Ms3 Final Review Part 3
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The patient has been diagnosed with breast cancer in the early stage. Which of the following surgical procedures would preserve the most breat tissue for this patient?
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Lumpectomy
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Mastectomy
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Needle biopsy
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Oophorectomy
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MS3 Final Review Part 3 assesses knowledge in nursing interventions and patient care, focusing on conditions like breast cancer, benign prostatic hypertrophy, and dysmenorrhea. It evaluates practical skills in managing specific patient scenarios, crucial for nursing professionals.
Quiz Preview
- 2.
The patient is having a gynecologic exam in the hospital bed. Which position will the nurse assist the patient in achieving?
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Sims
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Prone
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Lithotomy
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Dorsal recumbent
Correct Answer
A. LithotomyExplanation
The nurse will assist the patient in achieving the lithotomy position. This position is commonly used during gynecologic exams as it allows for easy access to the genital area. In the lithotomy position, the patient lies on their back with their legs flexed and thighs abducted and externally rotated. This position provides optimal visibility and access for the healthcare provider during the exam.Rate this question:
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- 3.
In planning the nursing care of the patient with dysmenorrhea, the nurse suggests that the patient:
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Engage in strenuous exercise to delay painful cramps
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Eat protein packed foods to delay painful cramps
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Drink warm beverages and use heat to relieve symptoms
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Apply ice packs to the abdomen twice a day
Correct Answer
A. Drink warm beverages and use heat to relieve symptomsExplanation
The nurse suggests that the patient drink warm beverages and use heat to relieve symptoms of dysmenorrhea. This is because warm beverages can help to relax the uterine muscles and reduce cramping. Heat therapy, such as using a heating pad or taking a warm bath, can also help to alleviate pain and discomfort by increasing blood flow and relaxing the muscles.Rate this question:
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- 4.
Lar Which of the following subjective symptoms from a patient would lead a nurse to suspect that he may have benign prostatic hypertrophy?
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Inability to perform intercourse
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Hematuria
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Decreased force of urine stream
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Testicular pain when voiding
Correct Answer
A. HematuriaExplanation
The presence of hematuria, or blood in the urine, would lead a nurse to suspect that a patient may have benign prostatic hypertrophy. This is because the enlargement of the prostate gland in BPH can cause irritation and inflammation, leading to bleeding in the urinary tract. Therefore, the presence of hematuria can be a sign of this condition.Rate this question:
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- 5.
Which nursing intervention would discourage the development of edema in the arm of an individual who had a mastectomy?
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Administer diuretics as ordered
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Elevate the arm above the level of the heart
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Bind the affected arm to the patient's side
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Assess circulatory status frequently
Correct Answer
A. Elevate the arm above the level of the heartExplanation
Elevating the arm above the level of the heart would discourage the development of edema in the arm after a mastectomy. This position helps to promote venous return and prevent fluid accumulation in the affected arm. By elevating the arm, gravity assists in draining excess fluid and reducing swelling. This intervention can help improve circulation and prevent edema from occurring.Rate this question:
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- 6.
The nurse observes that her patient, age 60, has stress incontinence each time she gets out of bed. The nurse understands that
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Hormonal changes place older women at risk for stress incontinence
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Her patient is not emptying her bladder completely
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The nerves controlling the bladder are affected
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Her patient's bladder is displaced in her pelvic cavity
Correct Answer
A. Hormonal changes place older women at risk for stress incontinenceExplanation
Hormonal changes in older women can weaken the muscles and tissues that support the bladder and urethra, leading to stress incontinence. This can cause urine leakage when there is pressure on the bladder, such as when the patient gets out of bed.Rate this question:
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- 7.
The nurse is distributing health literature on prostate cancer. Which of the following blood test is recommended by the American Cancer Society as a screening for this type of cancer?
