A female client is concerned that she is in a "high-risk" group for the development of acquired immunodeficiency syndrome (AIDS). She wants to know about the advisability of donating blood. Which of the following responses is correct?

• A."Individuals who donate blood are at risk of getting the AIDS virus. You should not donate."
• B."It's OK for you to donate because the blood bank has a test that is 100% effective."
• C."You should not donate since it takes time to develop antibodies to the AIDS virus. If you donate blood before you develop the antibody, you could pass it on in the blood."
• D."It is not a good idea for you to donate. If you have AIDS, the information is made public and could destroy your personal life."

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A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self- mutilation. A few hours after admission, she requests special privileges, and when these are not granted, she stands up and angrily shouts that the people on the unit do not care, and she storms across the room.
The nurse should respond to this behavior by:

• A.Placing her in seclusion until the behavior is under control
• B.Walking up to the client and touching her on the arm to get her attention
• C.Communicating a desire to assist the client to regain control, offering a one-to-one session in a quiet area
• D.Confronting the client, letting her know the consequences for getting angry and disrupting the unit

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A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She tells the nurse that she is pregnant and wants to start prenatal care. After collecting some initial assessment data, the nurse measures her fundal height to be at the level of the umbilicus. The nurse estimates the fetal gestational age to be approximately:

• A.10 weeks
• B.16 weeks
• C.20 weeks
• D.30 weeks

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At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing measure should be included in her plan of care to help alleviate it?

• A.Restrict fluid intake.
• B.Use Alka-Seltzer as necessary.
• C.Eat small, frequent bland meals.
• D.Lie down after eating.

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A female client has experienced varying degrees of depression throughout her life. Now that she is postmenopausal, her depression has increased. She is unable to motivate herself to clean her house or even to get out of bed and get dressed in the morning. The client was begun on fluoxetine (Prozac) therapy. When educating her about fluoxetine, what might the nurse caution her about?

• A.A daily dose of fluoxetine may be taken in the morning or evening.
• B.Fluoxetine is not sedating; therefore, restrictions on driving and other hazardous activities are not necessary.
• C.Rashes or pruritus usually occur early in the therapy and are treatable without discontinuing the medication.
• D.It is safe to take over-the-counter or other prescription medications with fluoxetine.

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