A postmenopausal woman is diagnosed with cervical dysplasia caused by the human papillomavirus. For which procedure that would both diagnose and treat the dysplasia should the nurse prepare this patient?
1. Pap smear
2. colposcopy
3. cervical biopsy
4. loop diathermy
Correct Answer: 4
A loop diathermy technique or loop electrosurgical excision procedure (LEEP) allows simultaneous diagnosis and treatment of dysplastic lesions found on colposcopy. This procedure is performed in the office and uses a wire for both cutting and coagulation during excision of the dysplastic region of the cervix. Pap smears, colposcopy, and cervical biopsy are used to diagnose, not manage conditions.
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A patient is to receive a drug that has been ordered to be given sublingually. How should the nurse administer this drug?
a. Have the patient swallow the drug. b. Place the drug under the patient's tongue. c. Put the drug in the patient's cheek. d. Apply the drug to the patient's skin.
Research has shown that the placement of body fat may be a more reliable indicator of what than the degree of total body fatness?
A) Obesity C) Chronic disease process B) Disease risk D) Body composition
The nurse prepares the client for discharge to home with instructions to self-administer nasointestinal tube feedings. Which does the nurse include in client teaching?
1. Infuse lukewarm formula to avoid abdominal cramping. 2. Increase free water with persistent diarrhea or constipation. 3. Flush the tube with 500 ml of water after each tube feeding. 4. Allow the formula to infuse until the bag empties completely.
The nurse assesses a new client and performs a standard screening for intimate partner violence. Which is the most appropriate question to ask first?
A) "Are you in danger now?" B) "It's normal for couples to disagree about things. What happens when you and your partner disagree?" C) "Do you ever think about hurting yourself, cutting, stopping eating, or purging food?" D) "Have you ever thought about or been granted a restraining order?"