A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?

The client should anticipate scheduling the procedure 5 days prior to menstruation.

The client might experience diarrhea as a result of the procedure.

The client should be on a liquid diet for 1 day following the procedure.

The client might experience shoulder pain following the procedure.

Answer and Explanation

The Correct Answer is A

Choice A reason:
Hysterosalpingography (HSG) is typically scheduled after menstruation but before ovulation to ensure that the client is not pregnant during the procedure. Scheduling the procedure 5 days prior to menstruation would not be appropriate as it could interfere with the menstrual cycle and the potential early stages of pregnancy.

Choice B reason:
Diarrhea is not a common side effect of HSG. The procedure involves the insertion of a dye into the uterine cavity to visualize the fallopian tubes and uterus via X-ray. While some discomfort, cramping, or spotting may occur, diarrhea is not typically expected.

Choice C reason:
There is no requirement for a client to be on a liquid diet following an HSG procedure. The client can usually resume normal activities and diet immediately after the procedure unless otherwise instructed by their healthcare provider.

Choice D reason:
Shoulder pain is not a typical symptom following HSG. While referred pain to the shoulder can occur with procedures that involve the diaphragm or abdominal cavity, HSG is focused on the reproductive organs and should not cause shoulder pain.

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Correct Answer is C

Explanation

Choice A reason:

Lightheadedness is generally not an indication of effective treatment for dehydration. It is often a symptom of dehydration itself, as it can result from decreased blood volume and reduced blood flow to the brain. Effective rehydration should alleviate symptoms like lightheadedness, not present as an indication of it.

Choice B reason:

Decreased pulse pressure may indicate a drop in the volume of blood circulating through the body, which is not a sign of effective rehydration. Pulse pressure is the difference between systolic and diastolic blood pressure readings, and a narrow pulse pressure can be a sign of hypovolemia, or low blood volume, often due to dehydration.

Choice C reason:

Urine output of 75 mL in 1 hr can be considered within the normal range of urine output for an adult, which is typically about 0.5 to 1 mL/kg/hr⁵. This indicates that the kidneys are functioning and the body is excreting waste, suggesting effective rehydration.

Choice D reason:

A urine specific gravity of 1.038 is higher than the normal range of 1.005 to 1.030[^10^]. This indicates concentrated urine, which is commonly seen in dehydration as the body attempts to conserve water. Therefore, this is not an indication of effective treatment for dehydration.

A. A personal trainer who works with a client who has HIV. B. An occupational therapist who works with a client who has HIV. C. A phlebotomist who collects blood from clients who have HIV. D. A nurse who works for an insurance company and collects urine samples from clients who have HIV.

Correct Answer is C

Explanation

Choice A reason:
A personal trainer working with a client who has HIV is at low risk for contracting the virus. HIV is not transmitted through casual contact, sweat, or saliva. The risk would increase only if there were exposure to blood or other body fluids through an open wound or mucous membrane.

Choice B reason:
An occupational therapist working with a client who has HIV also has a low risk of contracting the virus. Similar to a personal trainer, unless there is direct exposure to blood or body fluids, the transmission risk is minimal.

Choice C reason:
A phlebotomist who collects blood from clients who have HIV is at the greatest risk among the listed individuals. Phlebotomists are healthcare professionals who are frequently exposed to blood, which is a bodily fluid that can transmit HIV if proper precautions are not taken.

Choice D reason:
A nurse who collects urine samples is at a lower risk compared to a phlebotomist. HIV is not typically transmitted through urine unless it contains blood. However, the risk is still present if there is exposure to blood-contaminated urine through cuts or mucous membranes.

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A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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