A nurse is providing discharge teaching to a client following a loop electrosurgical excision procedure (LEEP) for the treatment of cervical cancer. Which of the following statements by the client indicates an understanding of the teaching?

"I can resume sexual intercourse in 48 hours."

"I can expect some heavy vaginal bleeding for 24 hours."

"I can use tampons when my period comes in a week."

"I may have mild cramping for several hours."

Answer and Explanation

The Correct Answer is D

Rationale:
A. "I can resume sexual intercourse in 48 hours.": Sexual intercourse should be avoided for approximately 3 to 4 weeks after a LEEP to allow proper healing of the cervix and reduce the risk of infection or bleeding. Resuming sexual activity too soon can disrupt tissue recovery.

B. "I can expect some heavy vaginal bleeding for 24 hours.": Heavy vaginal bleeding is not expected after a LEEP and should be reported promptly. Light spotting or a brownish discharge for a few days is normal, but significant bleeding can indicate complications.

C. "I can use tampons when my period comes in a week.": Clients are advised to avoid inserting anything into the vagina, including tampons, for several weeks post-procedure. This helps prevent infection and allows the cervical tissue to heal fully.

D. "I may have mild cramping for several hours.": Mild cramping for a few hours after the procedure is a common and expected response due to cervical manipulation. This symptom typically resolves on its own or with over-the-counter pain relief.

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Correct Answer is A

Explanation

Rationale:
A. Blurred vision: Ethambutol is known to cause optic neuritis, which can lead to blurred vision, decreased visual acuity, and impaired red-green color discrimination. Clients on ethambutol should be monitored for changes in vision and advised to report any visual disturbances immediately.

B. Tinnitus: Tinnitus is not a typical adverse effect of ethambutol. It is more commonly associated with other anti-tuberculosis drugs such as streptomycin, which can cause ototoxicity, especially affecting the auditory and vestibular systems.

C. Peripheral edema: Peripheral edema is not commonly linked to ethambutol use. It may occur with certain cardiovascular medications or conditions but is not an expected side effect of this antitubercular drug.

D. Bradycardia: Bradycardia is not a recognized adverse effect of ethambutol. This medication primarily affects the eyes rather than the cardiovascular system. Monitoring for vision changes is a higher priority when assessing for side effects.

A. Maintain the head of the bed greater than 45°. B. Place a donut-shaped cushion under the client’s sacrum. C. Massage bony prominences three times daily. D. Apply moisturizer to damp skin after bathing.

Correct Answer is D

Explanation

Rationale:
A. Maintain the head of the bed greater than 45°: Elevating the head of the bed beyond 30° increases pressure and shear forces on the sacrum, contributing to skin breakdown. The bed should be maintained at the lowest elevation necessary to reduce pressure injury risk.

B. Place a donut-shaped cushion under the client’s sacrum: Donut-shaped cushions can impede blood flow and concentrate pressure on surrounding tissues, increasing the risk of pressure injuries rather than preventing them. Specialty foam or gel cushions are preferred for pressure redistribution.

C. Massage bony prominences three times daily: Massaging over bony areas is contraindicated as it may cause further tissue damage in areas already at risk for pressure injury. Prevention strategies focus on pressure relief, skin protection, and improved circulation without direct trauma.

D. Apply moisturizer to damp skin after bathing: Applying moisturizer to slightly damp skin helps retain moisture, prevents dryness and cracking, and maintains skin integrity. This is an evidence-based practice in pressure injury prevention, especially for clients with fragile or at-risk skin.

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A nurse is providing discharge teaching to a client following a loop electrosurgical excision procedure (LEEP) for the treatment of cervical cancer. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has tuberculosis and recently began taking ethambutol. The nurse should identify which of the following findings as an adverse effect of this medication?

Correct Answer is A

Explanation

A nurse is planning preventative strategies for a client who is at risk for pressure injuries. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

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