A nurse is reinforcing teaching with a client who is using a diaphragm to prevent pregnancy. Which of the following statements should the nurse include in the teaching?
"You should replace your diaphragm every 2 year”
"You should be refitted for your diaphragm if you have a 10 percent weight fluctuation."
"You should insert the diaphragm when your bladder is full."
"You should remove your diaphragm 4 hours after intercourse."
The Correct Answer is B
Rationale:
A. "You should replace your diaphragm every 2 years": Diaphragms generally need to be replaced every 1 to 2 years, depending on the manufacturer’s guidelines and wear and tear. However, it is more important to be aware of refitting needs related to physiological changes.
B. "You should be refitted for your diaphragm if you have a 10 percent weight fluctuation.": Significant weight changes, usually around 10 to 15 percent, can alter pelvic anatomy and affect diaphragm fit, increasing the risk of contraceptive failure. Therefore, refitting is recommended after notable weight fluctuations.
C. "You should insert the diaphragm when your bladder is full.": The bladder should be empty when inserting the diaphragm to avoid discomfort and ensure proper placement over the cervix. A full bladder can cause displacement and increase the risk of failure.
D. "You should remove your diaphragm 4 hours after intercourse.": The diaphragm should be left in place for at least 6 hours after intercourse to ensure adequate sperm immobilization and contraceptive effectiveness. Removing it too early may increase the risk of pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Eat foods high in vitamin B: Although B-vitamin deficiencies can contribute to stomatitis, eating foods high in vitamin B may not immediately relieve symptoms. Nutritional support is important long-term, but bland food recommendations provide immediate comfort.
B. Consume soft, bland foods: Soft, bland foods reduce mechanical and chemical irritation to the oral mucosa, promoting healing and reducing discomfort. These are ideal dietary choices for clients with stomatitis.
C. Rinse the mouth with an alcohol-based mouthwash: Alcohol-based mouthwashes can worsen irritation and dryness of the oral mucosa, aggravating stomatitis symptoms. Alcohol-free rinses or saline solutions are better alternatives.
D. Use lemon glycerin swabs: Lemon glycerin swabs can cause further drying and irritation of the mucosa. They are not recommended for clients with stomatitis, as they may intensify pain and inflammation.
Correct Answer is C
Explanation
Rationale:
A. Prescribed epoetin V: Epoetin is used to stimulate red blood cell production, typically for anemia related to chronic kidney disease or chemotherapy. It is not a standard treatment for pernicious anemia and does not directly increase the client’s injury risk in this context.
B. Sleeps 8 to 10 hr per night: Sleeping 8 to 10 hours is within the normal range for many adults, particularly those recovering from fatigue associated with anemia. This finding does not pose any additional risk for injury.
C. Uses a firm-bristled toothbrush: A firm-bristled toothbrush can cause gum irritation or bleeding, especially in clients with anemia who may have fragile oral mucosa or concurrent thrombocytopenia. This increases the risk of oral injury or infection and should be avoided.
D. Prescribed vitamin B IM: Vitamin B12 IM injections are the standard treatment for pernicious anemia due to impaired intrinsic factor and poor absorption. This intervention helps correct the deficiency and prevent neurologic complications, not increase injury risk.
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