The nurse is performing a vaginal examination on a client who has had a hysterectomy. Which of the following would the nurse choose to do in this situation?
1. Defer the cervical scrape.
2. Use the vaginal wall for the cervical scrape.
3. Tell the client an examination is not needed.
4. Use the surgical stump for the cervical scrape.
4
Rationale 1: Clients who have had hysterectomies should have the surgical stump scraped as part of the examination. Deferring the cervical assessment could result in the omission of important information for the comprehensive care of the client.
Rationale 2: Specimens from the vaginal walls are indicated but do not replace the need to have cells obtained from the cervical stump.
Rationale 3: Clients that have had hysterectomies should have the surgical stump scraped as part of the examination.
Rationale 4: Clients that have had hysterectomies should have the surgical stump scraped as part of the examination.
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The nurse caring for a client with low hemoglobin secondary to iron deficiency anticipates the client will report which of the following?
1. Fatigue 2. Confusion 3. Lack of appetite 4. Diarrhea
An infertile couple begins treatment with menotropins. To enhance the therapeutic effects of the medication, the nurse will advise the patients to have intercourse:
a. before hCG injection and the following 2 to 3 days. b. the morning of the hCG injection and later that evening. c. the evening of the injection and the fol-lowing day. d. the evening of the injection and the fol-lowing morning.
A nurse checks a patient's vital signs in the hospital and notes a blood pressure of 146/98 mm Hg. What will the nurse do?
a. Instruct the patient to consume a low-sodium diet. b. Prepare the patient for an electrocardiogram and blood tests. c. Recheck the patient's blood pressure in the other arm. d. Request an order for a thiazide diuretic.
Research findings have demonstrated that the group of clients who have indicated a greater need for spirituality include those diagnosed with
A) Nonmalignant tumors B) Congenital defects C) Terminal illness D) Hypertension