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?

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

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

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

"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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B. Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C. A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D. Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.

A. The use of latex condoms B. Avoiding sexual contact if a partner is known to have an STI C. Vaccination against vaccine-preventable STIs D. Limiting sexual partners

Correct Answer is A

Explanation

A. The use of latex condoms. Latex condoms are highly effective in reducing the transmission of many STIs when used consistently and correctly.
B. Avoiding sexual contact if a partner is known to have an STI. While avoiding contact with an infected partner is important, many people may not know if their partner is infected, and this does not provide protection against unknown infections.
C. Vaccination against vaccine-preventable STIs. While vaccination is important (e.g., for HPV and hepatitis B), it does not protect against all STIs.
D. Limiting sexual partners. Limiting sexual partners can reduce risk but does not eliminate the risk of STIs if other protective measures are not used.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Correct Answer is B

Explanation

A school nurse is reinforcing teaching to a group of teenage clients about prevention of sexually transmitted infections (STIs). Which of the following practices is the most effective form of protection to include in the teaching?

Correct Answer is A

Explanation

A nursing student is doing a presentation on human papillomavirus (HPV) for a young adult group aged 18 to 20 years old. What information should the nursing student include in this presentation?

A nurse is caring for a client who is experiencing menopausal changes and requests information about the use of herbal therapies to relieve her discomfort. Which of the following statements should the nurse make?

In helping prepare a nursing care plan for a 90-pound, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 8.2, the nurse agrees that the most appropriate nursing diagnosis would be:

A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?

The nurse is performing an assessment on a client who asks how she might recognize when she is ovulating. The nurse should explain that which occurs at ovulation?

A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

Iron-deficiency anemia can cause pica, a rare condition in which a person craves eating nonfood items. Which of these would a client with this type of anemia eat?