Mrs. Smith asks if she will look 'normal' in clothes again and about the possibility of having reconstructive surgery. The most appropriate response would be

Correct Answer: C

Rationale: The most appropriate response to Mrs. Smith's query about looking 'normal' in clothes again and reconstructive surgery is option C: supporting her in her efforts to gain more information about her options. This response is the most empathetic and empowering as it acknowledges Mrs. Smith's concerns and offers her the opportunity to explore and understand all available options. Option A is incorrect because stating that reconstructive surgery is experimental may not provide Mrs. Smith with the reassurance or information she needs. Option B suggesting an external breast prosthesis is safer is not appropriate as it may not address Mrs. Smith's desire for reconstructive surgery. Option D, telling her she would probably not be a candidate for reconstructive surgery, is dismissive and does not consider Mrs. Smith's feelings or wishes. In an educational context, it is crucial to emphasize patient-centered care and the importance of empowering individuals to make informed decisions about their healthcare. Supporting individuals in their efforts to gather information and explore their options promotes autonomy, respect, and informed decision-making. It also fosters a trusting and collaborative patient-provider relationship, which is essential in healthcare settings.

Correct Answer: A

Rationale: In the treatment of chronic cervicitis, antibiotics are the correct choice. Chronic cervicitis is commonly caused by bacterial infections, such as Chlamydia or Gonorrhea. Antibiotics are specifically designed to target and eliminate bacterial infections, making them the most effective treatment option in this case. Antifungals (option B) are used to treat fungal infections, not bacterial infections like cervicitis. Antivirals (option C) are used for viral infections, such as herpes or HPV, which are not the primary cause of chronic cervicitis. Anti-inflammatory drugs (option D) may help with symptoms like pain or swelling, but they do not address the underlying bacterial infection that antibiotics can treat. In an educational context, understanding the appropriate treatment for different types of infections is crucial for healthcare professionals, especially those working in fields like gynecology or reproductive health. By knowing the specific medications that target bacterial, fungal, or viral infections, healthcare providers can make informed decisions to effectively treat their patients and promote positive health outcomes.

Correct Answer: A

Rationale: In the context of managing a breast abscess to prevent maceration from irritating drainage or wound compresses, applying zinc oxide to the surrounding skin (Option A) is the most appropriate nursing intervention. Zinc oxide acts as a barrier cream, protecting the skin from moisture and irritation, thus helping to prevent maceration. Using a binder to hold the dressing in place (Option B) may help secure the dressing but does not directly address the risk of maceration from irritating drainage. Elevating the scrotum (Option C) is unrelated to managing a breast abscess. Limiting alcohol intake (Option D) is important for overall health but does not specifically prevent maceration in this context. Educationally, understanding the rationale behind using zinc oxide provides insight into the importance of skin protection in wound care. Nurses need to have a comprehensive knowledge of wound management to prevent complications like maceration, emphasizing the significance of appropriate interventions tailored to individual patient needs.

Correct Answer: A

Rationale: The correct answer is A) An outbreak of the HSV-2 infection is often self-limiting and hence treatment may be unnecessary. This is the right choice because HSV-2 outbreaks typically resolve on their own without specific medical intervention. Antiviral medications may be prescribed to alleviate symptoms or reduce the frequency of outbreaks, but they are not always necessary. This information is crucial for caregivers to understand so they can provide appropriate support and guidance to clients with HSV-2. Option B) Clients don't seek treatment because of embarrassment is incorrect. While stigma and embarrassment can be barriers to seeking treatment for HSV-2, it is not a universal truth. Many individuals do seek medical care for their symptoms and to manage their condition effectively. Option C) Healthcare providers and laboratories are not required by law to report is incorrect. In many jurisdictions, healthcare providers and laboratories are mandated to report cases of HSV-2 to public health authorities for surveillance and monitoring purposes. Option D) Reporting is up to the client, not the provider is also incorrect. Reporting of communicable diseases like HSV-2 is typically the responsibility of healthcare providers to ensure proper tracking, treatment, and prevention of spread within the community. Educationally, understanding the natural course of HSV-2 outbreaks and the role of healthcare providers in reporting and managing the condition is vital for healthcare professionals, as they play a key role in supporting clients with HSV-2 and preventing further transmission of the virus.

Correct Answer: D

Rationale: In this scenario, the correct action to take first is option D: Obtain an oxygen saturation using pulse oximetry. This is because the client is exhibiting signs of a potential pulmonary embolism, which is a serious complication post-radical prostatectomy due to the formation of blood clots. Checking oxygen saturation is crucial to assess for adequate oxygenation and to determine if the client's shortness of breath is due to a pulmonary issue. Option A, irrigating the catheter with saline, is not the priority as the client's symptoms suggest a more urgent systemic issue like a pulmonary embolism. Option B, administering oxybutynin, is used for managing overactive bladder symptoms and is not relevant to the client's current presentation. Option C, checking for Homans' sign, is used to assess for deep vein thrombosis in the lower extremities and may not be the most immediate concern in this case. Educationally, this scenario highlights the importance of recognizing and prioritizing emergent situations in post-operative care. Understanding the signs and symptoms of potential complications like pulmonary embolism is crucial for nurses to provide timely and appropriate interventions to ensure patient safety and well-being.