The nurse is planning instructions for a patient desiring to have a tubal ligation.
Which information should the nurse emphasize when teaching the patient?

The procedure will decrease her menstrual flow.

The procedure will reduce her menstrual pain.

The client should schedule it to be done just before the menstrual flow.

She must think the procedure is irreversible.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Tubal ligation does not decrease menstrual flow. It is a surgical procedure that blocks or seals the fallopian tubes, preventing eggs from reaching the uterus for implantation.

Choice B rationale

Tubal ligation does not reduce menstrual pain. It prevents pregnancy but does not have an effect on the menstrual cycle or associated symptoms.

Choice C rationale

The timing of the procedure in relation to the menstrual cycle is not a significant factor in tubal ligation. The procedure can be performed at any time as long as pregnancy is not present.

Choice D rationale

It is crucial to emphasize that tubal ligation is considered a permanent form of birth control. While reversal procedures exist, they are not always successful and should not be relied upon. Therefore, the decision to undergo tubal ligation should be made with the understanding that it is typically irreversible.

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Correct Answer is B

Explanation

Choice A rationale

Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of vaginal itching and discharge.

Choice B rationale

The client’s symptoms are indicative of Bacterial Vaginosis (BV), a common vaginal infection in women of reproductive age. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.

Choice C rationale

An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.

Choice D rationale

Douching is generally not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to further complications.

Choice E rationale

Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.

A. Insert an indwelling urinary catheter. B. Witness the signature for informed consent for surgery. C. Prepare the abdominal and perineal areas. D. Initiate IV access.

Correct Answer is D

Explanation

Choice A rationale

Inserting an indwelling urinary catheter is not the priority nursing action in this situation. While it may be necessary later in the care process, it is not the immediate concern when the client is experiencing a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. The priority is to stabilize the client and ensure the well-being of the fetus.

Choice B rationale

Witnessing the signature for informed consent for surgery is an important step before any surgical procedure. However, it is not the priority nursing action in this situation. The client’s condition could deteriorate rapidly due to the bleeding, and immediate medical interventions are necessary to stabilize the client and fetus.

Choice C rationale

Preparing the abdominal and perineal areas may be necessary if the client requires a surgical intervention. However, this is not the priority nursing action. The client is experiencing significant bleeding, and the priority is to stabilize the client’s condition.

Choice D rationale

Initiating IV access is the priority nursing action in this situation. The client is experiencing a large amount of painless, bright red vaginal bleeding, which could lead to hypovolemia and shock. IV access allows for the rapid administration of fluids and medications to stabilize the client’s condition.

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The nurse is planning instructions for a patient desiring to have a tubal ligation.Which information should the nurse emphasize when teaching the patient?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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The nurse is planning instructions for a patient desiring to have a tubal ligation.
Which information should the nurse emphasize when teaching the patient?