The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate?
Tell the client she will need to learn to live with the problems.
Prepare her for an ultrasound to check internal pelvic structures.
Obtain a prescription for CBC and PT blood test
Obtain a prescription for pregnancy test to rule out ectopic pregnancy.
The Correct Answer is A
A. Tell the client she will need to learn to live with the problems: This approach dismisses the client’s symptoms and delays diagnosis. Abnormal uterine bleeding can result from hormonal imbalance, uterine fibroids, or malignancy, and requires diagnostic evaluation and treatment.
B. Prepare her for an ultrasound to check internal pelvic structures: A pelvic ultrasound is an appropriate diagnostic tool to identify possible causes such as uterine fibroids, endometrial abnormalities, or ovarian cysts. It provides valuable information about the internal reproductive organs.
C. Obtain a prescription for CBC and PT blood test: Laboratory tests like a complete blood count (CBC) and prothrombin time (PT) help assess anemia from blood loss and detect possible coagulation disorders that may contribute to abnormal bleeding.
D. Obtain a prescription for pregnancy test to rule out ectopic pregnancy: A pregnancy test is appropriate because irregular bleeding may be an early sign of ectopic pregnancy. Ruling out pregnancy is a necessary first step in evaluating any woman of childbearing age presenting with abnormal bleeding.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "One injection will give her a lifetime of protection.": The HPV vaccine requires more than one dose for full immunity. A single injection does not provide adequate long-term protection against human papillomavirus.
B. "She will need to get a total of four injections in the next 3 months.": The HPV vaccine schedule does not include four doses. Administering too many doses in such a short time frame is unnecessary and not part of CDC guidelines.
C. "She will need one injection every 5 years.": The HPV vaccine does not require booster shots every five years. Once the full series is completed, no additional routine boosters are currently recommended.
D. "My daughter will need two injections over a 6–12 month period.": For children who begin the HPV vaccination series before age 15, two doses are given—an initial dose and a second dose 6–12 months later—to provide long-term protection against HPV-related cancers.
Correct Answer is C
Explanation
A. Research the culture and base care on findings: While researching cultural norms can provide useful background information, it may lead to stereotyping if applied rigidly. Individual beliefs and practices often vary within a culture, so care must be based on the family’s specific preferences and values.
B. Ask other Asians to explain their culture: Consulting individuals from the same ethnic background may result in inaccurate generalizations, as cultural practices differ among families and regions. Each family’s experience and perspective should be directly explored.
C. Just ask the family about their culture and listen: This approach promotes cultural competence through individualized care. Asking open-ended questions and actively listening allows the nurse to understand the family’s unique beliefs, values, and expectations, ensuring care that is respectful and patient-centered.
D. Hire an interpreter to explain the family culture: An interpreter is helpful for language translation, not for explaining cultural beliefs. While interpreters facilitate communication, cultural understanding must come from direct dialogue with the family to ensure accuracy.
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