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. Subcutaneous: Insulin is administered subcutaneously because this route allows for slow, steady absorption into the bloodstream, mimicking the body’s natural insulin release. Common injection sites include the abdomen, thigh, and upper arm, where fatty tissue supports consistent absorption.
B. Intradermal: The intradermal route is used for diagnostic purposes such as allergy or tuberculosis testing. It is not appropriate for insulin administration, as absorption from the dermal layer would be inconsistent and inadequate for glucose control.
C. Intramuscular: Intramuscular insulin administration results in unpredictable and rapid absorption, which can lead to hypoglycemia. This route is generally avoided except in emergency situations when subcutaneous administration is not feasible.
D. Oral: Insulin cannot be administered orally because it is a protein that would be broken down by gastric enzymes before absorption. Therefore, the subcutaneous route remains the standard for effective insulin delivery in diabetic management.
Correct Answer is B
Explanation
A. Relaxation: Relaxation involves techniques such as deep breathing, progressive muscle relaxation, or guided imagery to reduce muscle tension and anxiety. It focuses on calming the body rather than diverting attention through external engagement like humor.
B. Distraction: Telling a joke is a form of distraction, which redirects the child’s attention away from pain or anxiety to something enjoyable or amusing. Distraction reduces the perception of pain by engaging cognitive and emotional focus on another stimulus.
C. Imagery: Imagery involves encouraging the child to visualize a pleasant scene or activity to promote relaxation and reduce pain perception. Unlike distraction, it relies on mental visualization rather than external stimuli such as conversation or humor.
D. Thought stopping: Thought stopping helps clients consciously interrupt negative or distressing thoughts by substituting them with positive affirmations or neutral cues. It does not involve humor or external engagement during procedures.
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