of glucose, sodium, amino acids, and bicarbonate is limited in newborns. Glucosuria therefore develops.

[littleanan]

Thanks for the timely response, appreciate it

[ghepp]

Gracias!