A nurse is collecting data from a client who requests a prescription for a diaphragm.
Which of the following findings should the nurse identify as a contraindication to the client’s use of a diaphragm?
The client is 20 years old.
The client had a vaginal birth 6 months ago.
The client smokes cigarettes.
The client has more than one sex partner.
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale: The client's age, being 20 years old, is not a contraindication to the use of a diaphragm. Diaphragms can be used by individuals of reproductive age, provided there are no other contraindications.
Choice B rationale: Having a vaginal birth 6 months ago is not a contraindication to using a diaphragm. The diaphragm's fit may need adjustment, but it can still be used safely postpartum.
Choice C rationale: Smoking cigarettes is a risk factor for several health conditions but is not a specific contraindication for the use of a diaphragm. However, smoking cessation should be encouraged for overall health benefits.
Choice D rationale: Having more than one sex partner increases the risk of sexually transmitted infections (STIs). Diaphragms do not protect against STIs, making it important to use condoms in conjunction with the diaphragm for clients with multiple sex partners.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale for Choice A: Visual disturbances
Preeclampsia: Visual disturbances, such as blurred vision or seeing spots, can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. It typically develops after 20 weeks of gestation and can progress rapidly.
Potential complications: If left untreated, preeclampsia can lead to seizures (eclampsia), stroke, liver and kidney failure, premature birth, and even death of the mother or baby.
Prompt reporting: Early recognition and management of preeclampsia are crucial for preventing adverse outcomes. Therefore, visual disturbances should be reported to the provider immediately to initiate further assessment and potential interventions.
Rationale for Choice B: Fetal heart rate
No indication for reporting: While monitoring fetal heart rate is essential during pregnancy, the promptness of reporting it to the provider depends on specific concerns. In this case, the fetal heart tones are documented as 1, suggesting a normal rate and rhythm. There's no immediate indication for reporting it as a concerning finding.
Rationale for Choice C: Blood pressure
Hypertension: High blood pressure is a key feature of preeclampsia. Although blood pressure readings are not provided in the scenario, the nurse should measure and report them to the provider, as hypertension is a critical finding that could necessitate further evaluation and treatment.
Rationale for Choice D: Deep tendon reflexes
Hyperreflexia: The client's deep tendon reflexes are 3+, which is considered hyperreflexia. Hyperreflexia can be a neurological sign of preeclampsia, indicating increased excitability of the nervous system. It's important to report this finding to the provider for further assessment and monitoring.
Correct Answer is A
Explanation
The correct answer is choiceA. Here are the rationales for each choice:
Choice A rationale:
Emptying the bladder immediately prior to the procedure is recommended to reduce the risk of bladder puncture during the amniocentesis. A full bladder can obstruct the procedure and increase the risk of complications.
Choice B rationale:
Washing the abdomen with soap and water the morning of the procedure is not specifically required for amniocentesis.Standard hygiene practices are sufficient.
Choice C rationale:
Giving herself a hypertonic enema the day before the procedure is not necessary and is not recommended.There is no need for bowel preparation before an amniocentesis.
Choice D rationale:
Refraining from eating breakfast the day of the procedure is not required.Patients can eat and drink as normal before the procedure.
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