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Carcinogenic embryonic antigen(CEA)
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Prostate-specific antigen(PSA)
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Digital rectal examination(DRE)
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Enzyme-linked immunosorbent assay (ELISA)
Correct Answer
A. Prostate-specific antigen(PSA)Explanation
The correct answer is Prostate-specific antigen (PSA). The American Cancer Society recommends PSA as a screening test for prostate cancer. PSA is a protein produced by the cells of the prostate gland, and elevated levels of PSA in the blood may indicate the presence of prostate cancer. This blood test is commonly used to screen for prostate cancer in men, along with other diagnostic tests such as a digital rectal examination (DRE). Carcinogenic embryonic antigen (CEA) is not specific to prostate cancer and is not recommended as a screening test. Enzyme-linked immunosorbent assay (ELISA) is a general laboratory technique and is not specific to prostate cancer screening.Rate this question:
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- 8.
The nurse is caring for a patient who has developed a possible rectovaginal fistula after the delivery of her fifth child. Which of the following symptoms would suggest that the patient had developed a rectovaginal fistula?
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Leakage of urine from the vagina
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Extreme pain following a bowel movement
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Passage of stool and flatus from the vagina
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White creamy discharge and extreme pruritis
Correct Answer
A. Passage of stool and flatus from the vaginaExplanation
The symptom that suggests that the patient had developed a rectovaginal fistula is the passage of stool and flatus from the vagina. A rectovaginal fistula is an abnormal connection between the rectum and the vagina, which can result in the passage of stool and gas from the vagina. This can cause significant discomfort and embarrassment for the patient. Leakage of urine from the vagina is not associated with a rectovaginal fistula. Extreme pain following a bowel movement may be seen in other conditions such as anal fissures or hemorrhoids. The presence of white creamy discharge and extreme pruritus may indicate a vaginal infection, but it is not specific to a rectovaginal fistula.Rate this question:
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- 9.
A nurse is preparing a client for an upcoming histerectomy. Which of the following should the nurse caution the patient to expect following the surgery?
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The patient will have a catheter after surgery
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The pt should expect to be on bed rest for at least 3 days
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It is unlikely that the pt will resume a PO intake for atleast 72hrs
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Physical therapy will be an integral part of her rehabilitation process
Correct Answer
A. The patient will have a catheter after surgeryExplanation
After undergoing a hysterectomy, it is common for patients to have a catheter inserted. This is because the surgery involves the removal of the uterus, which can cause temporary bladder dysfunction. The catheter helps in draining urine from the bladder until normal bladder function is restored. Therefore, it is important for the nurse to caution the patient about the presence of a catheter after the surgery.Rate this question:
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- 10.
A nurse is caring for a pt who has an internal radiation implant in her uterus for treatment of cervical cancer. Which of the following statements made by the pt would indicate that further teaching may be necessary?
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I should be taking stool softners everyday
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I can lay on either my back or my side when I sleep
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I should expect to get sick to my stomach with this type of treatment
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I can have my daughter come in and sit with me if I get bored being hospitalized
Correct Answer
A. I can have my daughter come in and sit with me if I get bored being hospitalizedExplanation
The correct answer indicates that further teaching may be necessary because having visitors, especially children, near a patient with an internal radiation implant can pose a risk of radiation exposure. It is important for the patient to understand the potential dangers and precautions associated with the treatment.Rate this question:
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- 11.
While providing care to a 26yr old married female, the nurse notes multiple ecchymotic areas on her arms and trunk. The color of the ecchymotic areas range from blue to purple to yellow, When asked by the nurse how she got these bruises, the client replies "Oh I tripped". How should the nurse respond? Select all that apply. (3)
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Document the client's statement and complete a body map indicating the size, color, shape, location, and type of injury
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Report suspicions of abuse to the local authorities
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Call the clients husband to discuss the situation
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Tell the client that she needs to leave the abusive situation as soon as possible
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Provide the client with telephone numbers of local shelters and safe house
Correct Answer(s)
A. Document the client's statement and complete a body map indicating the size, color, shape, location, and type of injury
A. Report suspicions of abuse to the local authorities
A. Provide the client with telephone numbers of local shelters and safe houseExplanation
The nurse should respond by documenting the client's statement and completing a body map indicating the size, color, shape, location, and type of injury. This is important for accurate documentation and future reference. The nurse should also report suspicions of abuse to the local authorities to ensure the client's safety and well-being. Additionally, providing the client with telephone numbers of local shelters and safe houses can offer support and resources for leaving the abusive situation.Rate this question:
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- 12.
