A client is diagnosed with an enterocele. The nurse interprets this condition as:
Protrusion of the posterior bladder wall downward through the anterior vaginal wall
Bulging of the small intestine through the posterior vaginal wall
Descent of the uterus through the pelvic floor into the vagina
Sagging of the rectum with pressure exerted against the posterior vaginal wall
The Correct Answer is B
Choice A: Protrusion of the posterior bladder wall downward through the anterior vaginal wall is not the correct answer because it describes a different condition called cystocele. A cystocele occurs when the bladder pushes into the vagina due to weakened pelvic support structures.
Choice B: Bulging of the small intestine through the posterior vaginal wall is the correct answer because it describes an enterocele. Enterocele occurs when the small intestine slides into a pouch between the rectum and vagina due to weakened pelvic support structures.
Choice C: Descent of the uterus through the pelvic floor into the vagina is not the correct answer because it describes a different condition called uterine prolapse. Uterine prolapse occurs when the uterus drops down into or out of the vagina due to weakened pelvic support structures.
Choice D: Sagging of the rectum with the pressure exerted against the posterior vaginal wall is not the correct answer because it describes a different condition called rectocele. Rectocele occurs when the rectum bulges into or out of the vagina due to weakened pelvic support structures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: "Information about a client can be disclosed to family members at any time." This statement indicates a need for further teaching because it is false and violates HIPAA. HIPAA protects the privacy and security of clients' health information and limits who can access or share it without their consent. Information about a client can only be disclosed to family members if they are involved in the client's care or payment, or if the client gives permission.
Choice B: "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." This statement does not indicate a need for further teaching because it is true and reflects HIPAA. HIPAA defines individually identifiable health information as any information that relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual; and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual.
Choice C: "HIPAA is a federal law, not a state law." This statement does not indicate a need for further teaching because it is true and reflects HIPAA. HIPAA is a federal law that was enacted in 1996 by Congress and signed by President Clinton. It applies to all states and territories of the United States. However, some states may have additional or stricter laws that protect clients' health information.
Choice D: "A client's address would be an example of personally identifiable information." This statement does not indicate a need for further teaching because it is true and reflects HIPAA. HIPAA lists 18 identifiers that can be used to identify an individual, such as name, address, phone number, email address, social security number, medical record number, or biometric identifiers. A client's address is one of these identifiers and must be protected under HIPAA.
Correct Answer is D
Explanation
Choice A: Caffeine is not the correct answer because it does not interact with metronidazole. Caffeine is a stimulant that can increase alertness, energy, and heart rate. However, it has no effect on the effectiveness or side effects of metronidazole.
Choice B: Chocolate is not the correct answer because it does not interact with metronidazole. Chocolate is a food that contains caffeine, sugar, and fat. However, it has no effect on the effectiveness or side effects of metronidazole.
Choice C: Nicotine is not the correct answer because it does not interact with metronidazole. Nicotine is a substance that can be found in tobacco products, such as cigarettes, cigars, or chewing tobacco. However, it has no effect on the effectiveness or side effects of metronidazole.
Choice D: Alcohol is the correct answer because it interacts with metronidazole. Alcohol is a substance that can be found in beverages, such as beer, wine, or liquor. It can cause a severe reaction when combined with metronidazole, resulting in symptoms such as nausea, vomiting, headache, flushing, and palpitations. Therefore, the nurse should instruct the client to avoid alcohol while taking metronidazole.
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