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?

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

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

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

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.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Administer pain medication: Pain management is not the primary intervention for exposure to anthrax; the focus should be on addressing the disease directly.
B. Administer antibiotic therapy: This is correct. Post-exposure prophylaxis with antibiotics is crucial in preventing the development of anthrax, especially after exposure to spores.
C. Administer an antiviral medication: This is incorrect. Anthrax is caused by bacteria, not viruses, so antiviral medications are not effective.
D. Administer an antitoxin: While antitoxins are used in treating symptomatic anthrax, the immediate and appropriate action for exposure is to start antibiotic therapy.

A. Hormone therapy decreases the risk of cardiovascular events. B. Hormone therapy may prevent osteoporotic fractures. C. Hormone therapy should be taken in doses throughout the day. D. If a dose is missed, then the next dose should be doubled.

Correct Answer is B

Explanation

A. Hormone therapy decreases the risk of cardiovascular events: This is incorrect. Hormone therapy has been associated with an increased risk of cardiovascular events, such as heart attacks and strokes, especially in older women or those with preexisting risk factors.
B. Hormone therapy may prevent osteoporotic fractures: This is correct. Hormone therapy can help maintain bone density and reduce the risk of osteoporotic fractures, which is beneficial after a total hysterectomy.
C. Hormone therapy should be taken in doses throughout the day: This is incorrect. Hormone therapy is typically taken in a single daily dose or according to a specific schedule, rather than multiple times 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 addressed according to the specific medication instructions, and doubling the dose is not generally recommended.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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