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 B

Explanation

Choice A reason:
Antinuclear antibody (ANA) is a test used to help diagnose autoimmune disorders, including RA. However, ANA is not typically used to monitor the effectiveness of treatment with aspirin in RA. Aspirin is an anti-inflammatory medication, and its effectiveness would not be directly measured by changes in ANA levels.

Choice B reason:
Erythrocyte sedimentation rate (ESR) is a blood test that can detect inflammation in the body and is commonly used to assess the severity of inflammation in patients with RA. Aspirin can reduce inflammation, so a decrease in ESR can indicate the effectiveness of aspirin therapy in managing RA symptoms.

Choice C reason:
Rheumatoid factor (RF) is an antibody that can be present in the blood of people with RA. While RF can be used to help diagnose RA, it is not typically used to monitor the effectiveness of aspirin therapy. RF levels can remain elevated even when symptoms are well-controlled.

Choice D reason:
White blood cell (WBC) count is a measure of the body's immune response and can be elevated in cases of infection or inflammation. However, WBC count is not specifically used to monitor the effectiveness of aspirin therapy in RA. Aspirin's primary effect is on reducing inflammation and pain, not necessarily on altering WBC counts.

A. Arthralgia B. Bradycardia C. Fecal impaction D. Hypertension

Correct Answer is A

Explanation

Choice A reason:
Arthralgia, or joint pain, is a common symptom associated with heterotopic ossification (HO), especially when it occurs near joints. The ectopic bone formation can lead to restricted movement and pain during joint movement.

Choice B reason:
Bradycardia, or a slower than normal heart rate, is not directly associated with HO. While spinal cord injuries can affect autonomic control and potentially lead to bradycardia, it is not a symptom specifically linked to the presence of HO.

Choice C reason:
Fecal impaction may occur in patients with spinal cord injuries due to mobility issues and changes in bowel function, but it is not a direct result of HO. HO does not typically affect bowel movements unless the ossification is in a location that mechanically obstructs the bowel.

Choice D reason:
Hypertension, or high blood pressure, is not a symptom commonly associated with HO. While individuals with spinal cord injuries may experience dysregulation of blood pressure, this is not specifically related to HO.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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