The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

"I need to avoid driving to and from work every day."

"Any blood pressures need to be taken in my right arm."

"I need to wear gloves when doing any gardening."

"I should wear clothing with elasticized sleeves."

Answer and Explanation

The Correct Answer is D

A. "I need to avoid driving to and from work every day."

This statement indicates a misunderstanding of how to minimize lymphedema. Driving itself does not directly contribute to lymphedema. However, activities that involve prolonged or repetitive use of the affected arm, such as gripping the steering wheel while driving for long periods, may increase the risk of developing lymphedema. The nurse should clarify that while driving is generally acceptable, the client should take breaks and perform arm exercises during long drives to promote circulation.

B. "Any blood pressures need to be taken in my right arm."

This statement demonstrates correct understanding. Taking blood pressure measurements, administering injections, or obtaining blood samples from the unaffected arm helps prevent trauma or injury to the arm at risk for lymphedema. This practice helps avoid disrupting lymphatic flow and reduces the risk of developing lymphedema in the affected arm.

C. "I need to wear gloves when doing any gardening."

Wearing gloves during gardening is a recommended precaution to minimize the risk of injury and infection, especially if the client has undergone lymph node removal. This statement reflects appropriate understanding and adherence to preventive measures to protect the affected arm from cuts, scratches, and potential infection that could exacerbate lymphedema.

D. "I should wear clothing with elasticized sleeves."

This statement indicates a misunderstanding of how to minimize lymphedema. While elasticized sleeves or compression garments can help manage lymphedema by providing gentle compression and support to the affected arm, wearing tight or constrictive clothing, including elasticized sleeves, can potentially restrict lymphatic flow and exacerbate lymphedema. The nurse should clarify that loose-fitting clothing is preferable to allow unrestricted movement and circulation in the affected arm.

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Correct Answer is D

Explanation

A. Cervical insufficiency:

Cervical insufficiency, also known as incompetent cervix, is a condition where the cervix begins to dilate and efface prematurely without contractions during the second trimester. While it can lead to second-trimester pregnancy loss, it's not typically the most common cause of first-trimester abortions.

B. Maternal disease:

While certain maternal conditions or diseases can contribute to pregnancy complications, such as pre-eclampsia or diabetes, they are not typically the most common cause of first-trimester abortions.

C. Uterine fibroids:

Uterine fibroids are noncancerous growths of the uterus that can lead to various pregnancy complications, including miscarriage. However, they are not typically the most common cause of first-trimester abortions.

D. Fetal genetic abnormalities:

This option is correct. Fetal genetic abnormalities, such as chromosomal abnormalities, are the most common cause of first-trimester spontaneous abortions, also known as miscarriages. These abnormalities can lead to developmental issues incompatible with life, resulting in spontaneous abortion.

A. "Teenage females have sex as they feel they have power to control the sex act." B. "Teenage girls are more susceptible to STIS due to their genital anatomy." C. "The female genital tract makes you more sensitive to specific STI organisms. D. "The teenage female anatomy is mature, leaving them more susceptible to STIs." E. "Teenage females lack communication skills to negotiate for safer sex."

Correct Answer is ["B","C","E"]

Explanation

A. "Teenage females have sex as they feel they have power to control the sex act."

This statement focuses on perceived power dynamics in sexual relationships and does not directly address why females are more at risk for STIs. It also oversimplifies the reasons why teenagers engage in sexual activity.

B. "Teenage girls are more susceptible to STIs due to their genital anatomy."

This statement acknowledges that anatomical differences in female genitalia, such as the presence of a cervix and a larger mucosal surface area, can make females more vulnerable to STIs compared to males.

C. "The female genital tract makes you more sensitive to specific STI organisms."

The female genital tract has a unique environment that can make it more susceptible to certain STIs, such as chlamydia and gonorrhea. This statement highlights the biological factors that contribute to females' increased risk of STIs.

D. "The teenage female anatomy is mature, leaving them more susceptible to STIs."

This statement incorrectly suggests that maturity of the female anatomy increases susceptibility to STIs. While certain anatomical features may contribute to increased risk, maturity itself is not a direct factor. Additionally, it does not provide specific information about why females are more at risk for STIs.

E. "Teenage females lack communication skills to negotiate for safer sex."

This statement addresses social and behavioral factors that may contribute to females' increased risk of STIs, such as challenges in negotiating safer sex practices with their partners. Effective communication skills are essential for discussing sexual health, boundaries, and protection, and lack of these skills can increase vulnerability to STIs.

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The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?

Correct Answer is D

Explanation

A sexual health public health nurse is presenting information on sexually transmitted infections (STIs) to adolescent girls and is asked, "Why are females more at risk for STIS?" Which statements by the nurse would best answer this question? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

A woman with a history of asthma comes to the clinic for evaluation for pregnancy. The woman's pregnancy test is positive. When reviewing the woman's medication therapy regimen for asthma, which medication would the nurse identify as problematic for the woman now that she is pregnant?

Which approach would be most appropriate when counseling a client who is a suspected victim of intimate partner violence?

After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?

A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspects? (Select All that Apply.)

When describing an episode of intimate partner violence, the victim reports attempting to calm the partner down to keep things from escalating. The nurse interprets this behavior as reflecting which phase of the cycle of violence?

During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next?

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?