During an internal examination of a woman's genitalia, the nurse will use which technique for proper insertion of the speculum?

A) Instruct the woman to bear down, open the speculum blades, and apply in a swift, upward movement.
B) Insert the blades of the speculum on a horizontal plane, turning them to a 30-degree angle while continuing to insert them. Ask the woman to bear down after the speculum is inserted.
C) Instruct the woman to bear down, turn the width of the blades horizontally, and insert the speculum at a 45-degree angle downward toward the small of the woman's back.
D) Lock the blades open by turning the thumbscrew. Once the blades are open, apply pressure to the introitus and insert the blades at a 45 degree angle downward to bring the cervix into view.


Answer: C) Instruct the woman to bear down, turn the width of the blades horizontally, and insert the speculum at a 45-degree angle downward toward the small of the woman's back.

Nursing

You might also like to view...

A nurse has admitted to having a serious chemical dependency after being caught taking narcotics home from work. If this nurse's license is to be suspended or revoked, what process must take place?

A) An application must be made to the US Department of Health and Human Services by the employer B) A committee of the nurse's peers and coworkers must convene C) The nurse must be charged with an offence and found guilty in a court of law D) A hearing must be held at the state board of nursing

Nursing

A patient with a recent diagnosis of hypothyroidism is being treated for an unrelated injury. When administering medications to the patient, the nurse should know that the patient's diminished thyroid function may have what effect?

A) Anaphylaxis B) Nausea and vomiting C) Increased risk of drug interactions D) Prolonged duration of effect

Nursing

The nurse is explaining the body's response to a stressful situation. The nurse includes which of the following manifestations? Select all that apply

A) Hypoglycemia B) Dilated pupils C) Increased pulse D) Inhibition of urination E) Increased digestive function

Nursing

When an elderly patient is brought into the Emergency Department by family members who reported a fall the nurse became suspicious that the patient had suffered physical abuse

The patient denied that she had been abused. Her denial is most likely based on her: a. Feeling that she deserved the physical abuse b. Strong belief that nothing could be done to help her c. Lack of trust that the situation could ever be changed d. Fear of the possibility of being removed from her family

Nursing