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 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.

A. Allow a drinking glass on the client's meal tray. B. Place the client in four-point restraints. C. Inspect the client's personal belongings. D. Assign the client to a private room.

Correct Answer is C

Explanation

A. Allow a drinking glass on the client's meal tray: This is incorrect. Allowing objects that could potentially be used for self-harm is unsafe. All items on the client's meal tray should be carefully reviewed to ensure they do not pose a risk.
B. Place the client in four-point restraints: This is incorrect. Restraints are used as a last resort and should only be applied following a thorough assessment of the client's needs and risks, considering less restrictive measures first.
C. Inspect the client's personal belongings: This is correct. Inspecting personal belongings is crucial to ensure that the client does not have items that could be used for self-harm. This step helps in identifying and removing potential hazards.
D. Assign the client to a private room: This is incorrect. Assigning a client to a private room might not be appropriate as it could isolate the client and reduce opportunities for observation and intervention. A safer approach is to place the client in a room where they can be closely monitored, typically a shared room with staff supervision.

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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

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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?