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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who has a fractured fibula and tibia: This is incorrect. While serious, this injury does not require immediate life-saving intervention and is generally categorized as less urgent.
B. A client who has sustained a major burn to their upper torso and extremities: This is incorrect. Although severe, if the client is stable and responsive, they may be categorized as yellow (delayed) unless there are immediate life-threatening complications.
C. A client who has a sprained ankle and laceration to the lower leg: This is incorrect. These injuries are considered less severe and would typically be tagged as green (minor).
D. A client who has an open traumatic brain injury and agonal breaths: This is correct. Agonal breaths and severe head injury indicate a need for immediate life-saving intervention, so this client should receive a red tag for the highest priority.
Correct Answer is B
Explanation
A. A client who has an open upper extremity fracture: While this is a serious injury, it is less critical compared to a tension pneumothorax in a triage setting.
B. A client experiencing a tension pneumothorax: This is a life-threatening condition that requires immediate intervention to relieve pressure on the lungs and restore adequate breathing.
C. A client who has full-thickness burns over 85% of their body: This is a severe condition with a high mortality risk, but in a mass casualty situation, a tension pneumothorax is prioritized for immediate care.
D. A client who has agonal respirations: Agonal respirations indicate severe distress, but the immediate need for intervention is to address conditions that can rapidly compromise life, such as a tension pneumothorax.
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