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 D

Explanation

A. Promote the progression of disease:

This statement is incorrect. The goal of HIV treatment is precisely the opposite: to inhibit the progression of the disease. HIV treatment, particularly antiretroviral therapy (ART), aims to suppress the replication of the virus in the body, slow down the progression of HIV infection, and prevent the development of AIDS-related complications. Promoting the progression of the disease would be counterproductive and contrary to the objectives of HIV management.

B. Conduct additional drug research:

Conducting additional drug research may be a goal in the broader context of advancing HIV treatment and finding new therapeutic approaches. However, it is not the primary goal of providing aggressive drug therapy to an individual client who is already undergoing treatment for HIV. The focus of aggressive drug therapy in this scenario is to effectively manage the virus, improve the client's health outcomes, and enhance their quality of life.

C. Intervene in late-stage AIDS:

Intervening in late-stage AIDS may be necessary in some cases to manage complications and improve outcomes for individuals with advanced HIV disease. However, the goal of aggressive drug therapy for HIV is not specifically to intervene only in late-stage AIDS. Instead, the goal is to initiate treatment as early as possible after HIV diagnosis, regardless of disease stage, to prevent the progression of HIV infection to AIDS and to maintain immune function.

D. Improve survival rates:

This is the correct choice. The primary goal of aggressive drug therapy for HIV, particularly with antiretroviral therapy (ART), is to improve survival rates. By effectively suppressing the replication of the virus, ART helps to preserve immune function, reduce the risk of opportunistic infections, and prolong the lifespan of individuals living with HIV. Improving survival rates is a key objective of HIV treatment and reflects the success of aggressive drug therapy in managing the infection.

A. stability of the woman's emotional and psychological status B. reduction in retinopathy risk by frequent ophthalmologic evaluations C. control of blood urea nitrogen (BUN) levels for optimal kidney function D. degree of blood glucose control achieved during the pregnancy

Correct Answer is D

Explanation

A. Stability of the woman's emotional and psychological status:

Emotional and psychological well-being are undoubtedly important factors in pregnancy outcomes. However, in the context of gestational diabetes, while stress and psychological factors can influence overall health, including blood sugar levels, they are not the primary focus when discussing reducing complications associated with diabetes during pregnancy. While managing stress and promoting emotional stability are important aspects of prenatal care, they are not directly related to reducing complications specifically associated with gestational diabetes.

B. Reduction in retinopathy risk by frequent ophthalmologic evaluations:

Diabetic retinopathy is a complication of diabetes that affects the eyes and can lead to vision impairment or blindness if left untreated. While regular ophthalmologic evaluations are crucial for individuals with diabetes to monitor for retinopathy and other eye complications, this factor is not the most important in reducing complications associated with pregnancy and diabetes. Gestational diabetes primarily affects pregnancy outcomes, and while retinopathy risk is a concern in the long term for individuals with diabetes, it is not the primary focus during pregnancy.

C. Control of blood urea nitrogen (BUN) levels for optimal kidney function:

Blood urea nitrogen (BUN) levels are markers of kidney function, and kidney complications can be a concern in individuals with diabetes, including gestational diabetes. However, during pregnancy, the focus is primarily on controlling blood glucose levels to reduce complications associated with gestational diabetes. While kidney function is important and should be monitored in pregnant women with gestational diabetes, it is not the most crucial factor in reducing complications specifically related to pregnancy and diabetes.

D. Degree of blood glucose control achieved during the pregnancy:

This is the most important factor in reducing complications associated with pregnancy and gestational diabetes. Controlling blood glucose levels is paramount in managing gestational diabetes to reduce the risk of complications for both the mother and the baby. Tight glycemic control helps to minimize the risk of adverse outcomes such as macrosomia, birth trauma, preterm birth, and other complications associated with uncontrolled blood sugar levels during pregnancy.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client who is receiving aggressive drug therapy for treatment of HIV. The goal of this therapy is to:

Correct Answer is D

Explanation

A nurse is conducting a program for pregnant women with gestational diabetes about reducing complications. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?

Correct Answer is D

Explanation

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A nurse is preparing a teaching program for a group of pregnant women about preventing infections during pregnancy. When describing measures for preventing cytomegalovirus infection, which measure would the nurse include as a priority?

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

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