A client who is experiencing excess bleeding during menses is ...

[altibaby]

A client who is experiencing excess bleeding during menses is scheduled for a dilation and curettage in a few days. The nurse should instruct the client to:
 
  1. drink extra fluids for several days prior to surgery.
  2. avoid using tampons for 2 weeks.
  3. come in the day before surgery for insertion of a laminaria.
  4. avoid intercourse until after the follow-up visit.

Question 2

A client is complaining of burning and itching of the nipple of the left breast. The nurse should ask the client whether there is any crusting on the breast, and inspect the breast and surrounding area for:
 
  1. a lump under the arm.
  2. ulceration near the nipple.
  3. edema of the breast.
  4. pathological fractures.

[scrocafella]

Answer to Question 1

Answer: 3

1. It is not necessary to drink extra fluids prior to surgery.
2. The client is instructed to avoid tampons after surgery.
3. A laminaria is inserted the day before surgery to absorb cervical secretions and to dilate the cervix.
4. The client is instructed to avoid intercourse after surgery.

Answer to Question 2

Answer: 2

1. The client with early Paget's disease, which the nurse suspects, will not have metastasis to the lymph system.
2. Along with burning and itching, the nurse should inspect for ulceration or erosion of the nipple.
3. Edema of the breast is more characteristic of inflammatory carcinoma of the breast.
4. Pathological fractures occur when carcinoma has metastasized to the bone.