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A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

A.

Instruct the client to abstain from sexual intercourse for 24 hours prior to the test.

B.

Educate the client about the risk factors associated with cervical cancer.

C.

Assess the client's vital signs, including blood pressure and pulse rate.

D.

Explain the steps of the Pap test procedure to the client.

Answer and Explanation

The Correct Answer is D

A. Instruct the client to abstain from sexual intercourse for 24 hours prior to the test: While abstaining from sexual intercourse can be recommended to avoid contamination, it is not the most immediate concern before performing the test.
B. Educate the client about the risk factors associated with cervical cancer: While important, this is not a pre-procedural intervention but rather part of general patient education.
C. Assess the client's vital signs, including blood pressure and pulse rate: Vital signs are important but not specifically required before performing a Pap test.
D. Explain the steps of the Pap test procedure to the client: This is the most appropriate intervention as it prepares the client for the procedure, reducing anxiety and ensuring informed consent.
 


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Related Questions

Correct Answer is B

Explanation

A. Hormone therapy decreases the risk of cardiovascular events: This is incorrect. Hormone therapy can actually increase the risk of cardiovascular events, including heart disease and stroke.
B. Hormone therapy may prevent osteoporotic fractures: This is correct. Hormone therapy can help maintain bone density and reduce the risk of osteoporotic fractures in women undergoing menopause.
C. Hormone therapy should be taken in doses throughout the day: This is incorrect. Hormone therapy is usually taken in a single daily dose or as directed by a healthcare provider, not throughout the day.
D. If a dose is missed, then the next dose should be doubled: This is incorrect. Missing a dose of hormone therapy should be managed according to the provider's instructions, which typically do not involve doubling the next dose.

Correct Answer is ["675"]

Explanation

To calculate the appropriate dose of vancomycin, follow these steps:

  1. Convert pounds to kilograms:
    • 198 lb (1 kg / 2.2 lb) = 90 kg
  2. Calculate the total daily dose:
    • 15 mg/kg/day 90 kg = 1350 mg/day
  3. Determine the dose per administration:
    • 1350 mg/day / 2 doses/day = 675 mg/dose

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