After having a modified radical mastectomy, a client is transferred to the post-anesthesia care unit (PACU). All of these actions are included in the routine post-operative care for clients who have had this procedure. Which is best to delegate to an experienced LPN?

Correct Answer: A

Rationale: In this scenario, the best task to delegate to an experienced LPN is monitoring the client's dressing for any signs of bleeding (Option A). This task falls within the scope of practice for an LPN as it involves close observation and assessment of the surgical site without making any clinical judgments or decisions. LPNs are trained to recognize signs of bleeding or infection and can promptly report any concerns to the appropriate healthcare provider. Option B, documenting the initial assessment, requires critical thinking and clinical judgment, which is typically within the scope of practice for registered nurses. Option C, calling the client's status report to the charge nurse, involves communication and decision-making that are better suited for a registered nurse who has a broader scope of practice. Option D, teaching the client about the importance of using pain medication, involves patient education and assessment of understanding, which are roles typically performed by registered nurses or other healthcare providers with specialized training in patient education. From an educational perspective, it is important for healthcare providers to understand delegation principles based on scope of practice, competency, and patient safety. Understanding which tasks can be appropriately delegated to different members of the healthcare team ensures effective and efficient patient care delivery. Practice scenarios like this help reinforce these concepts and promote safe delegation practices in healthcare settings.

Correct Answer: D

Rationale: The correct answer is D) The nurse should inform her that this procedure may be performed without anesthesia in the physician's office. This option is the most appropriate because it provides accurate information about the procedure, addressing the client's fear of being operated on by clarifying that anesthesia may not be necessary for this specific test. Option A is incorrect because it focuses on the duration of anesthesia rather than addressing the client's specific concerns about the procedure itself. Option B is incorrect as it provides misleading information about general anesthesia, which is not typically used for an endometrial biopsy. Option C is also incorrect as it emphasizes the expertise of the healthcare providers rather than directly addressing the client's fear of the procedure. In an educational context, it is important for nurses to be able to effectively address patient concerns and anxieties regarding medical procedures. Providing accurate and clear information can help alleviate fears and build trust between the client and the healthcare team. Empathy, communication skills, and patient education are essential components of nursing care when dealing with anxious patients.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) The nurse inquires if the client has douched within the last 48 hours. This is the appropriate action because douching can introduce additional bacteria into the pelvic region, exacerbating the infection in PID. Option B) advising a douche every hour prior to being examined is incorrect as douching is not recommended for PID and frequent douching can disrupt the natural flora and worsen the infection. Option C) avoiding administering analgesics is incorrect because pain management is an essential aspect of caring for a client with PID. Proper pain control can improve comfort and promote recovery. Option D) avoiding washing the perineal area is incorrect as proper hygiene, including gentle washing of the perineal area, is crucial in preventing the spread of infection and maintaining cleanliness. Educationally, understanding the rationale behind these options helps nurses provide optimal care for clients with PID. It reinforces the importance of evidence-based practices, such as avoiding harmful interventions like douching, ensuring proper pain management, and emphasizing the significance of hygiene in infection control.

Correct Answer: C

Rationale: In the context of a client with inflammation of the prostate gland, the nurse would suggest option C) No masturbation or sexual intercourse until treated. This recommendation is based on the understanding that sexual activity can exacerbate inflammation of the prostate gland and potentially lead to further complications. By advising the client to abstain from sexual activities until treatment is completed, the nurse aims to reduce irritation and pressure on the inflamed gland, promoting faster healing and recovery. Option A) Treat the client and also his sexual partners is incorrect because inflammation of the prostate gland is not a sexually transmitted infection. Treating the client's sexual partners is unnecessary in this situation. Option B) Avoid standing for long periods and foods that cause diarrhea is not directly related to the treatment of prostate gland inflammation. While lifestyle modifications may be beneficial, they are not the primary intervention for this condition. Option D) Avoid foods that may cause acidity is also unrelated to the treatment of prostate gland inflammation. While dietary changes may be beneficial for overall health, they do not specifically address the inflammation of the prostate gland. Educationally, understanding the management of prostate gland inflammation is crucial for nurses working with male clients. Providing accurate information on lifestyle modifications and treatment recommendations can help prevent complications and promote optimal health outcomes in individuals experiencing prostate issues.

Correct Answer: A

Rationale: The correct answer is A) Advise all sexual contacts to be examined and treated. This is the best discharge instruction for a client with genital warts because genital warts are highly contagious and caused by the human papillomavirus (HPV). Advising all sexual contacts to be examined and treated is crucial to prevent the spread of the infection and to ensure the health and well-being of all individuals involved. This instruction aligns with the principle of public health and responsible sexual behavior. Option B) Antiviral IV drugs are recommended to prevent viral shedding is incorrect because IV drugs are not typically used to treat genital warts, and antiviral medications are usually administered topically or orally in the case of genital warts caused by HPV. Option C) Topical applications of the antiviral drugs are recommended for clinical benefits is also incorrect because while topical antiviral medications may be used in some cases, the primary mode of treatment for genital warts usually involves other methods such as cryotherapy, laser therapy, or surgical removal. Option D) Use of alcohol, peroxide, witch hazel, and warm air from a hair dryer are recommended to keep the lesions dry is incorrect because these methods are not effective in treating genital warts caused by HPV. In fact, using harsh chemicals or drying agents can worsen the condition and cause skin irritation. In an educational context, it is important for healthcare providers to have a thorough understanding of sexually transmitted infections like genital warts and to provide accurate and evidence-based information to patients. Educating patients about the importance of safe sexual practices, regular screenings, and appropriate treatment options is essential in preventing the spread of infections and promoting overall sexual health.