When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?

encouraging range-of-motion exercises

ambulating the client

applying elasticized stockings

massaging the client's legs

Answer and Explanation

The Correct Answer is C

A. Encouraging range-of-motion exercises: Range-of-motion exercises are generally encouraged post-hysterectomy to prevent complications such as blood clots and promote circulation. This action is appropriate and not contraindicated.

B. Ambulating the client: Ambulation is an essential aspect of postoperative care to prevent complications like atelectasis, pneumonia, and deep vein thrombosis (DVT). This action helps improve circulation and aids in the recovery process. It is appropriate and not contraindicated.

C. Applying elasticized stockings: Elasticized stockings, also known as compression stockings, are commonly used postoperatively to prevent deep vein thrombosis (DVT) by promoting blood flow in the legs. However, in the case of abdominal hysterectomy, if the incision site is below the level of the stockings, they may impede circulation to the surgical site and hinder wound healing. Therefore, this action may be contraindicated depending on the specific circumstances of the surgery and incision site.

D. Massaging the client's legs: Massaging the client's legs is generally not recommended post-hysterectomy, especially in the immediate postoperative period. Manipulating the legs could potentially disrupt healing tissues, increase the risk of bleeding, or cause discomfort to the client. Therefore, this action may be contraindicated.

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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.

A. Ask, "Have you ever been physically hurt by your partner?" B. Offer the client a pamphlet about the local shelter for victims of intimate partner violence. C. Call the client at home to ask some questions about the marriage. D. Wait until the client comes in a few more times to make a better assessment.

Correct Answer is A

Explanation

A. Ask, "Have you ever been physically hurt by your partner?":

This approach involves directly asking the client about their experience with intimate partner violence. While it's crucial to address the issue openly and directly, some clients may feel uncomfortable or unsafe disclosing abuse, especially during an initial encounter. However, for many clients, this direct approach can be empowering and may facilitate disclosure.

B. Offer the client a pamphlet about the local shelter for victims of intimate partner violence:

Providing informational resources about local shelters and support services can be a supportive and non-confrontational way to offer assistance to a client who may be experiencing intimate partner violence. It allows the client to access resources privately and at their own pace. However, it may not lead to immediate disclosure or intervention.

C. Call the client at home to ask some questions about the marriage:

Calling the client at home to inquire about their relationship may inadvertently escalate the situation and put the client at risk if the abusive partner overhears the conversation. It can also violate the client's privacy and autonomy, as they may not be comfortable discussing sensitive issues over the phone, especially if the abusive partner is present.

D. Wait until the client comes in a few more times to make a better assessment:

Delaying assessment and intervention can potentially prolong the client's exposure to abuse and increase their risk of harm. Intimate partner violence often escalates over time, so it's essential to address suspected abuse as soon as possible to ensure the client's safety and well-being.

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When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Correct Answer is A

Explanation

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