A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?

The client should anticipate scheduling the procedure 5 days prior to menstruation.

The client might experience diarrhea as a result of the procedure.

The client should be on a liquid diet for 1 day following the procedure.

The client might experience shoulder pain following the procedure.

Answer and Explanation

The Correct Answer is D

Choice A reason:Scheduling the procedure five days before the expected menses would place it in the late proliferative phase, which risks missing ongoing menstrual bleeding and could coincide with implantation if the client ovulated early. Best practice is to perform the test after menstruation ends but before ovulation—usually within 12 days of the first day of the last period—to ensure the client is not pregnant.

Choice B reason:
Diarrhea is not a common side effect of HSG. The procedure involves the insertion of a dye into the uterine cavity to visualize the fallopian tubes and uterus via X-ray. While some discomfort, cramping, or spotting may occur, diarrhea is not typically expected.

Choice C reason:
There is no requirement for a client to be on a liquid diet following an HSG procedure. The client can usually resume normal activities and diet immediately after the procedure unless otherwise instructed by their healthcare provider.

Choice D reason:
Referred shoulder pain can occur when contrast fluid spills through a patent tube into the peritoneal cavity, irritating the diaphragm’s undersurface and eliciting pain perceived at the shoulder via the phrenic nerve. Clients should be advised this is normal, short-lived, and relieved by positioning or mild analgesics.

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Correct Answer is D

Explanation

Choice A reason:
Activities that could result in bleeding should be minimized for a client with neutropenia due to the increased risk of infection from open wounds. However, this is not the primary restriction related to neutropenia itself but rather a general precaution for patients with low platelet counts or other clotting issues.

Choice B reason:
Restricting all visitors from entering the client's room is not necessary unless the visitors are sick or have been exposed to infectious diseases. Neutropenic patients are at increased risk for infection, so visitors should be screened for illness, but complete isolation is not required.

Choice C reason:
Modifying oral fluid intake to between meals only is not a standard restriction for neutropenic patients. Adequate hydration is essential, and there are no specific neutropenia-related reasons to restrict fluids to between meals.

Choice D reason:
Fresh flowers and potted plants should be avoided in the room of a neutropenic patient. They can harbor fungi and other microorganisms that could cause infection in an immunocompromised individual. Neutropenic precautions typically include avoiding standing water and plants that may contain harmful bacteria or fungi.

A. "Use a natural membrane condom rather than a polyurethane condom." B. "Female condoms can help prevent transmission of sexually transmitted viruses." C. "You may use a condom more than once." D. "Use an oil-based lubricant when you use a condom."

Correct Answer is B

Explanation

Choice A reason:

The statement about using a natural membrane condom rather than a polyurethane condom is incorrect. Natural membrane condoms, such as those made from lambskin, have small pores that can allow viruses to pass through. Therefore, they are not recommended for the prevention of STIs. Polyurethane condoms, on the other hand, do not have these pores and are considered effective in preventing STIs, including HIV.

Choice B reason:

Female condoms, also known as internal condoms, are effective in preventing the transmission of sexually transmitted viruses, including HIV. They act as a barrier to prevent the exchange of bodily fluids during sexual activity, thereby reducing the risk of STI transmission. It's important to include this information in the teaching as it empowers individuals with an additional option for protection.

Choice C reason:

Condoms are designed for single use only. Using a condom more than once greatly increases the risk of condom failure, which can lead to the transmission of STIs or unintended pregnancy. It is crucial to emphasize the importance of using a new condom for each act of sexual intercourse.

Choice D reason:

Oil-based lubricants should not be used with latex condoms as they can weaken the material, leading to condom breakage. Instead, water-based or silicone-based lubricants are recommended as they do not damage the condom and can help prevent breakage.

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A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?

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