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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Rationale:

Pneumothorax: Pneumothorax presents with sudden respiratory distress, unilateral absent breath sounds, or tracheal deviation. This client has bilateral breath sounds and a functioning chest tube, making this condition less likely.
Atelectasis: Atelectasis is a common complication after thoracic surgery, especially when the client is hypoventilating. Shallow breathing, decreased oxygen saturation, crackles, and refusal to use the incentive spirometer all point to developing alveolar collapse.
Pulmonary embolism: PE often presents with sudden chest pain, dyspnea, and possibly hemoptysis or hypotension. This client’s symptoms have developed gradually and lack hallmark features of PE.
Sanguineous chest tube drainage: This is expected within 24–48 hours post-thoracotomy and does not indicate a specific respiratory complication unless the volume is excessive or suddenly increases.
Morphine use for pain management: Morphine can contribute to shallow respirations but is a routine part of postoperative care. It is not the most direct factor responsible for the client’s worsening pulmonary status.
Failure to use the incentive spirometer: This is a direct contributor to hypoventilation and secretion retention, leading to atelectasis. The client’s discomfort has prevented lung expansion, setting the stage for alveolar collapse and impaired gas exchange.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C","dropdown-group-3":"D"}

Explanation

Rationale:

Place the client on bedrest: Bedrest is necessary after PCI to reduce the risk of bleeding at the catheter insertion site, typically in the femoral artery. The client must remain flat with the leg extended for several hours to allow vessel healing.
Administer vitamin K: Vitamin K is not routinely given after PCI. It is used to reverse warfarin-induced anticoagulation, not to manage post-procedure care in stable clients unless there is a specific bleeding disorder or elevated INR.
Check pedal pulses: Assessing distal circulation is essential to monitor for complications like arterial occlusion or hematoma formation. Diminished pulses may indicate compromised blood flow due to thrombus or arterial damage.
Apply pressure to the insertion site: Manual pressure is applied immediately after sheath removal to prevent bleeding. Continuous monitoring of the site for swelling, bleeding, or hematoma is a standard post-PCI nursing responsibility.
Elevate the operative leg: Elevating the leg can increase the risk of bleeding by disturbing the clot at the insertion site. The leg should remain flat and immobilized to promote hemostasis and prevent complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 postoperative following a thoracotomy with lung resection 24 hr ago. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown due to dropdown postoperatively.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C","dropdown-group-3":"D"}

Explanation

A home health nurse is assisting a family member with planning care for a client who has Alzheimer's disease. Which of the following instructions should the nurse include?

A nurse is planning care for a client who is receiving intermittent IV fluids via a peripherally inserted central catheter (PICC). Which of the following information should the nurse include in the client's plan of care?

A nurse is planning care for an older adult client who has moderate Alzheimer's disease. Which of the following interventions should the nurse implement in the client's plan of care?

A nurse notes that a client's eyes are protruding slightly from their orbits. Which of the following laboratory findings should the nurse expect?

A nurse is providing teaching about health promotion activities for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin?