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.
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.
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Related Questions
Correct Answer is C
Explanation
A. A 28-year-old client who has a history of pelvic inflammatory disease: This is incorrect. While a history of pelvic inflammatory disease does not necessarily contraindicate oral contraceptive use, it should be assessed for any other potential complications or contraindications.
B. A 26-year-old client who is mobile post appendectomy: This is incorrect. Recent surgery, such as an appendectomy, is not a contraindication for oral contraceptives, provided the client is otherwise healthy.
C. A 38-year-old client who reports smoking one pack of cigarettes every day: This is correct. Smoking, especially in women over 35, is a contraindication for oral contraceptives due to the increased risk of cardiovascular events such as thrombosis.
D. A 32-year-old client who has fibrocystic breast disease: This is incorrect. Fibrocystic breast disease does not contraindicate the use of oral contraceptives.
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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