Question

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

Answer 1

Correct Answers:

Vaginal intercourse can be resumed after 2 weeks.

Rationale :

🟪 After a dilation and curettage (D&C) procedure, the uterine cervix remains slightly dilated, increasing the risk of infection.

🟪 Clients are usually advised to avoid vaginal intercourse, tampons, or douching for approximately 2 weeks.

🟪 Bleeding may occur for a few days post-procedure, but products of conception should not be present.

🟪 Aspirin is typically avoided due to its anticoagulant effect, which may worsen bleeding.

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Answer 2

Correct Answers:

Buttoning her blouse

Rationale :

🟨 A radical mastectomy includes removal of breast tissue and axillary lymph nodes, potentially limiting shoulder mobility on the affected side.

🟨 Fine motor tasks, such as buttoning a blouse, require greater range of motion and dexterity.

🟨 Brushing teeth or eating involve less shoulder movement and are usually easier during recovery.

🟨 Occupational therapy may be needed to help regain functional independence.

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Answer 3

Correct Answers:

Vaginal ulceration

Rationale :

🟧 A pessary is a device inserted into the vagina to support prolapsed pelvic organs.

🟧 If not monitored regularly, it can cause pressure necrosis and ulceration of the vaginal mucosa.

🟧 Other risks include vaginitis or discharge, but ulceration is the most concerning and severe.

🟧 Regular follow-ups are essential to inspect for erosion or injury.

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Answer 4

Correct Answers:

Only use latex condoms.
Place the condom on an erect penis.
Store the condoms in a cool dry place.

Rationale :

Only use latex condoms

🟦 Latex condoms offer the best protection against both pregnancy and sexually transmitted infections (STIs).

🟦 Other types like natural membrane (lambskin) may not prevent STI transmission.

🟦 Latex is also widely available and cost-effective, making it a public health standard.

Place the condom on an erect penis

🟦 Applying the condom before intercourse begins helps reduce the risk of exposure to pre-ejaculate, which can carry sperm and pathogens.

🟦 A proper fit on an erect penis ensures full coverage and minimizes slippage.

🟦 The tip should be pinched to leave space for semen collection.

Store the condoms in a cool dry place

🟦 Condoms are made of materials that can degrade with heat or humidity, making them less reliable.

🟦 Wallets, glove boxes, and bathrooms are common but unsafe storage places.

🟦 Keeping them in a cool, dry place preserves integrity.

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Answer 5

Correct Answers:

Heart Disease

Rationale :

🟥 Cardiovascular disease is the leading cause of death in women globally.

🟥 It often presents with atypical symptoms in women, leading to underdiagnosis and undertreatment.

🟥 Public education efforts targeting prevention, early detection, and lifestyle modifications can significantly reduce morbidity.

🟥 While cancer and diabetes are important, heart disease poses the highest mortality risk.

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Answer 6

Correct Answers:

NSAIDs

Rationale :

🟩 Endometriosis often causes pelvic pain, and NSAIDs are the first-line treatment due to their anti-inflammatory and analgesic effects.

🟩 If symptoms persist, hormonal therapy (e.g., progestins, antiestrogens, GnRH analogs) may be introduced.

🟩 These medications reduce estrogen levels, which drive the growth of endometrial implants.

🟩 Surgery is considered for severe, refractory cases or infertility.

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Answer 7

Correct Answers:

Penicillin

Rationale :

🟪 Penicillin is an antibiotic, not a treatment for fibrocystic breast disease, which is a benign condition.

🟪 Common pharmacological options include Danazol (a synthetic androgen), Tamoxifen (an anti-estrogen), and Bromocriptine (dopamine agonist).

🟪 The goal is to reduce estrogenic stimulation of breast tissue, which contributes to symptoms.

🟪 This question tests medication appropriateness and pathophysiology awareness

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Answer 8

Correct Answers:

Proliferative

Rationale :

🟩 Estrogen levels peak during the proliferative phase, which occurs after menstruation and before ovulation.

🟩 Estrogen stimulates the rebuilding of the endometrial lining, preparing the uterus for potential implantation.

🟩 This phase is followed by ovulation and the secretory phase, when progesterone becomes dominant.

🟩 Understanding this hormonal sequence is crucial for fertility awareness and reproductive health.

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Answer 9

Correct Answers:

Penicillin

Rationale :

🟧 Penicillin is not used for severe fibrocystic breast disease; thus, identifying it as treatment indicates misunderstanding.

🟧 Danazol, Bromocriptine, and Tamoxifen are medications used to treat fibrocystic breast disease by modifying hormonal influences.

🟧 Correct medication knowledge helps prevent ineffective or harmful treatments.

🟧 The nurse must clarify misconceptions for safe care.

🟧 Teaching about proper medications improves outcomes.

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Answer 10

Correct Answers:

Placenta

Rationale :

🟨 Syphilis is transmitted to the newborn through the placenta, allowing the bacteria to cross into fetal circulation.

🟨 Breast milk does not transmit syphilis.

🟨 Infection can occur even before birth, unlike transmission during birth canal passage or via amniotic fluid.

🟨 Understanding transmission pathways guides early treatment and prevention.

🟨 Early prenatal screening reduces congenital syphilis risk.

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QLexNursing

1 :
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

2 :
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

3 :
A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?

4 :
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.

5 :
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.

6 :
A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

7 :
A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.

8 :
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

9 :
A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?

10 :
A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

QLexNursing

1 : A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

2 : A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

3 : A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?

4 : The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.

5 : The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.

6 : A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

7 : A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.

8 : When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

9 : A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?

10 : A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

1 :
A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

2 :
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?

3 :
A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?

4 :
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.

5 :
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.

6 :
A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

7 :
A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.

8 :
When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle?

9 :
A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?

10 :
A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the: