HESI Practice Test Comprehensive Exam 1.| VERIFIED SOLUTION

HESI Practice Test Comprehensive Exam 1. A nurse is planning to teach self-care measures to a female client about prevention of yeast infections. Which instructions should the nurse provide? Use a douche preparation no more than once a month. Increase daily intake of fiber and leafy green vegetables. Select nylon underwear that is loose-fitting, white, and comfortable. Avoid tight-fitting clothing and do not use bubble-bath or bath salts. Rationale A common genital tract infection in females is candidiasis, which is an overgrowth of the normal vaginal flora of Candida albicans that thrives in an environment that is warm and moist and is perpetuated by tight-fitting clothing, underwear, or pantyhose made of nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent, such as cotton underwear, and avoid using bubble-bath or bath salts which further irritate sensitive genital tissue. Douching is not recommended because it can irritate vaginal tissue, alter pH, and contribute to fungal growth. While increasing dietary fiber intake encourages healthy, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon undergarments, provide absorbancy and reduce moisture in the perineal area. Which information should the nurse provide a client who has undergone cryosurgery for Stage 1A cervical cancer? Notify the healthcare provider if heavy vaginal discharge occurs. Use condoms for sexual intercourse during the next week. Flat subclinical mucosal lesions are a common harmless side effect. Use a sanitary napkin instead of a tampon. Rationale Clients should avoid the use of tampons for 3 to 6 weeks after the procedure to reduce the risk of infection. A heavy, watery vaginal discharge is expected during this time, so the healthcare provider notification is not necessary. Sexual intercourse should be avoided for up to 6 weeks. Mucosal lesions are not a side effect of the procedure but may indicate human papillomavirus or a cancerous lesion and should be reported.