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 D

Explanation

Rationale:
A. Verify the alarm settings on the ventilator: Ensuring alarms are properly set is a routine safety check but does not directly address the client's agitation or risk of self-extubation. It is important but not the priority action in this scenario.

B. Turn on the television: Providing distraction may help reduce mild anxiety but is insufficient for managing significant agitation in a mechanically ventilated client who may become dangerous to themselves if they pull out the endotracheal tube.

C. Obtain a prescription for a vest restraint: Physical restraints should be a last resort after attempting less restrictive methods. Using restraints without addressing the underlying cause of agitation (e.g., discomfort, anxiety, pain) can increase distress and injury risk.

D. Administer a sedative medication: Sedation is appropriate for a mechanically ventilated client who is agitated and at risk for self-extubation. Sedatives help ensure patient comfort, reduce anxiety, and promote ventilator synchrony while protecting the airway.

A. First-degree heart block B. Atrial fibrillation C. Complete heart block D. Ventricular tachycardia

Correct Answer is B

Explanation

Rationale:
A. First-degree heart block: This rhythm shows a prolonged PR interval but maintains regular P waves before every QRS complex and a consistent rhythm. The presence of P waves and regularity rule out this option.

B. Atrial fibrillation: Atrial fibrillation is characterized by an irregularly irregular rhythm and absent or indistinct P waves due to disorganized atrial electrical activity. A heart rate of 98/min with no clear P waves fits the criteria for this dysrhythmia.

C. Complete heart block: Complete (third-degree) heart block features a complete dissociation between atrial and ventricular activity, with P waves and QRS complexes occurring independently. It typically presents with a bradycardic rhythm, not near 98/min.

D. Ventricular tachycardia: Ventricular tachycardia presents with a rapid, regular rhythm and wide QRS complexes. It usually lacks P waves but is typically much faster than 98/min, often ranging from 140 to 200 beats/min.

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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 caring for a client who is mechanically ventilated and is agitated. The nurse notices the client attempts to reach the endotracheal tube. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98/min with no clear P waves. Which of the following cardiac dysrhythmias should the nurse document?

Correct Answer is B

Explanation

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