The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?

Encourage the use of incentive spirometry

report 8/10 incisional pain

Assess popliteal pulses

Early ambulation

Answer and Explanation

The Correct Answer is D

A.   This option is primarily aimed at promoting lung expansion and preventing atelectasis (collapse of the lung). While it's an important post-operative intervention, it does not directly reduce the risk of embolic events related to venous thromboembolism.
B.   Reporting significant pain (8/10) may indicate complications such as infection or improper healing, but it does not directly relate to reducing the risk of embolic events. While managing pain is important for recovery, simply reporting it does not contribute to preventing VTEs.
C.   Assessing popliteal pulses is part of a thorough circulatory assessment, but it mainly focuses on blood flow to the lower extremities rather than preventing embolic events. It can help identify existing DVT but does not actively reduce the risk of embolism.
D.   This statement is true and is the best choice for decreasing the risk of an embolic event. Early ambulation promotes venous return, improves circulation, and significantly lowers the risk of DVT and pulmonary embolism in post-operative patients. Encouraging patients to get out of bed and move around as soon as they are stable is a key nursing intervention in post-operative care.

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Correct Answer is B

Explanation

A. This option is not the most relevant for penile cancer detection. While swelling and ulcerated areas may be associated with various conditions affecting the scrotum, they are not specifically indicators of penile cancer. Penile cancer is more typically associated with changes in the penis itself rather than the scrotum.
B. Early signs of penile cancer may include a nodular or wart-like growth on the penis, especially on the glans (head) or shaft. These growths can be painless, making regular self-examination important for early detection. This statement demonstrates an understanding of one of the key indicators of penile cancer.
C. While penile discharge can indicate various conditions, including infections or sexually transmitted diseases, it is not a specific sign of penile cancer. This response does not reflect a direct understanding of the early detection of penile cancer.
D. Pain during urination can be caused by many conditions, such as infections or urinary tract issues, and is not a definitive sign of penile cancer. Additionally, many cases of penile cancer may not present with pain at all, particularly in the early stages.

A. A serum prolactin level B. An endometrial biopsy C. A Papanicolaou test D. A vaginal ultrasound

Correct Answer is C

Explanation

A. This test is used to measure the level of prolactin, a hormone that stimulates milk production. It is not relevant for cervical cancer screening.
B. This test involves taking a sample of tissue from the lining of the uterus. It is used to diagnose endometrial cancer, not cervical cancer.
C. The Papanicolaou test, commonly known as a Pap smear, is the standard screening test for cervical cancer. It involves collecting cells from the cervix to detect any precancerous changes or cervical cancer itself. This is the correct answer, as it directly relates to cervical cancer screening.
D. This test uses sound waves to create images of the vagina and cervix. It can be used to evaluate the cervix for abnormalities, but it is not as sensitive as a Pap test for detecting cervical cancer.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male: 451-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-155 g/dL
Hematocrit	42%-52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 10/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%


Platelets	150,000-450,000/mm3

The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?

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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