The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility?
electrocauterization
myomectomy
dilation and curettage (D&C)
laparoscoрy
The Correct Answer is B
A. Electrocauterization: This procedure uses electric current to destroy tissue and is not a standard treatment for fibroids. It may cause uterine scarring, which can impair fertility and is therefore not appropriate for clients wishing to conceive.
B. Myomectomy: Myomectomy is the surgical removal of uterine fibroids while preserving the uterus, making it the preferred option for women who still desire children. It relieves symptoms such as pain and heavy bleeding while maintaining reproductive potential.
C. Dilation and curettage (D&C): A D&C involves scraping the uterine lining to control bleeding or obtain tissue samples. It does not remove fibroids located in the uterine wall and provides only temporary symptom relief without addressing the root cause.
D. Laparoscopy: Laparoscopy is a minimally invasive surgical technique that can be used for various procedures, including a myomectomy. However, by itself, laparoscopy is a diagnostic or operative method—not the specific procedure for removing fibroids while preserving fertility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Immature body systems: In children, pharmacodynamics are significantly influenced by the immaturity of organ systems such as the liver, kidneys, and central nervous system. These immature systems alter how medications interact with receptor sites, are metabolized, and are excreted, leading to variations in drug sensitivity and response.
B. Weight: Weight primarily affects pharmacokinetics, influencing drug dosage and distribution rather than the pharmacodynamic response. Doses are often calculated per kilogram, but weight alone does not determine how the body responds to the drug.
C. Body surface: Body surface area (BSA) is used in calculating safe medication dosages for children but does not directly affect pharmacodynamics. It helps determine how much medication should be given rather than how the drug acts within the body.
D. Body composition: While differences in body fat and water content affect drug distribution and absorption, these factors are more related to pharmacokinetics than pharmacodynamics.
Correct Answer is A
Explanation
A. "This medication is being prescribed to help with your symptoms because it has a lower incidence of uterine cancer.": Combining progesterone with estrogen in women who still have a uterus helps protect the endometrial lining. Estrogen alone can cause endometrial hyperplasia, increasing the risk of uterine cancer, while progesterone counteracts this effect.
B. "If you notice breast tenderness, bloating, nausea, or changes in your weight, notify your health care provider immediately.": Although these are possible side effects of hormone replacement therapy, they are not the reason both hormones are prescribed together.
C. "You need to take this medication 1 to 2 hours after eating to best promote adequate absorption.": Estradiol-progesterone absorption is not significantly affected by food intake, so timing the medication with meals is not a primary concern.
D. "This is one of the most recommended medications to help prevent bone loss as you continue to age.": While hormone therapy can help reduce osteoporosis risk, the main purpose of adding progesterone is to prevent endometrial cancer, not to enhance bone protection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
