Evolve Maternity Practice Test

Before undergoing a hysterosalpingography (HSG) test, it's important for the nurse to inform the client that they may experience some shoulder pain after the procedure, which can last for up to 14 hours. This shoulder pain is often the result of referred pain from the diaphragm due to the contrast material used during the test. The discomfort can occur as the gas or fluid travels through the fallopian tubes, potentially leading to irritation of the diaphragm and subsequent pain in the shoulder region.

This understanding helps the client to prepare for any post-procedural discomfort and reduces anxiety about experiencing unexpected pain. Informing clients about possible side effects like shoulder pain emphasizes the nature of the test while providing realistic expectations about recovery.

In contrast, noting that the test will be completely painless is misleading, as some clients may indeed experience cramping or discomfort during the procedure itself. Claiming there are no risks involved is inaccurate since HSG can carry risks such as infection or allergic reactions to the contrast material. Lastly, advising clients to avoid all medications is not typically necessary, as certain medications may be allowed or even required depending on individual health circumstances, which should be assessed by their healthcare provider.