Nokea
The nurse is preparing the client for an insertion of a pessary. Which information should the nurse teach the client?
- A. The pessary does not need to be changed.
- B. The client should clean the pessary routinely.
- C. The pessary must be inserted in surgery.
- D. Estrogen cream is necessary for effective use of a pessary.
Correct Answer: B
Rationale: Clients should clean the pessary routinely (per HCP guidance) to prevent infection. Pessaries need periodic replacement, are inserted in an office setting, and estrogen cream is optional for some.
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The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a gynecology surgery floor. Which intervention cannot be delegated to the UAP?
- A. Empty the indwelling catheter on the three (3)-hour postoperative client.
- B. Assist the client who is two (2) days post-hysterectomy to the bathroom.
- C. Monitor the peri-pad count on a client diagnosed with fibroid tumors.
- D. Encourage the client who is refusing to get out of bed to walk in the hall.
Correct Answer: C
Rationale: Monitoring peri-pad count involves assessing bleeding, requiring nursing judgment. Emptying catheters, assisting to the bathroom, and encouraging ambulation are within UAP scope.
The nurse is preparing an educational presentation for women in the community. Which primary nursing intervention should the nurse discuss regarding the development of ovarian cancer?
- A. Instruct the clients not to use talcum powder on the perineum.
- B. Encourage the clients to consume diets with a high-fat content.
- C. Teach the women to have a lower pelvic sonogram yearly.
- D. Discuss the need to be aware of the family history of cancer.
Correct Answer: D
Rationale: Family history awareness is key for ovarian cancer risk assessment, guiding screening or genetic testing. Talc use is controversial, high-fat diets are not recommended, and yearly sonograms are not standard.
Which instruction is most appropriate if a Papanicolaou (Pap) smear will be obtained at the time of the pelvic examination?
- A. Avoid douching for several days before your appointment.
- B. Stop using any and all forms of contraception temporarily.
- C. Drink at least 1 quart of liquid an hour before your appointment.
- D. Avoid having sexual intercourse for a week before the test.
Correct Answer: A
Rationale: Douching can wash away cervical cells, leading to inaccurate Pap smear results, so it should be avoided for several days prior to the test.
The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be taught to the client?
- A. The client will develop antibodies to protect against a future infection.
- B. This infection will not have any long-term effects for the client.
- C. Both the client and the sexual partner must be treated simultaneously.
- D. Once the infection subsides, the pain will go away and not be a problem.
Correct Answer: C
Rationale: Chlamydia-related PID requires simultaneous treatment of the client and partner to prevent reinfection. Antibodies do not confer immunity, PID can cause infertility, and pain may persist.
The nurse is instructing a two (2)-week postpartum client who has red, tender breasts after trying to breastfeed the infant. Which should the nurse teach the client?
- A. Be sure the baby empties each breast when feeding.
- B. Apply warm, moist pack to the breasts for comfort.
- C. Apply rubbing alcohol to the breast to treat the infection.
- D. The baby must be given formula because the mother cannot breastfeed.
Correct Answer: B
Rationale: Warm, moist packs relieve engorgement and mastitis discomfort, promoting milk flow. Emptying breasts prevents engorgement but is not the focus, alcohol is harmful, and formula is unnecessary.