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Author Question: A client has a recurrent Bartholin cyst. What is the nurse's priority action? a. Apply an ice ... (Read 123 times)

MirandaLo

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A client has a recurrent Bartholin cyst. What is the nurse's priority action?
 
  a. Apply an ice pack to the area.
  b. Administer a prophylactic antibiotic.
  c. Obtain a fluid sample for laboratory analysis.
  d. Suggest moist heat such as a sitz bath.

Question 2

A client is admitted to the emergency department with toxic shock syndrome. Which action by the nurse is the most important?
 
  a. Administer IV fluids to maintain fluid and electrolyte balance.
  b. Remove the tampon as the source of infection.
  c. Collect a blood specimen for culture and sensitivity.
  d. Transfuse the client to manage low blood count.



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Jane

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Answer to Question 1

ANS: C
A major cause of an obstructed duct forming a cyst is infection. The laboratory specimen is a priority since a culture is needed in order to prescribe sensitive antibiotics. Comfort measures can then be used, such as ice packs and moist heat.

Answer to Question 2

ANS: B
The source of infection should be removed first. All of the other answers are possible interventions depending on the client's symptoms and vital signs, but removing the tampon is the priority.




Jane

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