Nokea
If the client tells the nurse that she would prefer to postpone the mastectomy until the biopsy has been more thoroughly examined, which is the most appropriate initial nursing action?
- A. Explain that most biopsies are accurate.
- B. Advocate for her choice of treatment.
- C. Discourage her from opposing the physician.
- D. Recommend that she seek a second opinion.
Correct Answer: B
Rationale: Advocating for the client's preferences supports patient autonomy and ensures her concerns are addressed, aligning with patient-centered care principles.
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When the office nurse gives the client instructions on how to prepare for the mammogram, which of the following statements offers accurate information? Select all that apply.
- A. I will perform a BSE 3 to 7 days after my period ends.
- B. Do not wear any underarm deodorant the day of the test.
- C. Wipe each breast with an antiseptic pad before the test.
- D. Do not wear constricting clothing to the test.
- E. Avoid wearing body powder the day of the test.
- F. Refrain from applying lotion to the breasts or axillae.
Correct Answer: B,E,F
Rationale: Deodorants, powders, and lotions can interfere with mammogram imaging by creating artifacts, so avoiding these on the day of the test is critical. Constricting clothing is not a concern, and antiseptic wipes are not required.
The licensed practical nurse (LPN) realizes that the nursing assistant requires further instruction when observing which activities after the client's hysterectomy? Select all that apply.
- A. Frequently offering the client a variety of oral fluids
- B. Helping the client ambulate in the hall
- C. Raising the knee gatch on the hospital bed
- D. Reporting to the physician that the client's dressing is loose
- E. Changing the client's perineal pad without using gloves
Correct Answer: C,E
Rationale: Raising the knee gatch can impair circulation, and changing pads without gloves risks infection. Other actions are appropriate post-hysterectomy care.
Because the client is receiving this type of radiation therapy, which nursing interventions should the nurse include in the care plan? Select all that apply.
- A. Keep the client on strict bed rest.
- B. Limit the amount of time visitors stay with the client.
- C. Place urine and feces in a closed container.
- D. Weigh the client daily before breakfast.
- E. Stand at a distance and talk with the client from the doorway.
- F. Spend as little time as possible with the client.
Correct Answer: A,B,E,F
Rationale: Strict bed rest prevents dislodging the implant, limiting visitor time and nurse exposure reduces radiation risk, and standing at a distance minimizes exposure.
If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which consequence?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
Which statement is most accurate when discussing hair loss with the client?
- A. The hair loss is permanent, but attractive wigs are available.
- B. The hair loss is permanent, but hair transplantation is a possible solution.
- C. The hair loss is temporary; hair may grow back in several years.
- D. The hair loss is temporary; hair will regrow after chemotherapy is finished.
Correct Answer: D
Rationale: Hair loss from chemotherapy is typically temporary, with regrowth occurring after treatment ends, usually within months.