A 68-year-old client who has had normal Pap results for 10 years and no history of cancer asks about scheduling a Pap smear. Which nursing response is
... [Show More] appropriate?
A. "You will need a Pap test this year."
B. "You aren't due for a Pap test until next year."
C. "You do not need to have further Pap tests at this time."
D. "You do not need a Pap test unless you are sexually active."
C. "You do not need to have further Pap tests at this time."
A client has been scheduled for a transvaginal ultrasound. Which allergy does the nurse identify that should be immediately reported to the health care provider?
A. Eggs
B. Corn
C. Latex
D. Iodine
C. Latex
The nurse is caring for a client who underwent a hysterosalpingogram earlier in the day. Which assessment finding will the nurse immediately report to the health care provider? (SATA)
A. Fever and chills
B. Heart rate 120 beats/min
C. Bloody vaginal discharge
D. Pain in the lower quadrant
E. Discomfort in the shoulder
A. Fever and chills
B. Heart rate 120 beats/min
D. Pain in the lower quadrant
A client has undergone a prostate biopsy. Which post procedure symptom will the nurse teach the client to report immediately to the primary health care provider?
A. Semen discoloration 5 days after biopsy
B. Light rectal bleeding 2 days after procedure
C. Tenderness at the site 1 day after biopsy
D. Pain on urination 3 days after procedure
D. Pain on urination 3 days after procedure
A client who is scheduled for a Pap smear reports having had sexual intercourse 1 day prior and douching afterward. What is the appropriate nursing action?
A. Reschedule the Pap smear for another week
B. Delay the procedure until later in the afternoon
C. Help the client prepare for the procedure at this time
D. Hold the procedure until the clients next menstrual cycle
A. Reschedule the Pap smear for another week
When caring for four clients, which individual does the nurse identify as being at the highest risk for development of breast cancer?
A. 33 year old male with gynecomastia and obesity
B. 45 year old female whose mother has breast cancer
C. 60 year old male whose father died from colon cancer
D. 72 year old female who was treated for breast cancer 3 years ago
B. 45 year old female whose mother has breast cancer
When caring for a 28 year old health client, how frequently does the nurse recommend a clinical breast examination?
A. Every 3 years
B. At each annual physical
C. Not until age 30, as the risks are low
D. To begin at age 40 when risks increase
A. Every 3 years
The nurse has delegated care for a client with a radical left mastectomy for breast cancer to assistive personnel. Which AP action requires nursing intervention? (SATA)
A. Obtains a BP via left arm
B. Reports client's pain level to the nurse
C. Applies gait belt prior to walking with the client
D. Records vital signs in the electronic health record
E. Assists client to administer patient-controlled analgesia
A. Obtains a BP via left arm
E. Assists client to administer patient-controlled analgesia
Which nursing intervention is appropriate when caring for a female client who has undergone a mastectomy and will receive chemotherapy? (SATA)
A. Encourage client to accept her new body image
B. Provide self-care resources to the primary caretaker
C. Teach client about birth control options that are available
D. Refer to support groups for people who have had mastectomy
E. Involve partner in discussions about sexuality if client desires
B. Provide self-care resources to the primary caretaker
C. Teach client about birth control options that are available
D. Refer to support groups for people who have had mastectomy
E. Involve partner in discussions about sexuality if client desires
Which assessment finding in a client who recently had a right mastectomy 2 days ago will the home health nurse report to the health care provider?
A. Temperature of 99F
B. Tingling sensation in the right arm
C. Impaired range of motion in the right arm
D. Drainage of 20 mL collected over 24 hours
B. Tingling sensation in the right arm
The nurse is caring for a client who just had a laparoscopic total abdominal hysterectomy. Which assessment finding requires immediate nursing intervention?
A. Temp of 99.2F (37.3 C)
B. One saturated perineal pad per hour
C. Decreased bowel sounds in all quadrants
D. Report of pain level of 5 on a scale of 0 to 10
B. One saturated perineal pad per hour
A client is scheduled for a transvaginal surgical repair this morning. Which assessment finding requires immediate nursing intervention?
A. Notation of surgery type with mesh
B. Expression of fear prior to procedure
C. Blood pressure 140/92 mm Hg, P 88, R 20, T 98.8 F
D. Client request for caregiver to come to PACU
A. Notation of surgery type with mesh
The nurse is preparing a client for surgery related to ovarian cancer. When the client states, "I'm just going to die anyway, why do I even need this surgery?" What is the appropriate nursing response?
A. "We don't know that you will die from this."
B. "Are you thinking of canceling the surgery?"
C. "Ovarian cancer has an unfavorable prognosis."
D. "If the condition is fatal, hospice can provide care."
B. "Are you thinking of canceling the surgery?"
What teaching will the nurse provide to a 30 year old female client who has never been sexually active about decreasing her risk of developing cervical cancer? (SATA)
A. "You cannot lower the risk for cervical cancer."
B. "You cannot receive the Gardasil-9 immunization."
C. "Use condoms when you plan to be sexually intimate."
D. "Over the counter contraceptive methods can be used to prevent HPV."
E. "Having an annual Pap test will decrease your chances of cervical cancer."
B. "You cannot receive the Gardasil-9 immunization."
C. "Use condoms when you plan to be sexually intimate."
The nurse has provided teaching to a client with vulvovaginitis. Which client statement indicates that nursing intervention is required? (SATA)
A. "I will wipe from the front to the back."
B. "I will wash with fragranced soap to prevent odor."
C. "I am going to the store now to buy cotton underwear."
D. "I will use fragrance free laundry detergents in the future."
E. "I am going to take all of the medicine the provider prescribed."
B. "I will wash with fragranced soap to prevent odor." [Show Less]