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 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.
Correct Answer is D
Explanation
Choice A rationale
Iron is an important nutrient during pregnancy as it helps to make the extra blood (hemoglobin) you need to supply oxygen to the baby. However, while iron is important for both mother and baby during pregnancy, it does not specifically help to prevent neural tube defects in the fetus.
Choice B rationale
Calcium is crucial during pregnancy as it helps to build your baby’s bones and teeth. However, calcium does not specifically help to prevent neural tube defects.
Choice C rationale
Vitamin C is important for the growth and repair of tissues in all parts of your body during pregnancy. It helps the body to make collagen, an important protein used to make skin, cartilage, tendons, ligaments, and blood vessels. However, Vitamin C does not specifically help to prevent neural tube defects.
Choice D rationale
Folic acid is the synthetic form of folate, a type of B vitamin. It’s very important for all people, including pregnant women. It can help prevent major birth defects of the baby’s brain and spine (neural tube defects). Women who are planning to become pregnant should take a multivitamin with 400 micrograms of folic acid every day.
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