A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

Instruct the client to abstain from sexual intercourse for 24 hours prior to the test.

Educate the client about the risk factors associated with cervical cancer.

Assess the client's vital signs, including blood pressure and pulse rate.

Explain the steps of the Pap test procedure to the client.

Answer and Explanation

The Correct Answer is D

A. Instruct the client to abstain from sexual intercourse for 24 hours prior to the test: While abstaining from sexual intercourse can be recommended to avoid contamination, it is not the most immediate concern before performing the test.
B. Educate the client about the risk factors associated with cervical cancer: While important, this is not a pre-procedural intervention but rather part of general patient education.
C. Assess the client's vital signs, including blood pressure and pulse rate: Vital signs are important but not specifically required before performing a Pap test.
D. Explain the steps of the Pap test procedure to the client: This is the most appropriate intervention as it prepares the client for the procedure, reducing anxiety and ensuring informed consent.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Ensure the client's intake is greater than their output: This is incorrect. In continuous bladder irrigation, the output may exceed the intake because the irrigation fluid is used to flush the bladder. The focus should be on ensuring proper drainage and monitoring for clots or obstruction rather than ensuring intake exceeds output.
B. Monitor the client's urine output every eight hours: This is incorrect. Following a transurethral resection of the prostate with continuous bladder irrigation, urine output should be monitored more frequently to ensure the irrigation system is functioning properly and to assess for signs of bleeding or obstruction.
C. Remind the client he might feel a constant urge to void: This is correct. It is common for clients to experience a constant urge to void due to bladder irritation and the presence of the catheter.
D. Assess for manifestations of fluid volume deficiency: This is incorrect. The primary concern with continuous bladder irrigation is monitoring for signs of bleeding or obstruction rather than fluid volume deficiency. Fluid balance is monitored based on intake and output, but deficiency is less likely in this context.

A. My platelet count will be drawn monthly. B. I will be checking my blood glucose levels frequently. C. My kidney function should be closely monitored. D. My thyroid-stimulating hormone levels will increase.

Correct Answer is B

Explanation

A. My platelet count will be drawn monthly: This is incorrect. Monitoring platelet count is not specifically related to polycystic ovarian syndrome (PCOS). PCOS management focuses more on hormonal levels and metabolic health.
B. I will be checking my blood glucose levels frequently: This is correct. Clients with PCOS are at increased risk for insulin resistance and diabetes, so monitoring blood glucose levels is an important aspect of managing PCOS.
C. My kidney function should be closely monitored: This is incorrect. While kidney function is important in overall health, it is not specifically monitored in PCOS unless there are other underlying issues.
D. My thyroid-stimulating hormone levels will increase: This is incorrect. Thyroid-stimulating hormone levels are not directly affected by PCOS, though thyroid function should be evaluated if there are symptoms suggesting thyroid dysfunction.

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A nurse is preparing to perform a Papanicolaou (Pap) test for a 35-year-old female client during a routine gynecological examination. Which of the following nursing interventions is most appropriate before conducting the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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