A client had a vaginoplasty under epidural anesthetic. Which action by the nurse is most important?
a. Ensure that the urinary catheter is securely attached to the leg.
b. Instruct the client not to try to get out of bed unassisted.
c. Monitor the client's dressings and wound drainage.
d. Position the Jackson-Pratt drain to the contralateral side.
Question 2A client is preparing for gender reassignment surgery and will transition from male to female. The client is worried about the voice not sounding feminine enough. What action by the nurse is best?
a. Ask if the client has considered vocal cord surgery to change the voice.
b. Refer the client for vocal therapy with speech-language pathology.
c. Teach the client that there will be no effect on the client's voice.
d. Tell the client that the use of hormones will eventually change the voice.
Question 3The nurse is teaching a transgender client about the medication goserelin (Zoladex). What action by the client indicates good understanding?
a. Takes a manual blood pressure
b. Administers a subcutaneous injection
c. Prepares an implanted port for IV insertion
d. States that the axillary area will be clothed
Question 4A transgender client taking spironolactone (Aldactone) is in the internal medicine clinic reporting heart palpitations. What action by the nurse takes priority?
a. Draw blood to test serum potassium.
b. Have the client lie down.
c. Obtain a STAT electrocardiogram (ECG).
d. Take a set of vital signs.
Question 5A client has returned from the postanesthesia care unit after a vaginoplasty. What comfort measure does the nurse provide for this client?
a. Apply ice to the perineum.
b. Elevate the legs on pillows.
c. Position the client on the left side.
d. Raise the head of the bed.
Question 6A transgender client is taking transdermal estrogen (Climara). What assessment finding does the nurse report immediately to the provider?
a. Breast tenderness
b. Headaches
c. Red, swollen calf
d. Swollen ankles
Question 7A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is identified as George Smith. The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?
a. Apologize and declare confusion about the client.
b. Ask Mrs. Smith where her husband is right now.
c. Ask the client about preferred forms of address.
d. Explain that the chart must contain an error.
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