A client receiving chemotherapy for breast cancer develops myelosupression. Which inlstructions should the nurse include in the discharge teaching plan? Select all that apply.
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Avoid people who recently have recently received attenuated vaccines
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Avoid activities that may cause bleeding
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Wash hands frequently
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Increase intake of fresh fruits and vegetables
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Avoid crowded places such as shopping malls
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Treat a sore throat with over the counter products
Correct Answer(s)
A. Avoid people who recently have recently received attenuated vaccines
A. Avoid activities that may cause bleeding
A. Wash hands frequently
A. Avoid crowded places such as shopping mallsExplanation
The client receiving chemotherapy for breast cancer develops myelosuppression, which is a decrease in the production of blood cells. To prevent infection and bleeding, the nurse should include the following instructions in the discharge teaching plan:
- Avoid people who recently have recently received attenuated vaccines, as they may shed the virus and pose a risk of infection to the client.
- Avoid activities that may cause bleeding, such as contact sports or using sharp objects.
- Wash hands frequently to prevent the spread of infection.
- Avoid crowded places such as shopping malls, where the risk of exposure to infections is higher.Rate this question:
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- 13.
A male pt is diagnosed with Chlamydia. Which of the following symptoms would cause the physician to suspect the pt to complain about?
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Urethritis
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A sore on his penis
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Anal itching
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Papular warts on the genitals
Correct Answer
A. UrethritisExplanation
If a male patient is diagnosed with Chlamydia, the physician would suspect the patient to complain about urethritis. Urethritis refers to the inflammation of the urethra, which is a common symptom of Chlamydia infection in males. It can cause symptoms such as pain or a burning sensation during urination, as well as discharge from the penis. Therefore, the presence of urethritis would lead the physician to suspect that the patient is experiencing these symptoms.Rate this question:
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- 14.
A pt just underwent a cystoscopy. Immediately following this procedure, which of the following nursing actions is most appropriate?
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Taking vital signs
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Administering PRN narcotic ordered for pain
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Applying cool towels to the lower abdomen
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Assisting the pt off the table to the wheelchair
Correct Answer
A. Assisting the pt off the table to the wheelchairExplanation
Assisting the patient off the table to the wheelchair is the most appropriate nursing action immediately following a cystoscopy. This is because the procedure involves inserting a scope into the bladder through the urethra, which can cause discomfort and potential dizziness or weakness in the patient. Assisting the patient off the table to the wheelchair ensures their safety and helps prevent any falls or injuries.Rate this question:
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- 15.
A nurse is assisting a physician in a gynecological exam. Which of the following interventions would increase the comfort of the pt during the procedure?
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Allow the pt to wear undergarments
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Have the pt void before positioning on the exam table
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Ensure that the pt is not mensturating when the exam is done
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Leave the room when the exam begins to reduce embarrassment for the pt
Correct Answer
A. Have the pt void before positioning on the exam tableExplanation
Having the patient void before positioning on the exam table would increase the comfort of the patient during the gynecological exam. Voiding before the procedure can help reduce discomfort and pressure on the bladder, making the patient more comfortable during the examination.Rate this question:
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- 16.
The nurse is educating a group of women on the correct technique for breast self-exam. Which of the following methods would the nurse recommend?
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Exam your breast when your period first starts
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Palpate your breast for lumps while sitting at a table
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Use the palms of your hands to feel for lumps in your breasts
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Visually inspect the breast while standing in front of a mirror and then palpate each breast using the fingertips of your hands to feel for lumps
Correct Answer
A. Visually inspect the breast while standing in front of a mirror and then palpate each breast using the fingertips of your hands to feel for lumpsExplanation
The nurse would recommend visually inspecting the breast while standing in front of a mirror and then palpating each breast using the fingertips of the hands to feel for lumps. This method allows for a thorough examination of the breasts, both visually and through touch, to detect any abnormalities or lumps. It is important to visually inspect the breasts to look for changes in size, shape, or skin texture, and then use the fingertips to feel for any lumps or abnormalities that may not be visible.Rate this question:
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- 17.
A female pt presents to an outpatient clinic because she is concerned that she may have gonorrhea. The pt states that her male partner was diagnosed but she has no symptoms. Which of the following is the best response by the nurse?
