A Nurse Practitioner Is About to Perform the Advanced Technique

question 38

Multiple Choice

A nurse practitioner is about to perform the advanced technique for an anal pap collection.Which of the following steps would be included? Select all that apply.

• A) Inform the patient to avoid enemas and receptive anal intercourse for 24 hours prior to specimen collection.
• B) Colonic preparation is not necessary, but the rectum should be emptied before obtaining the sample.
• C) Moisten a Dacron-tipped swab with tap water and insert the swab about 4 inches into the anal canal.
• D) Perform 1 to 2 spiral rotation movements of the swab against the walls of the rectum and anus as the swab encircles the anal canal during slow withdrawal of the swab.
• E) Remove the swab and swirl it for 5 seconds in a container of liquid cytology fluid.
• F) Perform a digital rectal examination after the anal Pap to rule out any masses.

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Definitions:

Behavior Changes

Modifications or transformations in human actions or reactions, often aimed at improving health, productivity, or social relationships.

Theory of Planned Behavior

A theory that predicts an individual's intention to engage in a behavior based on their attitudes, subjective norms, and perceived control over the behavior.

Reasonable People

Individuals who act with common sense and wisdom, making decisions based on rational thinking.

Systematic Use

The methodical and consistent employment of a procedure, tool, or system for intended outcomes.