The health care provider has fit an older adult with a pessary to manage her cystocele. When providing information to the client, what information should be included?

1. The pessary may increase the risk for pelvic infections.
2. The pessary must be removed before sexual intercourse.
3. The pessary is hypoallergenic, eliminating the possibility of allergic reactions.
4. The pessary provides only minimal contraceptive protection.


The pessary may increase the risk for pelvic infections.

Rationale: A pessary may be used to manage displacement disorders. The insertion of a foreign, nonsterile body into the vagina can cause an increased risk for infections. The pessary is fit by a health care provider. It is a removable device. It may be worn during intercourse but provides no contraceptive protection or protection from sexually transmitted infections.

Nursing

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The nurse performs a breast exam on a client and finds a firm, non-moveable lump in the upper outer quadrant of the right breast that the client reports was not there 3 weeks ago. What does this finding suggest?

A) Normal finding B) Benign fibrocystic disease C) Malignant tumor D) Malignant tumor with metastasis to surrounding tissue

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