A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?
Increased vaginal discharge
Urinary tract infection
Vaginitis
Vaginal ulceration
The Correct Answer is D
Choice A reason: Increased vaginal discharge is a normal and expected outcome of using a pessary, as it helps to lubricate and cleanse the vagina.
Choice B reason: Urinary tract infection is not a common side effect of using a pessary, as it does not interfere with urination or introduce bacteria into the urinary tract.
Choice C reason: Vaginitis is not a common side effect of using a pessary, as it does not cause inflammation or infection of the vagina. However, the client should maintain good hygiene and use vaginal cream or gel as prescribed to prevent irritation.
Choice D reason: Vaginal ulceration is a serious and possible side effect of using a pessary, as it can cause pressure necrosis and erosion of the vaginal mucosa. The client should report any bleeding, pain, or foul-smelling discharge to the provider and have the pessary removed and replaced regularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Brushing teeth does not require much strength or range of motion in the hand, so it should not be very difficult for the client.
Choice B reason: Buttoning a blouse can be done with one hand or with the help of the other hand, so it should not be very difficult for the client.
Choice C reason: Eating breakfast can be done with the left hand or with utensils that are easy to hold, so it should not be very difficult for the client.
Choice D reason: Combing hair requires lifting the arm above the shoulder and moving the hand through the hair, which can be painful and challenging for the client who had a mastectomy and may have impaired lymphatic drainage and nerve damage in the right arm.
Correct Answer is A
Explanation
Choice A: "A provider can help you with that after a physical examination." This response is appropriate and respectful because it acknowledges the client's right to choose a contraceptive method that suits her needs and preferences. It also encourages the client to seek professional advice and care from a provider who can assess her health status, medical history, and risk factors, and offer her a range of options and information.
Choice B: "You are so young. Are you ready for the responsibilities of a sexual relationship?" This response is inappropriate and judgmental because it implies that the client is too immature or irresponsible to have a sexual relationship. It also discourages the client from seeking help or information from the nurse and may make her feel ashamed or guilty about her sexuality.
Choice C: "Because of your age, I think that a barrier method would be the best choice." This response is inappropriate and paternalistic because it assumes that the nurse knows what is best for the client without considering her individual situation or preferences. It also limits the client's options and may not address her specific needs or concerns.
Choice D: "Before I can help you, I need to know more about your sexual activity." This response is inappropriate and intrusive because it asks for personal and sensitive information that may not be relevant or necessary for choosing a contraceptive method. It also violates the client's privacy and may make her feel uncomfortable or embarrassed.
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