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The nurse is caring for a client diagnosed with uterine cancer who has received afterload intracavitary radiation. Which precaution should the nurse implement?
- A. Wear rubber gloves to protect the nurse from all exposure.
- B. Allow any visitor the client wishes to see.
- C. Minimize the amount of time spent with the client.
- D. Encourage the client to ambulate in the hallway.
Correct Answer: C
Rationale: Minimizing time with the client reduces radiation exposure during intracavitary brachytherapy. Gloves are insufficient, visitors are limited, and ambulation increases exposure risk.
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The nurse is caring for a 30-year-old nulliparous client who is complaining of severe dysmenorrhea. Which diagnostic test should the nurse prepare the client to undergo to determine the diagnosis?
- A. A bimanual vaginal exam.
- B. A pregnancy test.
- C. An exploratory laparoscopy.
- D. An ovarian biopsy.
Correct Answer: C
Rationale: Exploratory laparoscopy is used to diagnose conditions like endometriosis, a common cause of severe dysmenorrhea. Bimanual exam is nonspecific, pregnancy tests rule out ectopic pregnancy, and ovarian biopsy is invasive and unrelated.
Which nursing interventions are most appropriate to add to the client's immediate postoperative care plan? Select all that apply.
- A. Elevate the affected arm to reduce swelling.
- B. Monitor for signs of infection at the surgical site.
- C. Encourage early ambulation to prevent complications.
- D. Administer prescribed pain medications as needed.
- E. Teach the client to avoid using the affected arm for 6 weeks.
Correct Answer: A,B,C,D
Rationale: Elevating the arm reduces lymphedema risk, monitoring for infection ensures early detection, ambulation prevents complications like thrombosis, and pain management promotes comfort. Restricting arm use for 6 weeks is excessive and not standard.
After C. albicans is identified as the causative organism, the nurse would expect the physician to prescribe which treatment?
- A. A nonprescription antifungal medication
- B. A prescription oral penicillin
- C. A prescription broad-spectrum antibiotic
- D. A vaginal douche with a vinegar solution
Correct Answer: A
Rationale: Candida albicans causes yeast infections, which are typically treated with nonprescription antifungal medications like miconazole or clotrimazole.
The nurse is working in a health clinic. Which disease is required to be reported to the public health department?
- A. Pelvic inflammatory disease.
- B. Epididymitis.
- C. Syphilis.
- D. Ectopic pregnancy.
Correct Answer: C
Rationale: Syphilis is a reportable STD to track and control spread, per public health regulations. PID, epididymitis, and ectopic pregnancy are not typically reportable.
The client has a diagnosis of rule-out Paget’s disease. Which test provides a definitive diagnosis of the disease?
- A. A breast biopsy.
- B. A diagnostic mammogram.
- C. Ultrasound of the breast.
- D. Magnetic resonance imaging.
Correct Answer: A
Rationale: Breast biopsy provides a definitive diagnosis for Paget’s disease by confirming malignant cells in the nipple/areola. Mammogram, ultrasound, and MRI are supportive but not confirmatory.