A client who has cervical cancer is admitted to the hospital for placement of a cervical radiation implant. Which instructions should the nurse provide before insertion of the applicator?

Enemas and stool softeners are used during treatment.

Activity and ambulation as tolerated are encouraged.

Bed rest with minimal turning should be maintained.

A bedside commode will be provided for urination.

Answer and Explanation

The Correct Answer is C

A. Enemas and stool softeners are used during treatment: While stool softeners may be used to avoid straining, enemas are generally not recommended just before the placement of the radiation implant due to potential disruption of the radiation site.

B. Activity and ambulation as tolerated are encouraged: During the placement of a cervical radiation implant, the client should remain on bed rest with minimal movement to avoid dislodging the implant. Ambulation is restricted during this procedure.

C. Bed rest with minimal turning should be maintained: The client should remain on bed rest with minimal turning to prevent displacement of the radiation implant. Movement could risk the implant becoming dislodged, so strict bed rest is required to ensure safety.

D. A bedside commode will be provided for urination: A bedside commode may be used to avoid unnecessary movement, but the priority is bed rest to prevent dislodging the implant. The nurse would provide guidance on minimizing movement, including using a commode as needed.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Soft and not palpable: Immediately after delivery, the fundus should be firm and palpable. A soft, non-palpable fundus may indicate uterine atony, which is a serious condition that could lead to hemorrhage and requires immediate intervention.

B. Above the umbilicus: Immediately after delivery, the fundus is typically at or just below the umbilicus. If it is above the umbilicus, it could indicate uterine distension, a retained placenta, or excessive bleeding that needs to be addressed.

C. At or below the umbilicus: The fundus is expected to be firm and palpable at or just below the umbilicus immediately after delivery. This position reflects normal uterine contraction as the uterus begins to return to its pre-pregnancy size.

D. To the left or right of the umbilicus: The fundus should be midline after delivery. A deviation to the left or right may suggest a full bladder or uterine displacement, which can interfere with uterine contraction and increase the risk of bleeding.

A. One-hour glucose screen. B. Repeat HIV test. C. Multiple marker screening. D. Direct Coombs' test.

Correct Answer is A

Explanation

A. One-hour glucose screen: The one-hour glucose screen is typically performed at 24-28 weeks gestation to screen for gestational diabetes. This is a standard test for all pregnant women during this time frame, regardless of ethnicity, and should be included in the client teaching.
B. Repeat HIV test: While HIV screening is important during pregnancy, a repeat HIV test at 28 weeks is not typically recommended for all women unless they are at high risk or have specific risk factors.
C. Multiple marker screening: This screening is usually done earlier in pregnancy, typically between 15-20 weeks, to assess the risk of certain fetal conditions like Down syndrome and neural tube defects. It is not performed at 28 weeks.
D. Direct Coombs' test: The Direct Coombs' test is typically performed on newborns, not on pregnant women, to check for hemolytic disease. However, Rh-negative women are often screened with the indirect Coombs' test at 28 weeks to check for antibodies, not the direct Coombs' test.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client who has cervical cancer is admitted to the hospital for placement of a cervical radiation implant. Which instructions should the nurse provide before insertion of the applicator?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding should the nurse expect when palpating the fundus immediately after delivery?

Correct Answer is C

Explanation

The nurse is providing anticipatory guidance for an African-American client who is at 24-weeks gestation. Which prenatal laboratory assessment, prescribed at 28-weeks, should the nurse include in client teaching?

Correct Answer is A

Explanation

The nurse is caring for a laboring client who is group B Streptococcus positive (GBS+). Which immediate treatment is indicated for this client?

The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea after experiencing a recent sexual assault. Which response should the nurse provide?

Exhibits The nurse reviews the standing prescriptions for laboring mothers and determines the best plan of care. Which intervention(s) would the nurse initiate? Select all that apply.

Exhibits The nurse reviews the client's history and physical, the nurses' notes, and the flow sheet. Select the findings that will help the nurse determine which is causing the client's symptoms.

Prior to performing a postpartum assessment, the client tells the nurse, "I have pain in my stitches." The nurse knows that the client had a midline episiotomy. Which action should the nurse take first?

Exhibits Which description(s) by the client should help confirm that the mastitis has been resolved and breastfeeding/breast health is well maintained? Select all that apply.