A nurse is caring for a client who has been admitted to the hospital to have their right fallopian tube removed due to severe endometriosis with pain. Which of the following classifications includes this surgery?
Cosmetic
Diagnostic
Constructive
Ablative
The Correct Answer is D
Choice A reason:
Cosmetic surgery is performed to improve the appearance of a body part. It is elective and usually not medically necessary. In the case of fallopian tube removal due to endometriosis, the surgery is not performed for aesthetic reasons but to relieve pain and treat a medical condition.
Choice B reason:
Diagnostic surgery is carried out to diagnose a condition. While endometriosis can be diagnosed through surgery, the removal of the fallopian tube in this scenario is not for diagnostic purposes but rather for treatment.
Choice C reason:
Constructive surgery is done to restore function or normal appearance by reconstructing defective organs or body parts. The removal of the fallopian tube for endometriosis does not fit this category as it does not aim to reconstruct but rather to remove a part causing pain.
Choice D reason:
Ablative surgery involves the removal of an organ or abnormal growth. It is often used to treat conditions that cause pain or to prevent further complications. The removal of the fallopian tube due to severe endometriosis falls under this category as it aims to alleviate symptoms and prevent further issues related to the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While the white blood cell (WBC) count is important in assessing the immune system's ability to fight infection, a WBC of 5,000/mm³ is within the normal range (4,500 to 11,000 WBCs/mm³). Therefore, it is not the most critical value for a nurse to prioritize in the care of an HIV patient.
Choice B reason:
A platelet count of 150,000/mm³ is also within the normal range (150,000 to 450,000 platelets/mm³). Although thrombocytopenia can occur in HIV, this value does not indicate an immediate concern for the nurse to prioritize.
Choice C reason:
A positive Western blot test confirms the presence of HIV antibodies, which is indicative of HIV infection. However, this is a diagnostic result rather than a laboratory value that reflects the current status of the patient's immune function or disease progression.
Choice D reason:
The CD4-T-cell count is a critical laboratory value for assessing the immune function of a patient with HIV. A count of 180 cells/mm³ is below the normal range of 500 to 1,200 cells/mm³ and indicates a significantly weakened immune system, placing the patient at risk for opportunistic infections. This value is a priority as it guides treatment decisions and the need for prophylaxis against opportunistic infections.
Correct Answer is B
Explanation
Choice A reason:
Malignant melanoma typically presents as a mole that changes in color, size, or feel and has irregular edges. It may also itch, ooze, or bleed. A raised, flesh-colored lesion with pearly white borders is not characteristic of malignant melanoma.
Choice B reason:
Basal cell carcinoma often appears as a raised, pearly bump, sometimes with visible blood vessels, which may have a central depression. The description of the lesion as raised, flesh-colored with pearly white borders aligns with the common presentation of basal cell carcinoma.
Choice C reason:
Squamous cell carcinoma usually presents as a firm, red nodule, or a flat lesion with a scaly, crusted surface. The lesion described does not match the typical appearance of squamous cell carcinoma.
Choice D reason:
Actinic keratosis is characterized by rough, scaly patches on sun-exposed areas of the skin, which may be precancerous. They are not typically described as raised, flesh-colored lesions with pearly borders.
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