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. Using a water-based lubricant during sexual activity can help reduce discomfort or vaginal dryness, which may occur after a hysterectomy.
B. After a total abdominal hysterectomy, menstrual periods will cease because the uterus, and often the ovaries, are removed during the procedure.
C. Taking a tub bath instead of a shower is not recommended after a total abdominal
hysterectomy and vaginal repair. Bathing in a tub can increase the risk of infection, especially if the surgical incisions are still healing. The client should avoid submerging the surgical site in water until it has fully healed and cleared by their healthcare provider.
D. Increasing intake of protein and vitamin C can support wound healing and overall recovery after surgery. This statement indicates appropriate understanding of postoperative care.
Correct Answer is B
Explanation
A. Tamoxifen: Tamoxifen is primarily used in the treatment of breast cancer, not prostate cancer.
B. Leuprolide: Leuprolide is a gonadotropin-releasing hormone (GnRH) agonist commonly used in the treatment of advanced prostate cancer to reduce testosterone levels, slowing the growth of cancer cells.
C. Cyclophosphamide: Cyclophosphamide is a chemotherapy drug used to treat various types of cancer but is not commonly used specifically for prostate cancer.
D. Finasteride: Finasteride is a 5-alpha-reductase inhibitor used to treat benign prostatic hyperplasia (BPH) and male pattern baldness but is not typically used in the treatment of advanced prostate cancer.
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