A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?
"You will need to empty your bladder just before the exam."
"You should douche the evening prior to the examination."
"You will be required to sign an informed consent prior to the exam."
"You will be given light sedation before the examination starts."
The Correct Answer is A
A. "You will need to empty your bladder just before the exam.": Emptying the bladder before a pelvic examination allows for better visualization and manipulation of the pelvic organs.
B. "You should douche the evening prior to the examination.": Douching is not recommended before a Pap test as it can disrupt the natural flora of the vagina and may interfere with test results.
C. "You will be required to sign an informed consent prior to the exam.": Informed consent may be required for certain procedures but is not typically needed for a Pap test.
D. "You will be given light sedation before the examination starts.": Sedation is not typically used for a Pap test, which is a simple procedure that does not usually cause significant discomfort.
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Related Questions
Correct Answer is C
Explanation
A. Presence of Bence-Jones protein in the urine is indicative of multiple myeloma, but hypercalcemia is a more urgent issue to address.
B. Severe back pain is common in multiple myeloma due to bone involvement, but it is not as immediately life-threatening as hypercalcemia.
C. Elevated serum calcium levels (hypercalcemia) are a common complication of multiple myeloma and can lead to various complications, including kidney damage, altered mental status, and cardiac arrhythmias. Therefore, it is crucial to report significantly elevated serum calcium levels promptly to the health care provider for appropriate management.
D. Patient reports no stool for 5 days may indicate constipation, which is important to address but is not as urgent as hypercalcemia in the context of multiple myeloma.
Correct Answer is A
Explanation
A. "Treatment for vaginal yeast infections must be prescribed by the provider." This statement is correct because antifungal medications, which are required to treat vaginal yeast infections, are prescription-based.
B. "Vaginal yeast infections present as a thick, white discharge." While this is a common symptom of vaginal yeast infections, it alone is not sufficient for diagnosis.
C. "The use of oral contraceptives will decrease the risk for vaginal yeast infections." This statement is incorrect because oral contraceptives may sometimes increase the risk of vaginal yeast infections.
D. "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall." This statement is incorrect because itching is a common symptom of vaginal yeast infections due to irritation caused by the overgrowth of yeast in the vaginal area.
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