A nurse is providing preoperative teaching to a client who is undergoing a transcervical sterilization procedure.
Which of the following information should the nurse include?
“The procedure involves inserting flexible agents into your fallopian tubes.”.
“The procedure will be done under general anesthesia in an operating room.”.
“The procedure will make you sterile immediately after it is done.”.
“The procedure will affect your hormone levels and menstrual cycle.”.
The Correct Answer is A
The correct answer is choice A. The procedure involves inserting flexible agents into your fallopian tubes. These agents cause tissue to grow around them and block the tubes, preventing pregnancy.
Choice B is wrong because the procedure does not require general anesthesia or an operating room. It can be done in an outpatient facility with local anesthesia.
Choice C is wrong because the procedure does not make you sterile immediately after it is done.
It takes about 3 months for the tissue to grow and occlude the tubes. You need to use another form of contraception during this time and have a test to confirm the tubal blockage.
Choice D is wrong because the procedure does not affect your hormone levels or menstrual cycle. It only blocks the fallopian tubes, not the ovaries or uterus.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Refer the client to a provider for evaluation.Lower abdominal pain and fever for 2 days can indicate a serious complication of IUD use, such as pelvic inflammatory disease (PID) or perforation of the uterus.
These conditions require prompt medical attention and possible removal of the IUD.
Choice A is wrong because ibuprofen may not be enough to relieve the pain and may mask the signs of infection.
Choice B is wrong because avoiding sexual intercourse will not treat the underlying cause of the symptoms and may delay seeking medical help.
Choice C is wrong because a urine specimen may not be sufficient to diagnose the problem and may miss other possible causes of lower abdominal pain and fever, such as ectopic pregnancy or appendicitis.
Correct Answer is B
Explanation
The correct answer is choice B.History of uterine prolapse is a contraindication for the use of a diaphragm as a contraceptive method.Uterine prolapse is a condition where the uterus descends into the vagina, which can interfere with the proper placement and seal of the diaphragm.
Choice A is wrong because history of cervical cancer is not a contraindication for diaphragm use.
Cervical cancer is a malignant tumor of the cervix, which can be treated with surgery, radiation, or chemotherapy.
Diaphragm use does not affect the risk or treatment of cervical cancer.
Choice C is wrong because history of ovarian cysts is not a contraindication for diaphragm use.
Ovarian cysts are fluid-filled sacs that develop in or on the ovaries, which can cause pain, bloating, or irregular periods.
Diaphragm use does not affect the formation or rupture of ovarian cysts.
Choice D is wrong because history of menopause is not a contraindication for diaphragm use.
Menopause is the natural cessation of menstrual cycles and fertility, which occurs around age 50 in most women.
Diaphragm use does not affect the hormonal changes or symptoms of menopause.
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