Nokea
The nurse is providing teaching to a patient who is having an endometrial biopsy. Which of the following instructions should the nurse include?
- A. Plan to have someone drive you home after the procedure.
- B. Receive IV contrast solution during the procedure.
- C. Expect mild abdominal cramps after the procedure.
- D. Drink several glasses of fluids before the procedure.
Correct Answer: C
Rationale: An endometrial biopsy may cause mild abdominal cramping after the procedure due to uterine manipulation. IV contrast is not used, and there is no need for a driver or to drink fluids beforehand.
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The nurse is assessing a patient in the Sexual Health Clinic who has a positive Venereal Disease Research Laboratory (VDRL) test, but no chancre is noted. The nurse should plan to send the specimens for which of the following tests?
- A. Gram stain
- B. Cytological studies
- C. Rapid plasma reagin (RPR) agglutination
- D. Fluorescent treponemal antibody absorption (FTA-ABS)
Correct Answer: D
Rationale: Since false positives are common with VDRL and RPR testing, FTA-ABS testing is recommended to confirm a diagnosis of syphilis. Gram staining is used for other sexually transmitted infections (STIs) such as gonorrhea and chlamydia, and cytological studies are used to detect abnormal cells (such as neoplastic cells).
The nurse is assessing a patient who had a hysterosalpingogram, endometrial biopsy, and cervical biopsy in the outpatient clinic this morning and now reports feeling light-headed and short of breath. Which of these symptoms is most important to report to the health care provider?
- A. Abdominal cramping
- B. Vaginal spotting
- C. Light-headedness
- D. Dyspnea
Correct Answer: C
Rationale: The patient's light-headedness suggests a possible vasovagal response or other complication post-procedure, requiring immediate attention. Dyspnea could also be significant, but light-headedness is prioritized due to its potential to indicate hypoperfusion or shock. Abdominal cramping and vaginal spotting are expected after these procedures.
The nurse is assessing a male patient who is taking the following medications and tells the nurse that he has had difficulty in achieving an erection. Which of the following medications may cause erectile dysfunction (ED)?
- A. Finasteride
- B. Tamsulosin
- C. Atenolol
- D. Alfuzosin
Correct Answer: C
Rationale: Atenolol, a beta-blocker, is known to cause erectile dysfunction as a side effect. Finasteride, tamsulosin, and alfuzosin are used to treat benign prostatic hyperplasia but are less commonly associated with erectile dysfunction.
Which information about a female patient who wants to start using oral contraceptives is most important to report to the health care provider?
- A. The patient quit smoking 6 months previously.
- B. The patient's blood pressure is 164/90 mm Hg.
- C. The patient has a history of migraines.
- D. The patient is 35 years old.
Correct Answer: B
Rationale: Since hypertension increases the risk for morbidity and mortality in women taking oral contraceptives, the patient's blood pressure should be controlled before oral contraceptives are prescribed. The other information will also be reported but will not affect the choice of contraceptive.
The nurse is preparing a patient for colposcopy with a cervical biopsy. Which of the following information should the nurse explain to the patient about the procedure?
- A. It involves dilation of the cervix and biopsy of the tissue lining the uterus.
- B. It will take place in a same-day-surgery centre so that local anesthesia can be used.
- C. It requires that the patient have nothing to eat or drink for 6 hours before the procedure.
- D. It is similar to a speculum examination of the cervix and should result in little or no pain.
Correct Answer: D
Rationale: Colposcopy involves visualization of the cervix with a binocular microscope and is similar to a speculum examination. A cervical biopsy may cause a minimal amount of pain.