A 50-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that "at times it feels as if there is a lump" there as well. Which condition do these symptoms indicate?

uterine fibroids

endocervical polyps

urinary incontinencе

pelvic organ prolapse

Answer and Explanation

The Correct Answer is D

A. Uterine fibroids: Fibroids are benign tumors of the uterine muscle that can cause heavy menstrual bleeding, pelvic pain, or pressure but do not usually cause a dragging sensation or the feeling of a lump within the vagina.

B. Endocervical polyps: Cervical polyps are small, benign growths on the cervix that may cause spotting or bleeding after intercourse but do not produce a sensation of pelvic heaviness or a vaginal lump.

C. Urinary incontinence: This condition involves involuntary leakage of urine, often due to weakened pelvic floor muscles, but it does not cause the sensation of a vaginal lump or dragging feeling.

D. Pelvic organ prolapse: Pelvic organ prolapse occurs when pelvic support structures weaken, allowing organs such as the uterus, bladder, or rectum to descend into the vaginal canal. The client’s description of a dragging sensation and feeling of a lump are classic symptoms.

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Correct Answer is B

Explanation

A. Increased urinary output: Polyuria is not a characteristic sign of lead poisoning. Lead primarily affects the hematologic, neurologic, and gastrointestinal systems rather than directly influencing renal water regulation, unless nephropathy develops in chronic exposure.

B. Anorexia: Loss of appetite is a common manifestation of acute lead poisoning due to the toxic effects of lead on the gastrointestinal tract and central nervous system. The child may also experience abdominal pain, irritability, and constipation in addition to decreased appetite.

C. Jaundice: Jaundice is not typically associated with lead poisoning. Although lead interferes with heme synthesis, it does not usually cause bilirubin accumulation or liver dysfunction that would result in jaundice.

D. Diarrhea: Gastrointestinal upset can occur, but diarrhea is not as common as constipation in lead toxicity. Lead decreases peristalsis and causes smooth muscle spasm in the intestines, leading more often to constipation than to diarrhea.

A. electrocauterization B. myomectomy C. dilation and curettage (D&C) D. laparoscoрy

Correct Answer is B

Explanation

A. Electrocauterization: This procedure uses electric current to destroy tissue and is not a standard treatment for fibroids. It may cause uterine scarring, which can impair fertility and is therefore not appropriate for clients wishing to conceive.

B. Myomectomy: Myomectomy is the surgical removal of uterine fibroids while preserving the uterus, making it the preferred option for women who still desire children. It relieves symptoms such as pain and heavy bleeding while maintaining reproductive potential.

C. Dilation and curettage (D&C): A D&C involves scraping the uterine lining to control bleeding or obtain tissue samples. It does not remove fibroids located in the uterine wall and provides only temporary symptom relief without addressing the root cause.

D. Laparoscopy: Laparoscopy is a minimally invasive surgical technique that can be used for various procedures, including a myomectomy. However, by itself, laparoscopy is a diagnostic or operative method—not the specific procedure for removing fibroids while preserving fertility.

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A 50-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that "at times it feels as if there is a lump" there as well. Which condition do these symptoms indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

Correct Answer is B

Explanation

The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility?

Correct Answer is B

Explanation

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When performing a clinical breast examination, which would the nurse do first?

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