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I am sure that there is no reason to worry if you have no symptoms
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I think we should test you because gonorrhea can be asymptomatic in women
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You can return to the clinic whenever you have burning on urination or get a fever
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I think we can prescribe you an antibiotic without even doing a culture because your partner is infected
Correct Answer
A. I think we should test you because gonorrhea can be asymptomatic in womenExplanation
The best response by the nurse is to suggest testing for gonorrhea because it can be asymptomatic in women. This is important because even though the patient does not have any symptoms, she may still be infected and could potentially transmit the infection to others if left untreated. Testing is the only way to confirm the presence of the infection and initiate appropriate treatment if necessary.Rate this question:
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- 18.
A pt has a prolapsed uterus. Which of the following is the priority nursing diagnosis for this pt?
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Alteration in body image
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Alteration in sexual patterns
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Alteration in urinary elimination
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Alteration in bowel elimination
Correct Answer
A. Alteration in urinary eliminationExplanation
The priority nursing diagnosis for a patient with a prolapsed uterus would be alteration in urinary elimination. This is because a prolapsed uterus can cause pressure on the bladder, leading to urinary symptoms such as frequency, urgency, and difficulty emptying the bladder. Addressing this issue is important to prevent complications such as urinary tract infections and urinary retention. While alterations in body image, sexual patterns, and bowel elimination may also be concerns for the patient, they are not the priority in this case.Rate this question:
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- 19.
A LVN is assisting in developing a plan of care for a client who will be hospitalized for insertion of an internal radiation implant. Which of the following does the LVN suggest be included in the plan of care?
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Limit visitors time to 60 minute visits
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Place a radiation sign on the door of the client's room
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Place the client in a private room near the nurses station
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Reinsert the implant into the vagina immediately if it becomes dislodged
Correct Answer
A. Place a radiation sign on the door of the client's roomExplanation
The LVN suggests placing a radiation sign on the door of the client's room in the plan of care because it is important to inform and remind staff and visitors about the presence of radiation in the room. This will help ensure that necessary precautions are taken to minimize exposure and maintain the safety of everyone involved.Rate this question:
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- 20.
A prenatal client who has acquired the sexually transmitted virus Condyloma acuminatum (human papilloma virus) asks the nurse to explain again the treatment for the infection. The nurse should reinforce additional information about which of the following safe treatments with this client?
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Laser therapy
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Cytotoxic mediations
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No therapy is available
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Antibiotics for 12 weeks
Correct Answer
A. Laser therapyExplanation
Laser therapy is a safe treatment option for Condyloma acuminatum (human papilloma virus) in prenatal clients. It involves using a laser to remove or destroy the infected tissue. This treatment is considered safe because it is non-invasive and does not involve the use of medications that may be harmful to the fetus. Laser therapy can effectively remove the warts caused by the virus and help prevent transmission to the baby during childbirth. Therefore, the nurse should reinforce information about laser therapy as a safe treatment option for the client.Rate this question:
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- 21.
A nurse is assisting in preparing a plan of care for the client being admitted to the hospital for insertion of a cervical radiation implant. Which safe activity should the nurse suggest for this client following insertion of the implant?
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Maintain bed rest only
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Out of bed in a chair only
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Elevate the head of the bed at least 45 degrees
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Maintain the client on the side-lying position
Correct Answer
A. Maintain bed rest onlyExplanation
Following the insertion of a cervical radiation implant, it is important for the client to maintain bed rest only. This is because movement and activity can dislodge or shift the implant, leading to potential complications. By remaining in bed, the client can minimize the risk of displacement and ensure the effectiveness of the treatment.Rate this question:
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- 22.
A nurse is caring for a client with breast cancer who is receiving chemo. On reviewing the morning lab results, the nurse notes that the WBC count is extremely low, and the client is placed on neutropenic precautions. The client's breakfast tray arrives , and the nurse inspects the tray and prepares to bring it to the clients room. Which of the following actions should the nurse take before bringing the meal to the client?
