A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

Ovulation will remain the same.

Premenstrual tension will no longer be present.

My monthly menstrual period will be shorter.

Hormone replacements will be needed following this procedure.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Ovulation will indeed remain the same after a tubal ligation. The procedure blocks or seals the fallopian tubes, which prevents the egg from reaching the uterus. However, the ovaries continue to release eggs.
Choice B rationale
Tubal ligation does not eliminate premenstrual tension. Hormonal changes that cause symptoms like bloating, mood swings, and breast tenderness will still occur.
Choice C rationale
Tubal ligation does not shorten the duration of menstrual periods. It has no effect on menstruation.
Choice D rationale
Hormone replacements are not needed following a tubal ligation. The ovaries continue to produce hormones as they did before the procedure.

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Correct Answer is A

Explanation

Choice A rationale
Breast tenderness is a common side effect of clomiphene citrate. This medication stimulates the release of hormones needed for ovulation, which can also cause changes in breast tissue leading to tenderness.
Choice B rationale
Urinary frequency is not a known side effect of clomiphene citrate. However, urinary frequency can be a symptom of pregnancy, which is the intended outcome of using this medication.
Choice C rationale
Chills are not a known side effect of clomiphene citrate. If a patient experiences chills while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.
Choice D rationale

Tinnitus, or ringing in the ears, is not a known side effect of clomiphene citrate. If a patient experiences tinnitus while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.

A. Apply a moist, warm compress to the perineum. B. Administer methylergonovine 0.2 mg IM. C. Provide the client with a cool sitz bath. D. Apply povidone-iodine to the client’s perineum after she voids.

Correct Answer is C

Explanation

Choice A rationale
Applying a moist, warm compress to the perineum is not the recommended care for a client with a fourth-degree laceration of the perineum 12 hr postpartum.
Choice B rationale

Administering methylergonovine 0.2 mg IM is not the recommended care for a client with a fourth-degree laceration of the perineum 12 hr postpartum. Methylergonovine is a medication used to prevent or control bleeding of the uterus following childbirth or abortion.
Choice C rationale
Providing the client with a cool sitz bath is the correct action. A sitz bath can help to soothe the perineal area, reduce inflammation, and promote healing.
Choice D rationale
Applying povidone-iodine to the client’s perineum after she voids is not the recommended care for a client with a fourth-degree laceration of the perineum 12 hr postpartum. Povidone-iodine is an antiseptic used for skin disinfection before and after surgery.

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A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

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