A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?

"Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort."

"I will no longer have menstrual periods."

"I will take a tub bath instead of a shower."

"I should increase my intake of protein and vitamin C."

Answer and Explanation

The Correct Answer is C

A.   Using a water-based lubricant during sexual activity can help reduce discomfort or vaginal dryness, which may occur after a hysterectomy.
B.   After a total abdominal hysterectomy, menstrual periods will cease because the uterus, and often the ovaries, are removed during the procedure.
C.   Taking a tub bath instead of a shower is not recommended after a total abdominal
hysterectomy and vaginal repair. Bathing in a tub can increase the risk of infection, especially if the surgical incisions are still healing. The client should avoid submerging the surgical site in water until it has fully healed and cleared by their healthcare provider.
D.   Increasing intake of protein and vitamin C can support wound healing and overall recovery after surgery. This statement indicates appropriate understanding of postoperative care.

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Correct Answer is A

Explanation

A. "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B. "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C. "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D. "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.

A. Hemophilia B results from a deficiency in clotting factor VIII B. Males inherit hemophilia from their mothers C. Females inherit hemophilia from their fathers D. Hemophilia is a Y linked disorder

Correct Answer is B

Explanation

A. Hemophilia B results from a deficiency in clotting factor VIII. Hemophilia B results from a deficiency in clotting factor IX. Hemophilia A results from a deficiency in clotting factor VIII.
B. Males inherit hemophilia from their mothers. Hemophilia is an X-linked recessive disorder, meaning males inherit the defective gene from their carrier mothers.
C. Females inherit hemophilia from their fathers. Females can be carriers if they inherit the
defective gene from their mother, but they generally do not inherit the disease itself from their fathers due to the X-linked recessive inheritance pattern.
D. Hemophilia is a Y linked disorder. Hemophilia is not Y-linked; it is an X-linked recessive disorder.

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A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

Correct Answer is A

Explanation

A pediatric nurse health educator provides a teaching session to the nursing staff regarding hemophilia. Which of the following information regarding this disorder would the nurse plan to include in this discussion?

Correct Answer is B

Explanation

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