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A nurse is preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test.

Which of the following actions should the nurse take before the insertion?

A.

Obtain informed consent from the client

B.

Perform a Pap smear and cervical culture

C.

Administer an analgesic medication

D.

All of the above

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

All of the above.

Here is why:

  • Choice A is correct because obtaining informed consent from the client is a necessary step before any invasive procedure, including IUD insertion.
  • Choice B is correct because performing a Pap smear and cervical culture can help screen for cervical cancer and sexually transmitted infections, which are contraindications for IUD use.
  • Choice C is correct because administering an analgesic medication can help reduce the pain and discomfort associated with IUD insertion, especially in nulliparous women who have a smaller cervical diameter.
  • Choice D is correct because it includes all of the above actions, which are recommended by the American College of Obstetricians and Gynecologists (ACOG) for IUD insertion in nulliparous women.
  • Choice A is wrong if it is the only action taken, because it does not address the other aspects of IUD insertion such as screening and pain management.
  • Choice B is wrong if it is the only action taken, because it does not ensure the client’s consent and comfort during the procedure.
  • Choice C is wrong if it is the only action taken, because it does not verify the client’s eligibility and suitability for IUD use.


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Related Questions

Correct Answer is D

Explanation

The correct answer is choice D. Choice D is wrong because it implies that the IUD affects fertility, which is not true.According to the NHS website, “Your fertility will return to normal as soon as the IUD is taken out.” The other choices are correct because:

  • Choice A is correct because the copper IUD does not contain any hormones and can be used by people who cannot or do not want to use hormonal methods of contraception.
  • Choice B is correct because a pregnancy test is needed before inserting an IUD to make sure that the person is not already pregnant.
  • Choice C is correct because the hormonal IUD can reduce menstrual pain and heavy bleeding by thinning the lining of the uterus and thickening the cervical mucus.

Therefore, choice D indicates a need for further teaching.

Correct Answer is C

Explanation

The correct answer is choice C) “No, you should avoid activities that could cause straining or trauma until healing occurs.” This is because a vasectomy is a surgical procedure that involves cutting and sealing the tubes that carry sperm from the testicles to the semen.It requires some time for recovery and healing, and strenuous activities like hunting could increase the risk of bleeding, infection, or reopening the incisions.

Choice A) “Yes, this activity level will be fine.” is wrong because it contradicts the medical advice to rest and avoid heavy lifting or exercise for at least a week after a vasectomy.

Choice B) “No, you should avoid sexual intercourse until your follow-up visit.” is wrong because it is too restrictive.Sexual intercourse can be resumed after a few days or when the pain and swelling subside, as long as contraception is used until the semen is confirmed to be sperm-free.

Choice D) “Yes, but you should wear tight-fitting underwear.” is wrong because it is not enough to prevent complications.Tight-fitting underwear can help support the scrotum and reduce discomfort, but it does not eliminate the need to avoid activities that could cause straining or trauma.

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