A nurse at the family planning clinic triages several clients over the phone. Which of the following clients should the nurse instruct to come to the clinic?
A client who uses a diaphragm for contraception and has lost 30 lb in the past 6 months dieting
A client who had an intrauterine device (IUD) inserted yesterday and has cramping and bleeding
A client who has started taking oral contraceptives and is experiencing bright red vaginal breakthrough bleeding
A client who has sharp pain in her shoulder following a laparoscopic tubal ligation yesterday
The Correct Answer is D
A. Weight loss while using a diaphragm is not typically an urgent concern and may be related to dieting; the client should be advised to follow up with her primary care provider for further
evaluation.
B. Cramping and bleeding are common side effects following an IUD insertion and typically do not require immediate attention unless severe or accompanied by other concerning symptoms;
the client should be advised to monitor her symptoms and follow up if they worsen.
C. Breakthrough bleeding is a common side effect of starting oral contraceptives and may resolve on its own after a few cycles; the client should be advised to continue taking her pills as prescribed and to follow up if the bleeding persists or worsens.
D. Shoulder pain following a laparoscopic procedure may indicate a potential complication such as referred pain from gas used during the procedure or more serious issues such as internal bleeding or organ injury; the client should be instructed to come to the clinic for further
evaluation and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.
A. Educating the client on covering the nose and mouth with tissues when coughing helps prevent the spread of tuberculosis by containing respiratory secretions.
B. A client with active tuberculosis should not return to work until they have completed a sufficient duration of treatment and are deemed non-infectious, not solely based on negative sputum cultures.
C. The client remains contagious until they have been on appropriate medication therapy for a sufficient duration and are deemed non-infectious by healthcare providers, usually after several weeks of treatment rather than just one week.
D. While wearing protective masks may be recommended for healthcare workers or individuals with compromised immune systems, it's not necessary for the client's family members unless they are in close contact with the client for an extended period.
Correct Answer is D
Explanation
A. Detaching the needle from the syringe before discarding it increases the risk of needlestick injuries and is not recommended.
B. Placing broken glass in a wastebasket increases the risk of injury to housekeeping staff; it should be disposed of in a puncture-proof container.
C. Recapping needles increases the risk of needlestick injuries and is not recommended unless there are no alternatives available.
D. Placing lancets in a puncture-proof container is the correct procedure for preventing puncture injuries, as it safely contains sharp objects and reduces the risk of accidental needlesticks.
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