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Remove the coffee from the tray
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Remove the fresh peach from the tray
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Ask the client if she feels like eating at this time
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Call the dietary department and request disposable utensils
Correct Answer
A. Remove the fresh peach from the trayExplanation
The nurse should remove the fresh peach from the tray before bringing the meal to the client. Neutropenic precautions are necessary for clients with low white blood cell (WBC) counts, as they are at a higher risk of infection. Fresh fruits, like peaches, may carry bacteria or fungi that can cause infection in individuals with compromised immune systems. Therefore, it is important to remove the fresh peach to minimize the risk of infection for the client.Rate this question:
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- 23.
A nurse has reinforced discharge instructions to a client following a TURP for BpH. Which statement by the client indicates an understanding of instructions?
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I can begin to drive in 1 week
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I cannot lift anything that weighs more than 20lbs
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If I see clots in my urine, I should call the physician immediately
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To prevent dribbling of urine, i should limit my fluid intake to 4 glasses daily
Correct Answer
A. If I see clots in my urine, I should call the physician immediatelyExplanation
The statement "If I see clots in my urine, I should call the physician immediately" indicates an understanding of instructions because it shows that the client recognizes the potential complication of clot formation after a TURP and knows to seek medical attention promptly. This is important as clots in the urine can indicate bleeding and may require immediate intervention.Rate this question:
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- 24.
A nurse is providing instructions to a client after a mastectomy who will be discharged with the axillary drain in place. Which statement by the client indicates a need for further instruction?
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I should keep my arm elevated when I sit or lie down
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I can massage the area with lotion once the incision heals
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I will continue to do BSE monthly and have mammograms as recommended by the doctor
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I should begin full range-of-motion exercises to my upper arm as soon as I get home
Correct Answer
A. I should begin full range-of-motion exercises to my upper arm as soon as I get homeExplanation
The client's statement indicates a need for further instruction because after a mastectomy, it is important to avoid strenuous activities and exercises that could strain the surgical site. Starting full range-of-motion exercises immediately after getting home could potentially disrupt the healing process and increase the risk of complications.Rate this question:
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- 25.
A client with prostatitis ask the nurse, Why do I need stool softners? The problem is my urine, not my bowels! The nurse should provide which explanation to the client?
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This is standard medication for anyone with adominal problems
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This will keep the bowel free of feces, which will help decrease swelling on the inside
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Being constipated puts you at more risk for developing complications of prostatitis
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This will help prevent constipation, because straining is painful with prostatitis
Correct Answer
A. Being constipated puts you at more risk for developing complications of prostatitisExplanation
Stool softeners are necessary for a client with prostatitis because being constipated can increase the risk of developing complications of prostatitis. Constipation can lead to increased pressure on the prostate gland, worsening inflammation and symptoms. By keeping the bowel free of feces, stool softeners can help prevent constipation and reduce the risk of complications.Rate this question:
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- 26.
Which statement indicates that the client needs further teaching about testicular self-examination(TSE)?
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I know to report any small lumps
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I examine myself every 2months
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I examine myself after i take a warm shower
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I feel the spermatic cord in back and going upward
Correct Answer
A. I examine myself every 2monthsExplanation
The statement "I examine myself every 2 months" indicates that the client needs further teaching about testicular self-examination (TSE). Testicular self-examination should be performed monthly to ensure early detection of any abnormalities. Performing the examination less frequently increases the risk of missing any potential issues.Rate this question:
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- 27.
A LVN is caring for a client after a cystoscopy. Which finding, if noted in the client, indicates the need to notify the RN ?
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Back pain
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Bladder spasms
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Bright red clots in urine
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Complaints of fullness and burning in the bladder
Correct Answer
A. Bright red clots in urineExplanation
Bright red clots in the urine after a cystoscopy indicate active bleeding, which is a concerning finding. This could be a sign of a complication such as hemorrhage or injury to the urinary tract. The LVN should notify the RN immediately so that further assessment and appropriate interventions can be initiated to address the bleeding and prevent further complications.Rate this question:
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- 28.
A nurse is caring for a client after a modafied radical mastectomy. Which finding indicates that the client is experiencing a complication related to the surgery?
