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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?

Obtain informed consent from the client

Perform a Pap smear and cervical culture

Administer an analgesic medication

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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Correct Answer is B

Explanation

The correct answer is choice B. The client has a positive pregnancy test result.

This is a contraindication for bilateral tubal ligation because the procedure is a permanent form of contraception and should not be performed on a pregnant woman.

The client should be counseled about other options for birth control or termination of pregnancy.

Choice A is wrong because a history of pelvic inflammatory disease is not a contraindication for bilateral tubal ligation.It may increase the risk of complications from the surgery, such as infection or adhesions, but it does not prevent the procedure from being performed.

Choice C is wrong because a family history of breast cancer is not a contraindication for bilateral tubal ligation.It may affect the client’s decision to undergo the procedure, as some studies have suggested that tubal ligation may reduce the risk of ovarian cancer, which is associated with breast cancer.

However, this is not a medical reason to avoid the surgery.

Choice D is wrong because a history of endometriosis is not a contraindication for bilateral tubal ligation.

It may cause pelvic pain or infertility, but it does not affect the effectiveness or safety of the procedure.In fact, some studies have shown that tubal ligation may improve the symptoms of endometriosis by reducing retrograde menstruation.

A. History of cervical cancer B. History of uterine prolapse C. History of ovarian cysts D. History of menopause

Correct Answer is B

Explanation

The correct answer is choice B.History of uterine prolapse is a contraindication for the use of a diaphragm as a contraceptive method.Uterine prolapse is a condition where the uterus descends into the vagina, which can interfere with the proper placement and seal of the diaphragm.

Choice A is wrong because history of cervical cancer is not a contraindication for diaphragm use.

Cervical cancer is a malignant tumor of the cervix, which can be treated with surgery, radiation, or chemotherapy.

Diaphragm use does not affect the risk or treatment of cervical cancer.

Choice C is wrong because history of ovarian cysts is not a contraindication for diaphragm use.

Ovarian cysts are fluid-filled sacs that develop in or on the ovaries, which can cause pain, bloating, or irregular periods.

Diaphragm use does not affect the formation or rupture of ovarian cysts.

Choice D is wrong because history of menopause is not a contraindication for diaphragm use.

Menopause is the natural cessation of menstrual cycles and fertility, which occurs around age 50 in most women.

Diaphragm use does not affect the hormonal changes or symptoms of menopause.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is scheduled for a bilateral tubal ligation. Which of the following findings is a contraindication for this procedure?

Correct Answer is B

Explanation

Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

Correct Answer is B

Explanation

A nurse is caring for a patient who is using an intrauterine device (IUD) for contraception. Which of the following symptoms is a potential adverse effect of the copper IUD?

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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?