When assessing a client with cervical cancer who had a total abdominal hysterectomy yesterday, you obtain the following data. Which information has the most immediate implications for planning the client's care?

Correct Answer: B

Rationale: In this scenario, option B is the correct answer: "Client's right calf is swollen and tender." This finding of unilateral leg swelling and tenderness raises concerns for deep vein thrombosis (DVT), a common postoperative complication after hysterectomy. DVT can lead to a life-threatening condition called pulmonary embolism if not promptly addressed. Therefore, it has the most immediate implications for the client's care. Option A, fine crackles at the lung bases, may indicate pulmonary edema but is not as immediately life-threatening as DVT. Option C, the client using the PCA every 15 minutes, could indicate pain management needs but does not pose an immediate threat to the client's life. Option D, amber and clear urine, is a positive finding postoperatively and does not require immediate intervention. Educationally, this question highlights the importance of recognizing and prioritizing postoperative complications based on their potential severity. Nurses need to be vigilant in assessing and responding to signs of DVT to prevent serious consequences for their patients. Early detection and intervention can significantly impact patient outcomes in such cases.

Correct Answer: C

Rationale: In the context of treating fibrocystic breast disease with danazol (Danocrine), the correct adverse reaction that may occur is amenorrhea (option C). Danazol is a synthetic androgen that suppresses ovarian function, leading to a decrease or cessation of menstrual periods. This effect is desired in the treatment of fibrocystic breast disease to reduce cyclic breast pain and tenderness. Option A, nausea, is a common side effect of many medications but is not specifically associated with danazol. Option B, confusion, is not a typical adverse reaction of danazol use for fibrocystic breast disease. Option D, hypotension, is also not a known side effect of danazol. Educationally, understanding the potential adverse reactions of medications used in the treatment of specific conditions is crucial for healthcare professionals to provide safe and effective care to their patients. In this case, knowing that danazol can cause amenorrhea helps healthcare providers monitor and manage this side effect in patients being treated for fibrocystic breast disease.

Correct Answer: D

Rationale: The correct answer is D) Crede's maneuver. Crede's maneuver involves applying gentle pressure to the bladder to assist in emptying it while seated on the toilet. This technique is often used by individuals who have difficulty fully emptying their bladder due to conditions like urinary retention. Option A) Valsalva maneuver is a breathing technique that involves holding your breath and bearing down, which can increase intra-abdominal pressure but is not specifically related to bladder function. Option B) Kegel maneuver involves contracting and relaxing the pelvic floor muscles, which can help improve bladder control but does not directly address emptying the bladder. Option C) Pelvic floor maneuver is a vague term and not a recognized technique for assisting with bladder emptying. In an educational context, understanding techniques like Crede's maneuver is important for individuals with bladder issues to maintain optimum bladder function. Educating clients on proper bladder emptying techniques can help prevent complications such as urinary tract infections and bladder distention. It is crucial for healthcare providers to teach patients these strategies to promote bladder health and overall well-being.

Correct Answer: B

Rationale: In an educational setting focusing on the prevention of sexually transmitted infections (STIs), the best answer is option B: Abstain from sexual activities. This is the most effective way to completely eliminate the risk of contracting STIs. Option A is incorrect as having monogamous sex with an infected partner still carries the risk of transmission. Option C is incorrect as washing areas of indirect contact does not fully prevent STI transmission. Option D is also incorrect as avoiding protected sex until completing treatment leaves individuals vulnerable to STIs. Educationally, it is crucial to emphasize abstinence as the most reliable method of STI prevention. Providing accurate information empowers students to make informed decisions about their sexual health. Understanding the limitations of other preventive measures reinforces the importance of abstinence as a primary strategy for avoiding STIs.