Which of the following instructions would the nurse include when ...

[mynx]

Which of the following instructions would the nurse include when preparing a woman for a Pap smear?
 
  A) Refrain from sexual intercourse for 1 week before the test..
  B) Wear cotton panties on the day of the test..
  C) Avoid taking any medications for 24 hours..
  D) Do not douche for 48 hours before the test..

Question 2

A patient comes into the family planning clinic and requests a prescription for birth control pills. Which assessment finding indicates that an ovulation suppressant would not be the best contraceptive method for the patient?
 
  A) Age 30 years
  B) Allergy to foreign protein
  C) Irregular menstrual cycles
  D) History of thromboembolism

[vish98]

Answer to Question 1

D
Feedback:
The nurse should instruct the woman not to douche for 48 hours before the test to prevent washing away cervical cells, which might be abnormal. Sexual intercourse should be avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a Pap smear. Medications do not need to be withheld before the test.

Answer to Question 2

D
Feedback:
Combination oral contraceptives are not routinely prescribed for patient with a history of thromboembolic disease. The patients' age would not be a contraindication for this type of contraceptive. An allergy to foreign protein would impact the patient's ability to use condoms. Irregular menstrual cycles would be an indication for combination oral contraceptives.