A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? (Select All that Apply.)

rectocele

fecal incontinence

urinary incontinence

cystocele

enterocele

Answer and Explanation

Correct Answer : A,D,E

A. Rectocele:

A rectocele is a type of pelvic organ prolapse where the rectum bulges into the back wall of the vagina. Management and care of women with rectocele are relevant to the topic of pelvic organ prolapse.

B. Fecal incontinence:

Fecal incontinence refers to the inability to control bowel movements, which is not a typical symptom or complication of pelvic organ prolapse. While pelvic floor dysfunction can contribute to fecal incontinence, it is not the primary focus of care for women with pelvic organ prolapse.

C. Urinary incontinence:

Urinary incontinence, particularly stress urinary incontinence, can coexist with pelvic organ prolapse due to pelvic floor muscle weakness. However, urinary incontinence is a separate condition that may require different management approaches compared to pelvic organ prolapse. While relevant in the context of pelvic floor dysfunction, urinary incontinence is not specific to the care of women with pelvic organ prolapse.

D. Cystocele:

A cystocele is a type of pelvic organ prolapse where the bladder protrudes into the front wall of the vagina. Management and care of women with cystocele are also pertinent to the topic of pelvic organ prolapse.

E. Enterocele:

An enterocele is a type of pelvic organ prolapse where the small intestine bulges into the upper vaginal wall. Information about the care of women with enterocele would be expected in a journal article about pelvic organ prolapse.

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Correct Answer is A

Explanation

A. Alcohol:

Metronidazole interacts with alcohol, leading to a disulfiram-like reaction. This reaction can cause unpleasant symptoms such as flushing, headache, nausea, vomiting, and rapid heart rate. It's crucial for clients taking metronidazole to avoid consuming alcohol to prevent these adverse reactions.

B. Caffeine:

There are no known significant interactions between metronidazole and caffeine. Therefore, clients taking metronidazole do not typically need to avoid caffeine-containing products.

C. Chocolate:

There are no known significant interactions between metronidazole and chocolate. Therefore, clients taking metronidazole do not typically need to avoid chocolate consumption.

D. Nicotine:

There are no known significant interactions between metronidazole and nicotine. Therefore, clients taking metronidazole do not typically need to avoid nicotine consumption, such as smoking or using nicotine replacement products.

A. Ask, "Have you ever been physically hurt by your partner?" B. Offer the client a pamphlet about the local shelter for victims of intimate partner violence. C. Call the client at home to ask some questions about the marriage. D. Wait until the client comes in a few more times to make a better assessment.

Correct Answer is A

Explanation

A. Ask, "Have you ever been physically hurt by your partner?":

This approach involves directly asking the client about their experience with intimate partner violence. While it's crucial to address the issue openly and directly, some clients may feel uncomfortable or unsafe disclosing abuse, especially during an initial encounter. However, for many clients, this direct approach can be empowering and may facilitate disclosure.

B. Offer the client a pamphlet about the local shelter for victims of intimate partner violence:

Providing informational resources about local shelters and support services can be a supportive and non-confrontational way to offer assistance to a client who may be experiencing intimate partner violence. It allows the client to access resources privately and at their own pace. However, it may not lead to immediate disclosure or intervention.

C. Call the client at home to ask some questions about the marriage:

Calling the client at home to inquire about their relationship may inadvertently escalate the situation and put the client at risk if the abusive partner overhears the conversation. It can also violate the client's privacy and autonomy, as they may not be comfortable discussing sensitive issues over the phone, especially if the abusive partner is present.

D. Wait until the client comes in a few more times to make a better assessment:

Delaying assessment and intervention can potentially prolong the client's exposure to abuse and increase their risk of harm. Intimate partner violence often escalates over time, so it's essential to address suspected abuse as soon as possible to ensure the client's safety and well-being.

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A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? (Select All that Apply.)

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Correct Answer is A

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