A nurse is caring for a client who is one day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?

Refusing to look at the dressing or surgical incision

Asking questions about the information on her postoperative care pamphlet

Performing arm exercises once or twice a day

Asking for pain medication every 3 hours

Answer and Explanation

The Correct Answer is A

Choice A: Refusing to look at the dressing or surgical incision is the correct answer because it is a behavior that may indicate difficulty adjusting to the loss of her breast. Refusing to look at the dressing or surgical incision may reflect denial, avoidance, or fear of facing the reality of the surgery and its consequences. It may also indicate low self-esteem, body image disturbance, or depression. The nurse should assess the client's emotional state and provide support and education.

Choice B: Asking questions about the information on her postoperative care pamphlet is not the correct answer because it is a behavior that may indicate a positive adjustment to the loss of her breast. Asking questions about the information on her postoperative care pamphlet may reflect acceptance, curiosity, or motivation to learn about her condition and treatment. It may also indicate high self-efficacy, coping skills, or optimism. The nurse should encourage the client's involvement and provide clear and accurate information.

Choice C: Performing arm exercises once or twice a day is not the correct answer because it is a behavior that may indicate a positive adjustment to the loss of her breast. Performing arm exercises once or twice a day may reflect compliance, responsibility, or self-care. It may also indicate physical recovery, functional ability, or quality of life. The nurse should reinforce the client's efforts and provide feedback and guidance.

Choice D: Asking for pain medication every 3 hours is not the correct answer because it is a behavior that may indicate a normal response to the loss of her breast. Asking for pain medication every 3 hours may reflect pain management, comfort, or relief. It may also indicate trust, communication, or satisfaction with care. The nurse should assess the client's pain level and provide adequate and timely pain relief.

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Correct Answer is C

Explanation

Choice A: Vaginal pH of 3 is not the correct answer because it is not a finding of bacterial vaginosis. Vaginal pH is a measure of how acidic or alkaline the vaginal environment is. A normal vaginal pH ranges from 3.8 to 4.5, which helps prevent infections by maintaining a balance of healthy bacteria (lactobacilli). Bacterial vaginosis can cause an increase in vaginal pH above 4.5, which allows harmful bacteria (anaerobes) to grow and cause symptoms.

Choice B: Cervical bleeding on contact is not the correct answer because it is not a finding of bacterial vaginosis. Cervical bleeding on contact is a sign of inflammation or injury to the cervix, which is the lower part of the uterus that connects to the vagina. It can be caused by various factors such as infection, trauma, or cancer. Bacterial vaginosis does not affect the cervix directly, but it can increase the risk of other infections or complications that may cause cervical bleeding.

Choice C: Fishy odor of discharge is the correct answer because it is a finding of bacterial vaginosis. The fishy odor of discharge is a characteristic symptom of bacterial vaginosis that occurs due to the breakdown of organic compounds (amines) by the anaerobic bacteria. The odor is usually more noticeable after sexual intercourse or during menstruation.

Choice D: Yellowish-green discharge is not the correct answer because it is not a finding of bacterial vaginosis. Yellowish-green discharge is a sign of infection or inflammation of the vagina or cervix, such as trichomoniasis, gonorrhea, or chlamydia. These infections can cause symptoms such as itching, burning, or pain in the genital area. Bacterial vaginosis usually causes a thin, gray-white, or milky discharge that does not cause irritation or discomfort.

A. Rectal incontinence B. Rectocele C. Urinary incontinence D. Cystocele E. Enterocele

Correct Answer is ["B","C","D","E"]

Explanation

Choice A: Rectal incontinence is not the correct answer because it is not a disorder related to pelvic organ prolapse. Rectal incontinence is a condition that causes loss of control over bowel movements, resulting in leakage of stool or gas. It can be caused by various factors, such as nerve damage, muscle weakness, or diarrhea.

Choice B: Rectocele is the correct answer because it is a disorder related to pelvic organ prolapse. Rectocele is a condition that occurs when the rectum bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as constipation, difficulty emptying the bowel, or a feeling of pressure or fullness in the vagina.

Choice C: Urinary incontinence is the correct answer because it is a disorder related to pelvic organ prolapse. Urinary incontinence is a condition that causes loss of control over urination, resulting in leakage of urine or urgency to urinate. It can be caused by various factors, such as stress, urge, overflow, or mixed types of incontinence.

Choice D: Cystocele is the correct answer because it is a disorder related to pelvic organ prolapse. Cystocele is a condition that occurs when the bladder bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as frequent urination, difficulty emptying the bladder, or a feeling of pressure or fullness in the vagina.

Choice E: Enterocele is the correct answer because it is a disorder related to pelvic organ prolapse. Enterocele is a condition that occurs when the small intestine bulges into the vagina due to weakening of the pelvic floor muscles and connective tissue. It can cause symptoms such as lower back pain, pelvic pressure, or difficulty having bowel movements.

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A nurse is caring for a client who is one day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding would the nurse expect in a client with bacterial vaginosis?

Correct Answer is C

Explanation

A nurse reading a journal article about the care of a woman with pelvic organ prolapse would expect to find information on which disorder. Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

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