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Pain at the incisional site
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Arm edema on the operative side
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Bloody drainage in the jackson pratt tube
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Complaints of numbness at the site
Correct Answer
A. Arm edema on the operative sideExplanation
Arm edema on the operative side indicates a complication related to the surgery. Edema, or swelling, can occur as a result of lymphatic obstruction or damage during the mastectomy procedure. This can lead to impaired lymphatic drainage and fluid accumulation in the arm. It is important to monitor and address this complication to prevent further complications such as infection or lymphedema.Rate this question:
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- 29.
A nurse is collecting admission data from a client suspected of having ovarian cancer. Which question should the nurse ask the client to elicit information specifically related to this disorder?
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Have you been having diarrhea
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Have you had any abnormal vaginal bleeding
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Are you bleeding any excessive vaginal bleeding
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Does your abdomen feel as though it is swollen
Correct Answer
A. Have you had any abnormal vaginal bleedingExplanation
The nurse should ask the client if they have had any abnormal vaginal bleeding because this symptom is commonly associated with ovarian cancer. Vaginal bleeding can occur due to the presence of a tumor in the ovaries, which can cause changes in the menstrual cycle or lead to irregular bleeding. Therefore, this question would help the nurse gather information that is specifically related to the suspected disorder.Rate this question:
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- 30.
A pt has symptoms of metrorrhagia and dyspareunia. A physical exam by the physician indicates endometrial-like-cells growing elsewhere in the pelvic cavity. The nurse knows this condition is called what?
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Endometriosis
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Endometritis
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Endopthalmitis
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Endomoebisis
Correct Answer
A. EndometriosisExplanation
Endometriosis is the correct answer because the symptoms described (metrorrhagia and dyspareunia) are commonly associated with endometriosis. Additionally, the presence of endometrial-like cells growing outside of the uterus (in the pelvic cavity) is a characteristic feature of endometriosis. Endometritis refers to inflammation of the endometrium, endopthalmitis is inflammation of the eye, and endomoebisis is not a recognized medical condition.Rate this question:
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- 31.
Early postoperative nursing care for a pt who had a posterior colporrhaphy includes?
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Low fowlers position
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A regular diet
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A stool softner
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Enemas
Correct Answer
A. A stool softnerExplanation
Early postoperative nursing care for a patient who had a posterior colporrhaphy includes administering a stool softener. This is because after surgery, patients may experience constipation or difficulty in passing stools due to the use of anesthesia, pain medications, and immobility. A stool softener helps to prevent or relieve constipation by increasing the water content in the stool, making it easier to pass. This intervention promotes patient comfort and prevents complications such as straining or the development of hemorrhoids.Rate this question:
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- 32.
Which of the following female reproductive structures is involved in sexual arousal?
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Mons pubis
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Clitoris
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Labia minora
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Labia majora
Correct Answer
A. ClitorisExplanation
The clitoris is involved in sexual arousal. It is a highly sensitive organ located at the top of the vulva, above the urethra. It contains a large number of nerve endings, making it highly sensitive to touch and stimulation. When sexually aroused, the clitoris becomes engorged with blood, leading to increased sensitivity and pleasure.Rate this question:
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- 33.
In the menstrual cycle, every month the female reproductive system generates an ovum. When the ovum is not fertilized, which of the following factors causes menstruation?
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The production of progesterone by the corpus luteum begins to increase.
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The production of estrogen by the corpus luteum begins to decrease
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The production of progesterone by the corpus luteum begins to decrease
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The production of another ovum begins immediately
Correct Answer
A. The production of progesterone by the corpus luteum begins to decreaseExplanation
During the menstrual cycle, the corpus luteum, which is formed from the remains of the ovarian follicle after ovulation, produces progesterone. Progesterone helps prepare the uterus for pregnancy by thickening the uterine lining. However, if the ovum is not fertilized, the production of progesterone by the corpus luteum begins to decrease. This decrease in progesterone levels causes the uterine lining to shed, resulting in menstruation.Rate this question:
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- 34.
What is the precaution to be taken when scheduling a cervical biopsy for a client?
