Nokea
The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?
- A. 1 week after completion of the client's menstrual cycle
- B. 2 weeks before the onset of the client's menstrual cycle
- C. 3 weeks after the onset of the client's menstrual cycle
- D. 2 weeks after the cessation of the client's menstrual cycle
Correct Answer: A
Rationale: Because the client is premenopausal, the nurse would recommend scheduling the cervical biopsy for 1 week after the end of a menstrual period, when the cervix is least vascular. Scheduling the test for any other time would be inappropriate.
You may also like to solve these questions
A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability?
- A. Bartholin glands
- B. Prostate gland
- C. Cowper glands
- D. Vas deferens
Correct Answer: B
Rationale: The accessory structure of the prostate gland contains secretory cells that produce alkaline fluid. The prostatic fluid mixes with sperm. The alkalinity of the prostatic fluid neutralizes the acidic metabolic wastes released by the sperm and counteracts the acid pH within the vagina to ensure mass survival of the sperm. The Cowper glands add lubrication for penetration of the vagina.
The nurse is conducting a health history. When a middle-aged client reports last having a menstrual period 6 months ago. Upon further questioning, the client also states symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next?
- A. Do you feel like hurting yourself?
- B. Are you finished having children?
- C. When was your first menstrual period?
- D. Are you taking any hormone replacement therapy?
Correct Answer: D
Rationale: To ensure a thorough health history, a client who exhibits symptoms of perimenopause should be assessed for the use of hormone replacement therapy to alleviate the symptoms. This information adds to the data reported by the client. Asking if the client is having thoughts of self-harm may be extreme with the report of mood fluctuations. Asking if the client is finished having children produces little additional data. Asking the first menstrual period is part of the health history but not the best question to ask after the client's statement.
The nurse has provided teaching to a client who is scheduled to have a Pap test. Which client statement indicates that teaching was successful?
- A. I'll schedule the test for the time when I have my next menstrual period.
- B. I need to refrain from sexual intercourse for at least 1 week before the test.
- C. I will stop using any vaginal medications at least 48 hours before the test.
- D. I need to use a vinegar and water douche the morning of the test.
Correct Answer: C
Rationale: Teaching is effective when the client schedules an appointment at a time other than during menstruation and does the following before the appointment: (1) avoids intercourse for 2 days, (2) refrains from douching for 1 day, and (3) ceases the use of vaginal medications for at least 48 hours.
The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client?
- A. Avoid riding on motorcycles
- B. Wear loose fitting underwear instead of tight ones.
- C. Take a general multivitamin.
- D. Increase sexual intercourse to every day.
Correct Answer: B
Rationale: Wearing loose fitting underwear allows the scrotum to pull the testes closer to the body to maintain proper temperature for sperm production or allow the testes to be farther from the body. Because the testes cannot produce viable sperm when temperatures are at or above body temperature, their location within the scrotal sac ensures optimal conditions. There is no evidence that the client cannot ride motorcycles. Taking a general multivitamin is encouraged for overall health. Daily sexual intercourse is not encouraged because it is most important to have sufficient sperm present during a female's ovulation period.
The nurse is preparing a woman for an abdominal ultrasound. Which instruction would be appropriate for the nurse to include?
- A. Restrict solid food intake for 2 hours before the test.
- B. Refrain from douching for at least 1 week before the test.
- C. Drink at least 1 quart of water an hour before the test.
- D. Empty the bladder immediately before the test.
Correct Answer: C
Rationale: Drinking at least 1 quart of water 45 minutes to 1 hour before the test and not voiding until after the test ensures a full bladder and facilitates transmission of the ultrasound waves. It also elevates the bowel away from the other pelvic organs. The client should restrict solid food intake for 6 to 8 hours before the test to avoid having images of the test obscured by gas and intestinal contents. There is no restriction on douching for this test. A full bladder, not an empty one, facilitates this test.