A woman is being taught self-care for a vaginal pessary to treat vaginal prolapse. The nurse would realize that additional discharge instructions are needed when the woman says
a. "I can use estrogen cream in my vagina at night."
b. "If I have trouble removing or inserting the pessary, I will call the doctor."
c. "My follow-up appointment is in 2 months."
d. "The pessary needs to be washed daily with mild soap."
C
Pessary care includes daily washing with mild soap and water. A client must be able to remove and reinsert it without difficulty. Pessaries can cause vaginal irritation especially if left in place too long. The follow-up appointment is made for 2 weeks after the fitting. Estrogen cream can be used intravaginally at night to preserve vaginal tissue.
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To examine a patient for Murphy's sign, palpate below the liver margin at the lateral border of the rectus muscle and then ask the patient to take a deep breath. Murphy's sign is present when the patient
a. complains of pain with palpation. b. complains of pain in the right lower quadrant. c. adducts the leg. d. complains of pain in the left shoulder.
Information essential for the nurse to gather when interviewing a young woman who is taking the drug Accutane (isotretinoin) for acne is which of the following?
1. Usual weight 2. Family history of breast cancer 3. Current method of birth control 4. Drugs previously used
The drug recommended as primary prevention of osteoporosis in women over age 70 years is:
1. Alendronate (Fosamax) 2. Ibandronate (Boniva) 3. Calcium carbonate 4. Raloxifene (Evista)
A recently married couple is trying to conceive a child. The husband is a collegiate athlete, and his coach forbids sexual activity for 2 days prior to a game. The wife asks the nurse if abstinence before the game is necessary
What is the best response? 1. "As long as intercourse is not involved, there is no reason to avoid sexual activity.". 2. "Some residual physical weakness is common for up to 18 hours after sex.". 3. "This is a common myth among athletes, and there is no basis in fact.". 4. "In fact, sexual activity before intense physical exercise increases stamina and endurance.".