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 D

Explanation

A. Pinch the testicles to feel for abnormalities: This is incorrect. The testicles should be gently palpated, not pinched, to detect abnormalities.
B. Expect swelling of the testicles after examination: This is incorrect. There should be no swelling after a testicular self-examination.
C. Perform testicular self-examination every year: This is incorrect. Self-examination should be performed monthly, not yearly, to detect any changes promptly.
D. Examine the testicles after a bath or shower: This is correct. The warmth and relaxation of the scrotum after a bath or shower make it easier to feel for abnormalities.

A. Instruct the client to change clothing before arriving. B. Inform the client that photographs of any injuries will be mandatory for a police report. C. Ask the client to repeat the information obtained during admission. D. Obtain a history of the incident from the client.

Correct Answer is D

Explanation

A. Instruct the client to change clothing before arriving: This is incorrect. The client should be advised to keep the clothing they were wearing during the assault as evidence, not to change them.
B. Inform the client that photographs of any injuries will be mandatory for a police report: This is incorrect. While photographs might be necessary for evidence, it is not appropriate to make such statements without discussing consent and the client's comfort first.
C. Ask the client to repeat the information obtained during admission: This is incorrect. Repeating information may be distressing for the client. The nurse should obtain the history in a sensitive and supportive manner without unnecessary repetition.
D. Obtain a history of the incident from the client: This is correct. Gathering a detailed history is important for appropriate care and forensic evidence collection. The nurse should do this in a compassionate and nonjudgmental manner, ensuring the client feels supported.

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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

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Explanation

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Explanation

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