A nurse is preparing a client for a colposcopy following an abnormal Papinicolaou (Pap) test. Which of the following actions should the nurse take?
Place the client in the Sims' position.
Insert a tampon following the procedure.
Instruct the client to avoid sexual intercourse until the cervix is healed.
Reinforce teaching that the procedure involves dilation of the cervix.
The Correct Answer is C
Choice A: This is incorrect because placing the client in the Sims' position is not necessary for a colposcopy. The nurse should place the client in the lithotomy position, which allows better visualization of the cervix and vagina.
Choice B: This is incorrect because inserting a tampon following the procedure can interfere with healing and increase the risk of infection. The nurse should instruct the client to avoid using tampons, douches, or vaginal creams for at least a week after the procedure.
Choice C: This is correct because instructing the client to avoid sexual intercourse until the cervix is healed can prevent bleeding, infection, and trauma to the cervix. The nurse should advise the client to abstain from sexual activity for at least a week or until advised by the provider.

Choice D: This is incorrect because reinforcing teaching that the procedure involves dilation of the cervix can cause anxiety and discomfort for the client. The nurse should explain that the procedure does not require dilation of the cervix, but rather involves applying a speculum and using a microscope to examine the cervix and take tissue samples if needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Glucocorticoids are anti-inflammatory drugs that can increase blood glucose levels and worsen diabetes mellitus, which is a risk factor for stroke.
Choice B reason: HbA1c is a measure of average blood glucose levels over the past three months. A higher HbA1c level indicates poor glycemic control and increases the risk for stroke. The target HbA1c level for most people with diabetes mellitus is less than 7 percent.
Choice C reason: Having a high total cholesterol level is a risk factor for stroke, as it can lead to atherosclerosis and plaque formation in the blood vessels. The target total cholesterol level for most people is less than 200 mg/dL.
Choice D reason: Losing excess weight can lower blood pressure, improve blood glucose levels, and reduce inflammation, which are all beneficial for preventing stroke.
Correct Answer is D
Explanation
Choice A: This is incorrect because pallor is not a sign of anaphylaxis. Pallor can indicate shock, anemia, or hypoxia.
Choice B: This is incorrect because peripheral edema is not a sign of anaphylaxis. Peripheral edema can indicate heart failure, kidney disease, or venous insufficiency.
Choice C: This is incorrect because hypertension is not a sign of anaphylaxis. Hypertension can indicate stress, pain, or renal disease.
Choice D: This is correct because pruritus is a sign of anaphylaxis. Pruritus is a severe itching sensation that can accompany hives, rash, or angioedema.

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