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."
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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Related Questions
Correct Answer is B
Explanation
A. An endometrial biopsy. This test is used to diagnose endometrial cancer, not cervical cancer.
B. Papanicolaou test. The Pap test (Papanicolaou test) is the preferred and standard method for detecting cervical cancer by identifying precancerous or cancerous cells on the cervix.
C. CA 125. CA 125 is a tumor marker that is often used in the detection and management of ovarian cancer, not cervical cancer.
D. Transvaginal ultrasound. This imaging test is typically used to evaluate ovarian and endometrial abnormalities but is not the preferred method for detecting cervical cancer.
Correct Answer is D
Explanation
A. Hemoglobin A1C level is not typically assessed in patients with sickle cell anemia as it is primarily used to monitor long-term blood sugar control in individuals with diabetes mellitus.
B. While appetite may be relevant to the overall health of the patient, it is not the priority assessment in a patient with sickle cell anemia.
C. Reflexes may be assessed during the physical examination, but they are not the priority assessment in a patient with sickle cell anemia.
D. Vaccination history is the priority assessment in a patient with sickle cell anemia because individuals with sickle cell disease are at increased risk of infections, particularly from
encapsulated bacteria. Therefore, ensuring that the patient is up-to-date on vaccinations, including pneumococcal and meningococcal vaccines, is crucial for preventing serious infections.
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