The nurse is preparing a 51-year-old client for a vaginal examination. The nurse should place the client in which position?

Correct Answer: C

Rationale: The correct answer is C: Lithotomy position. This position allows for optimal visualization of the vaginal area and easier access for the examination. The client lies on their back with knees flexed and feet in stirrups, providing proper exposure. Prone (A) is face down and not suitable for a vaginal exam. Lateral Sims' (B) is on the side and not ideal for this exam. High Fowler's (D) is sitting upright, which is not appropriate for a vaginal examination.

Correct Answer: C

Rationale: In this scenario, option C, "Heavy lifting will not affect my rectocele," is the correct answer that indicates a need for further education. The rationale behind this is that heavy lifting can indeed exacerbate the symptoms of a rectocele by putting increased pressure on the weakened pelvic floor muscles, potentially worsening the condition. Option A is incorrect because weight loss can help alleviate symptoms by reducing pressure on the pelvic floor, which is beneficial for managing rectocele. Option B is also incorrect as increasing fiber and water intake can aid in preventing constipation, which is essential for rectocele management. Option D is a valid statement as Kegel exercises are effective in strengthening the pelvic floor muscles, thereby improving symptoms of a rectocele. From an educational standpoint, it is crucial for the nurse to emphasize the importance of avoiding heavy lifting to prevent worsening of rectocele symptoms. Patients need to understand the impact of lifestyle modifications, such as weight management, dietary changes, and appropriate exercises, in managing their condition effectively. This rationale highlights the significance of patient education in promoting self-care and improving outcomes for individuals with maternal disorders like rectocele.

Correct Answer: C

Rationale: The correct answer is C (9-26) because the HPV vaccine is recommended for both males and females between the ages of 9 and 26. Vaccination at a younger age provides the best protection before exposure to the virus. Choices A, B, and D include age ranges outside the recommended vaccination window, making them incorrect options.

Correct Answer: C

Rationale: The correct answer is C: Genital warts cause cervical cancer. Rationale: 1. Genital warts are caused by certain types of HPV, not cervical cancer. 2. Most HPV infections do resolve on their own, making choice A correct. 3. HPV vaccination can prevent common types of HPV that cause cervical cancer, supporting choice B. 4. Persistent infection with high-risk HPV types, like 16 or 18, can lead to cervical cancer, aligning with choice D. Summary: Option C is incorrect because it inaccurately states that genital warts cause cervical cancer. The other choices are correct in their statements regarding HPV infections, vaccination, and the relationship between specific HPV types and cervical cancer.

Correct Answer: A

Rationale: The correct answer is A because a Pap test is used to detect cervical cancer, not uterine cancer. 1. A Pap test screens for cervical cancer by detecting abnormal cells in the cervix. 2. Uterine cancer is the most common cancer of the reproductive tract, making choice B accurate. 3. Choice C is correct as using estrogen without progesterone can increase uterine cancer risk. 4. Choice D is also accurate as postmenopausal bleeding can be a symptom of uterine cancer. In summary, the need for further teaching arises from the misconception that a Pap test can diagnose uterine cancer.