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."
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Continuous passive motion device: This device is typically used following total knee arthroplasty to maintain joint mobility and prevent stiffness. It is not commonly indicated after total hip arthroplasty, where excessive hip movement is discouraged during early recovery.
B. Elevated toilet seat: An elevated toilet seat helps prevent excessive hip flexion, which reduces the risk of hip dislocation after surgery. It allows the client to sit and stand more safely without bending the hip beyond 90 degrees, which is a critical precaution following hip arthroplasty.
C. Trapeze bar: A trapeze bar may assist some clients in repositioning while in bed, but it is not a standard discharge requirement for hip arthroplasty. Its use is more common in inpatient rehabilitation or in clients with prolonged immobility.
D. Compression garment: While compression stockings may be used to reduce the risk of deep vein thrombosis (DVT), a compression garment is not a standard or essential piece of home equipment following hip replacement surgery unless specifically indicated by the healthcare provider.
Correct Answer is A
Explanation
Rationale:
A. Increased thirst: Polydipsia, or excessive thirst, is a classic symptom of hyperglycemia. It results from the body's attempt to counteract dehydration caused by osmotic diuresis, which occurs when high glucose levels pull fluid into the urine.
B. Decreased urine output: Hyperglycemia typically causes polyuria (increased urine output), not decreased. High glucose concentrations in the blood lead to osmotic diuresis, resulting in frequent and excessive urination.
C. Moist skin: Hyperglycemia is more often associated with dry skin and mucous membranes due to fluid loss. Moist, clammy skin is more characteristic of hypoglycemia, particularly when it is accompanied by sweating and other adrenergic symptoms.
D. Tremors: Tremors are more commonly associated with hypoglycemia due to increased sympathetic nervous system activity. Hyperglycemia usually develops more gradually and does not typically produce tremors.
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