Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

This device will prevent me from contracting a sexually transmitted infection.

I will need to check the string attached to the device every month.

I will need to have the intrauterine device inserted a week after my menstrual period.

I will need to have the intrauterine device fitted and replaced annually.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While the intrauterine device (IUD) is a highly effective form of birth control, it does not protect against sexually transmitted infections.
Choice B rationale
Checking the string of the IUD every month is a good practice to ensure that the device is still in place. This is an indication that the patient understands how to monitor the IUD correctly. Choice C rationale
The timing of IUD insertion can vary and does not necessarily need to be a week after the menstrual period. This statement does not accurately reflect understanding of the use of the IUD67.
Choice D rationale
Depending on the type of IUD, it may need to be replaced every 3-10 years, not annually. This statement does not accurately reflect understanding of the use of the IUD67.

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

Explanation

Choice A rationale
Breastfeeding every 2 hours is actually recommended for newborns and is not a contributing factor to mastitis.
Choice B rationale
Substituting breastfeeding sessions with formula feeding can contribute to mastitis. This is because the milk that is not removed from the breast can lead to engorgement and blocked ducts, which can result in infection.
Choice C rationale
Blisters and cracks on the nipples can allow bacteria to enter the breast tissue, leading to infection and mastitis.
Choice D rationale
Alternating breastfeeding positions can help ensure that the breasts are emptied completely during each feeding, which can help prevent mastitis.

A. I need to wear gloves when doing any gardening. B. Any blood pressures need to be taken in my right arm. C. I should wear clothing with elastic sleeves. D. Blood specimens should be drawn from my right arm.

Correct Answer is C

Explanation

Choice A rationale
Wearing gloves while gardening is a recommended practice after a mastectomy, especially on the side where lymph nodes have been removed. This is to protect the skin and reduce the risk of infection, which could trigger lymphedema.
Choice B rationale
It is indeed recommended that blood pressures be taken in the unaffected arm after a mastectomy. This is because the pressure from the cuff can obstruct lymph flow and potentially trigger lymphedema in the arm where lymph nodes have been removed. Choice C rationale
Wearing clothing with elastic sleeves is not recommended after a mastectomy. Elastic bands can restrict lymph flow and increase the risk of lymphedema.
Choice D rationale
Similar to blood pressure measurements, it is recommended that blood specimens be drawn from the unaffected arm after a mastectomy. This is to avoid injury to the lymphatic system in the arm where lymph nodes have been removed, which could trigger lymphedema.

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Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What factors could contribute to mastitis in a breastfeeding mother? (Select all that apply.)

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

Explanation

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?

Correct Answer is C

Explanation

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