Nokea
The nurse is caring for a patient with pelvic inflammatory disease (PID) requiring hospitalization. Which of the following nursing interventions should be included in the plan of care?
- A. Monitor liver function tests.
- B. Use cold packs PRN for pelvic pain.
- C. Teach the patient how to perform Kegel exercises.
- D. Elevate the head of the bed to at least 30 degrees.
Correct Answer: D
Rationale: The head of the bed should be elevated to at least 30 degrees to promote drainage of the pelvic cavity and prevent abscess formation higher in the abdomen. Although a possible complication of PID is acute perihepatitis, liver function tests will remain normal. There is no indication for increased fluid intake. Application of heat is used to reduce pain. Kegel exercises are not helpful in PID.
You may also like to solve these questions
The nurse is caring for a patient who is diagnosed with stage 0 cervical cancer using a punch biopsy. Which of the following treatments should the nurse include in the teaching plan?
- A. Radiation
- B. Conization
- C. Chemotherapy
- D. Radical hysterectomy
Correct Answer: B
Rationale: Because the carcinoma is in situ, conization can be used for treatment. Radical hysterectomy, chemotherapy, or radiation will not be needed.
A patient is diagnosed with vaginal candidiasis and an antifungal vaginal cream is prescribed. Which of the following patient statements indicate that the nurse's teaching about the treatment plan has been effective?
- A. I will tell my husband that we cannot have sex for the next month.
- B. I should clean carefully after each urination and bowel movement.
- C. I can douche daily with warm water if the itching continues to bother me.
- D. I will insert the cream using the applicator before I get up in the morning.
Correct Answer: B
Rationale: Cleaning of the perineal area will decrease itching caused by contact of the irritated tissues with urine and reduce the chance of further infection of irritated tissues by bacteria in the stool. Sexual intercourse should be avoided for 1 week. Douching will disrupt normal protective mechanisms in the vagina. The cream should be used at night so that it will remain in the vagina for longer.
The nurse is caring for a patient recently diagnosed with polycystic ovary syndrome. Which of the following information is most important for the nurse to teach the patient?
- A. Reasons for a total hysterectomy
- B. How to decrease facial hair growth
- C. Ways to reduce the occurrence of acne
- D. Methods to maintain appropriate weight
Correct Answer: D
Rationale: Obesity exacerbates the problems associated with polycystic ovary syndrome, such as insulin resistance and type 2 diabetes. The nurse will also address the problems of acne and hirsutism, but these symptoms are lower priority because they do not have long-term health consequences. Although some patients do require total hysterectomy, this is usually performed only after other therapies have been unsuccessful.
The nurse is counselling a couple who are interested in intrauterine insemination (IUI) with sperm from a donor and ask the nurse how long the procedure will take. Which of the following time frames is the basis for the nurses' response?
- A. About 1 hour
- B. 2-4 hours
- C. At least a full day
- D. 2-3 days
Correct Answer: D
Rationale: The option is intrauterine insemination (IUI) with sperm from the partner or a donor and takes 2-3 days for the complete procedure.
A 33-year-old female patient who uses oral contraceptives tells the nurse, 'I want to have children in a few years.' Which of the following responses by the nurse is best?
- A. You may have more difficulty becoming pregnant after about age 35.
- B. You have many years of fertility left, so there is no rush to have children.
- C. You should plan to stop taking oral contraceptives several years before you want to become pregnant.
- D. If you do not have children within the next few years, it will be very difficult for you to become pregnant.
Correct Answer: A
Rationale: The probability of successfully becoming pregnant decreases after age 35 although some patients may have no difficulty in becoming pregnant, this probability further decreases after age 40. Oral contraceptives do not need to be withdrawn for several years for a woman to become pregnant. Although the patient may be fertile for many years, it would be inaccurate to indicate that there is no concern about infertility as she becomes older. Although the risk for infertility increases after age 35, not all patients have difficulty in conceiving.