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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While determining the viability of the fetus is an important aspect of prenatal care, it is not the primary purpose of an ultrasound in this scenario. The client’s report of feeling the baby moving suggests that the fetus is likely viable.
Choice B rationale
The primary purpose of the ultrasound in this scenario is to locate the placenta. Heavy, red vaginal bleeding at 38 weeks of gestation could indicate a complication such as placenta previa, where the placenta covers the cervix. An ultrasound can help confirm this diagnosis.
Choice C rationale
Measuring the biparietal diameter is a method used to estimate fetal weight and gestational age. However, in this scenario, the client is already known to be at 38 weeks of gestation, and the sudden onset of heavy, red vaginal bleeding is a more immediate concern.
Choice D rationale
Assessing fetal lung maturity is typically done when there is a risk of preterm delivery. In this scenario, the client is already at 38 weeks of gestation, which is considered full term. The immediate concern is the heavy, red vaginal bleeding.
Correct Answer is C
Explanation
Choice A rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription A based on the information provided.
Choice B rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription B based on the information provided.
Choice C rationale
The client’s temperature is slightly elevated, which could indicate an infection or other medical condition. Prescription C might be an antibiotic or other medication to treat the suspected condition.
Choice D rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription D based on the information provided.
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