A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

"You will need to empty your bladder just before the exam."

"You should douche the evening prior to the examination."

"You will be required to sign an informed consent prior to the exam."

"You will be given light sedation before the examination starts."

Answer and Explanation

The Correct Answer is A

A.   "You will need to empty your bladder just before the exam.": Emptying the bladder before a pelvic examination allows for better visualization and manipulation of the pelvic organs.
B.   "You should douche the evening prior to the examination.": Douching is not recommended before a Pap test as it can disrupt the natural flora of the vagina and may interfere with test results.
C. "You will be required to sign an informed consent prior to the exam.": Informed consent may be required for certain procedures but is not typically needed for a Pap test.
D.   "You will be given light sedation before the examination starts.": Sedation is not typically used for a Pap test, which is a simple procedure that does not usually cause significant discomfort.

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Correct Answer is B

Explanation

A. Dusky mucous membranes are not typically associated with pernicious anemia.
B. A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C. Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D. Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

A. Urinary hesitancy and frequency B. Vaginal bleeding C. Vesicles and lesions on the labia D. Vaginal drainage with a fishy odor

Correct Answer is C

Explanation

A. Urinary hesitancy and frequency can occur with genital herpes due to the pain and discomfort of the lesions, but these are not the primary manifestations.
B. Vaginal bleeding is not a typical symptom of genital herpes.
C. Vesicles and lesions on the labia are characteristic symptoms of genital herpes, appearing as painful blisters that eventually ulcerate.
D. Vaginal drainage with a fishy odor is typically associated with bacterial vaginosis, not genital herpes.

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A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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