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Bailey Bailey
wrote...
Posts: 303
Rep: 0 0
6 years ago
A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged?
 
  Select all that apply.
 
  1. Maintain bed rest for a week.
  2. Use perineal pads as directed.
  3. Perform perineal irrigation as prescribed.
  4. Cleanse the perineal area daily with a sitz bath.
  5. Apply topical antibacterial ointment to the area.

Question 2

A patient recently diagnosed with herpes simplex II asks how to best manage the lesions. What information should the nurse provide for this patient?
 
  1. The use of soap should be restricted.
  2. It is safe to use a solution of 50 rubbing alcohol and 50 water to clean the lesions.
  3. Wearing nylon panties will reduce discomfort.
  4. Gentle soap and water can be used to clean the lesions.

Question 3

The nurse is caring for a patient diagnosed with cancer of the vulva. About which treatments should the nurse prepare teaching material for this patient?
 
  Select all that apply.
 
  1. imiquimod therapy
  2. chemotherapy
  3. hormone therapy
  4. surgical resection
  5. radiation therapy

Question 4

During a health history of a patient with uterine dysfunction, the nurse determines that oral contraceptives would be contraindicated for this patient. What did the nurse assess to make this clinical determination?
 
  Select all that apply.
 
  1. The patient takes vitamin C every day.
  2. The patient smokes one ppd of cigarettes.
  3. The patient takes antihypertensive medication.
  4. The patient was treated for thrombophlebitis after her last pregnancy.
  5. The patient's father has had several joints replaced because of arthritis.

Question 5

The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient?
 
  Select all that apply.
 
  1. Avoid heavy lifting for several days.
  2. Avoid using tampons for 2 weeks.
  3. Rest for several days after the procedure.
  4. Expect the next menstrual period to be early.
  5. Expect vaginal bleeding to be bright red and very heavy.
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 2, 3, 4
Perineal pads may be used to absorb urine or fecal drainage. Perineal irrigation will keep the area clean, reduce irritation, and prevent further tissue breakdown. Sitz baths will help with cleansing the area. Bed rest is not indicated in the postoperative care of a vaginal fistula. Topical antibacterial ointment is not used in the care of a vaginal fistula.

The answer to question 2

Correct Answer: 4
The lesions need to be kept clean and dry. It is safe to use mild soap and water. Rubbing alcohol would cause burning of the lesions and should not be used. Nylon panties will promote moisture and reduce ventilation to the perineal area and should not be worn. It is important to wear loose cotton clothing that will not trap moisture and to avoid wearing panty hose and tight jeans.

The answer to question 3

Correct Answer: 1, 2, 4, 5
Imiquimod, an immune response modifier, is used in the treatment of HPV warts and reduces neoplasia. Surgical resection is the usual treatment for cancer of the vulva. If lymph nodes are involved, radiation therapy is used postoperatively. Chemotherapy is reserved for distant metastases. Hormone therapy is not used in the treatment of cancer of the vulva.

The answer to question 4

Correct Answer: 2, 3, 4
Oral contraceptives are contraindicated in women with hypertension, smoking, or thrombophlebitis. Vitamin C supplements would not interfere with oral contraceptives. A family history of arthritis is not a contraindication for oral contraceptives.

The answer to question 5

Correct Answer: 1, 2, 3
The patient should be instructed to avoid heavy lifting, which can interfere with healing and cause a hemorrhage; to avoid tampons for 2 weeks to reduce the risk of infection and allow tissue to heal; and to rest for several days after the procedure to promote tissue healing. The onset of the next menstrual period may be delayed because the surgical procedure removes the endometrial lining. Bright red bleeding that exceeds that of a normal menstrual period should be reported as it may indicate hemorrhage.
Bailey Author
wrote...
6 years ago
Oh god, I was lost before coming here. Thanksss
wrote...
6 years ago
Great, make sure you mark the topic solved, it hides it from other eyes Slight Smile
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