About the vascularization of the uterus we can state the following:

Correct Answer: B

Rationale: The correct answer is B because the arteries supplying the uterus arise from the abdominal aorta. The uterine arteries branch off the anterior division of the internal iliac artery, which itself arises from the posterior division of the internal iliac artery. This vascular supply ensures that the uterus receives oxygenated blood rich in nutrients necessary for its proper function. Choice A is incorrect because the common iliac artery does not directly supply blood to the uterus. Choice C is incorrect because the veins draining the uterus ultimately empty into the internal iliac veins, which then drain into the common iliac veins and not directly into the inferior vena cava. Choice D is incorrect because while the uterine arteries are indeed branches off the internal iliac artery, the internal iliac artery itself arises from the common iliac artery and not directly from the abdominal aorta.

Correct Answer: B

Rationale: The most appropriate response to the patient's query regarding the removal of the Hemovac drain is option B: "Usually the doctor waits until the drainage subsides or stops altogether." This answer is correct because the timing for removing a drain postoperatively is typically based on the amount of drainage. Monitoring the trend of decreasing drainage helps prevent complications like seroma formation. Option A is incorrect because removing the drain solely based on the day of discharge overlooks the patient's individual healing process. Option C is incorrect as it shows surprise at the drain not being removed, which may cause unnecessary concern to the patient. Option D is incorrect because suggesting the patient ask the doctor may not provide the necessary explanation or reassurance the patient needs. In an educational context, it's important to emphasize to healthcare professionals the rationale behind drain management postoperatively. Understanding the significance of drainage monitoring can help prevent complications and promote optimal patient outcomes. Educating patients on the rationale for drain removal empowers them to be active participants in their care and fosters better communication between patients and healthcare providers.

Correct Answer: C

Rationale: In the case of Mrs. Harden preparing for discharge and outpatient radiation therapy for cancer of the cervix, it is crucial to include information about reporting redness, desquamation, and telangiectasis to her radiologist in her discharge teaching plan. This is the correct answer (Option C) because these symptoms are indicative of radiation therapy side effects and need prompt medical attention to prevent complications. Option A (Maintaining intake and output records) is important for general health monitoring but is not directly related to radiation therapy. Option B (Applying ointment to irradiated areas) may seem relevant for skin care, but it is more important to monitor and report specific side effects. Option D (Maintaining a vigorous exercise program) is contraindicated during radiation therapy as it can exacerbate side effects and should be avoided. Educationally, understanding the importance of recognizing and reporting radiation therapy side effects is crucial for patients undergoing such treatment. This knowledge empowers patients to advocate for their own health and ensures timely intervention by healthcare providers, ultimately improving treatment outcomes and quality of life.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) When a white or yellow discharge from the vagina develops. This is the situation where the client should report to the physician. Explanation: - A white or yellow discharge can indicate an infection or another issue related to the pessary use, which requires medical attention to prevent further complications. Why other options are wrong: - Option A) Regarding a Pap test of the client: While regular Pap tests are important for women's health, this does not specifically relate to pessary management. - Option B) Regarding the maintenance of a pessary: Routine maintenance of the pessary is essential, but it does not indicate an urgent need for medical attention. - Option D) Regarding a culture and sensitivity test of the vagina: This is a routine test that may be done as part of monitoring, but it does not indicate an immediate need for reporting to the physician. Educational context: It is crucial for clients using pessaries to be aware of signs and symptoms that may indicate complications. Educating clients on when to seek medical attention helps in early detection and management of any issues related to pessary use, promoting their overall health and well-being. Regular follow-ups with healthcare providers are also important to monitor the effectiveness and safety of pessary use.

Correct Answer: C

Rationale: In the context of a client who has undergone chemotherapy for breast cancer, experiencing body image disturbances, the correct answer is C) Hair loss. Hair loss, also known as alopecia, is a common side effect of chemotherapy that can significantly impact an individual's self-esteem and body image. Losing one's hair can be emotionally distressing, as it is a visible sign of illness and can lead to a loss of confidence and sense of identity. Option A) Fatigue, option B) Vomiting, and option D) Nausea are also common side effects of chemotherapy, but they are more related to physical symptoms rather than directly impacting body image disturbances. While these symptoms can contribute to a client's overall well-being and quality of life, they do not have the same direct impact on body image as hair loss does in the context of this question. Educationally, understanding the psychosocial impact of chemotherapy side effects on body image is crucial for healthcare providers, especially nurses, who work closely with cancer patients. By recognizing the emotional challenges that patients may face, nurses can provide appropriate support, empathy, and resources to help clients cope with the changes in their appearance and self-perception during their treatment journey.