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A client with a history of ovarian cysts is seen by the primary health care provider (PHCP).

The client has had 2 previous surgeries related to this condition. Her PHCP recommends an exploratory laparoscopic procedure for the current ovarian cyst, which has persisted for several months. The client states that the prior ovarian cysts were benign and questions the need for this procedure. Which response is best for the nurse to provide?

A.

"With your recurrent history, one of these times the cyst will be malignant."

B.

"I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?"

C.

"The surgical procedure is minimal, and you will not have to be concerned after you learn the results."

D.

"A prolonged ovarian abnormality should be evaluated thoroughly."

Answer and Explanation

The Correct Answer is B

A.    "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B.    "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C.    "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D.    "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.
 


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Related Questions

Correct Answer is B

Explanation

A. Decreased serum albumin is not typically associated with hemolysis; it may occur in conditions such as liver disease or malnutrition.
B. Jaundice, or yellowing of the skin and eyes, is a common manifestation of hemolysis due to the increased production of bilirubin from the breakdown of red blood cells.
C. Increased serum bilirubin levels occur as a result of hemolysis, contributing to the development of jaundice.
D. Increased bilirubin is essentially the same as increased serum bilirubin; both indicate the presence of jaundice due to hemolysis.
E. Presence of dark urine is also characteristic of hemolysis, as it may contain excess bilirubin, giving it a darker color.

Correct Answer is E

Explanation

A. Vaginal bleeding is not a typical sign of ovulation. Vaginal bleeding occurs during menstruation, which is distinct from ovulation.
B. A slight decrease in basal body temperature may occur before ovulation, not during ovulation itself.
C. Breast tenderness can occur due to hormonal changes during the menstrual cycle, but it is not a direct indicator of ovulation.
D. Decreased sex drive is not a typical symptom of ovulation. In fact, some women may experience an increase in sex drive around ovulation.

E. Lower abdominal pain/cramping, also known as mittelschmerz, is a common symptom of ovulation. It typically occurs on one side of the lower abdomen and can help indicate the timing of ovulation.

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