A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
"My monthly menstrual period will be shorter."
"Premenstrual tension will no longer be present."
"Hormone replacements will be needed following this procedure."
"Ovulation will remain the same."
The Correct Answer is D
Rationale:
A. Tubal ligation does not typically affect the length of menstrual periods.
B. While tubal ligation may prevent pregnancy, it does not directly impact premenstrual tension.
C. Hormone replacement therapy is not typically indicated following tubal ligation unless there are other underlying medical reasons for hormone imbalance.
D. "Ovulation will remain the same" is correct. Tubal ligation prevents pregnancy by blocking the fallopian tubes, but it does not affect ovulation. Therefore, the client will continue to ovulate normally after the procedure.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Airborne precautions are used for diseases transmitted by airborne droplet nuclei smaller than 5 microns, such as tuberculosis. MRSA is not transmitted via airborne route.
B. Protective environment is used for clients who are immunocompromised, such as those undergoing bone marrow transplantation. It is not indicated for MRS
A.
C. Contact precautions are indicated for MRSA, as it is primarily transmitted through direct or indirect contact with an infected individual or contaminated environment.
D. Droplet precautions are used for diseases transmitted by large droplets (>5 microns), such as influenza or pertussis. MRSA is not transmitted via droplets.
Correct Answer is C
Explanation
Rationale:
A. A WBC count of 11,000/mm3 is slightly elevated but may be within normal limits, as the normal range for WBC count can vary slightly depending on the laboratory. It is not typically concerning during pregnancy.
B. A hematocrit of 37% is within the normal range for pregnancy (37% to 47%) and does not require immediate reporting to the provider.
C. A fasting blood glucose level of 180 mg/dL is significantly elevated and indicates hyperglycemia, which may be indicative of gestational diabetes mellitus or pre-existing diabetes. This finding should be reported to the provider for further evaluation and management.
D. A creatinine level of 0.9 mg/dL is within the normal range (0.5 to 1 mg/dL) and does not require immediate reporting to the provider.
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