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The test should be scheduled 1 week after the menstrual cycle
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The test should be performed 1 week before the menstrual cycle
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The test should be scheduled 3 weeks after the menstrual cycle
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The test should be performed 2 weeks after the menstrual cycle
Correct Answer
A. The test should be scheduled 1 week after the menstrual cycleExplanation
Scheduling a cervical biopsy 1 week after the menstrual cycle is the correct precaution to be taken. This is because during the menstrual cycle, the cervix may be more sensitive and the presence of blood may interfere with the accuracy of the biopsy results. Waiting for 1 week after the menstrual cycle allows the cervix to return to its normal state, providing a better opportunity for an accurate biopsy.Rate this question:
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- 35.
When preparing a client for a hysterosalpingogram, which of the following nursing interventions is required?
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The client should be postmenopausal by atleast 1 week
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A full bladder is required in the client before the test
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The client should be premenopausal by atleast 1 week
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Bowel preperation is necessary for the client
Correct Answer
A. Bowel preperation is necessary for the clientExplanation
Bowel preparation is necessary for the client before a hysterosalpingogram. This is because a clear visualization of the uterus and fallopian tubes is required during the procedure, and any stool in the colon can obstruct the view. Bowel preparation usually involves a clear liquid diet the day before the procedure and the use of laxatives or enemas to empty the colon.Rate this question:
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- 36.
Which of the following is included in the information that is obtained by the nurse to ensure a thorough baseline history?
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Drug, allergy, substance abuse, and smoking history
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Nutritional history
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Exercise and fitness routine
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Cultural history
Correct Answer
A. Drug, allergy, substance abuse, and smoking historyExplanation
To ensure a thorough baseline history, the nurse needs to gather information about the patient's drug, allergy, substance abuse, and smoking history. This information is important as it helps the nurse assess the patient's overall health, identify any potential risks or contraindications for certain treatments or medications, and understand the patient's lifestyle choices that may impact their health. By knowing about the patient's drug, allergy, substance abuse, and smoking history, the nurse can provide appropriate care and interventions tailored to the patient's needs and circumstances.Rate this question:
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- 37.
What should the nurse teach a client who has undergone an aspiration biopsy?
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To inform the physician in case of leakage or bleeding from the biopsy site
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To care for the sutures, using a mild analgesic
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To wear a supportive brassiere
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To understand clearly the signs and symptoms that suggest wound infection
Correct Answer
A. To inform the physician in case of leakage or bleeding from the biopsy siteExplanation
The nurse should teach the client to inform the physician in case of leakage or bleeding from the biopsy site because this could indicate a complication or infection. It is important for the client to monitor the site for any abnormal signs and to report them to the physician for appropriate management. This information is crucial for the client's safety and well-being after the aspiration biopsy procedure.Rate this question:
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- 38.
What should the nurse teach the client who is scheduled for a mammogram in order to avoid artifacts on the x ray film?
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Not to wear any jewels
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To avoid using a deoderant with aluminum hydroxide
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To take the test on an empty stomach
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To drink atleast one quart of water 45 min to 1 hr before the test
Correct Answer
A. To avoid using a deoderant with aluminum hydroxideExplanation
To avoid artifacts on the x-ray film during a mammogram, the nurse should teach the client to avoid using a deodorant with aluminum hydroxide. Aluminum can cause artifacts on the film, which can interfere with the accuracy of the mammogram results. It is important for the client to follow this instruction to ensure clear and accurate imaging during the procedure.Rate this question:
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- 39.
What are the factors about which the nurse should advise a client after a breast biopsy?
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Caring for the wound, using a mild analgesic, wearing a supportive brassiere, and timing of a follow-up appt
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Consuming foods rich in fatand starch and not consuming more than 1000ml water during a day
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Wearing tight fitting garments and drug abuse
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Doing a breast self exam at least once a day and consuming foods rich in protein and fiber
Correct Answer
A. Caring for the wound, using a mild analgesic, wearing a supportive brassiere, and timing of a follow-up apptExplanation
The nurse should advise the client about caring for the wound to prevent infection and promote healing. Using a mild analgesic can help manage any pain or discomfort after the biopsy. Wearing a supportive brassiere can provide comfort and support to the breasts during the healing process. The timing of a follow-up appointment is important to monitor the client's progress and ensure proper healing.Rate this question:
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- 40.
During a physical exam, the nurse inspects the external genitalia of a male client. Which of the following is an abnormality that the nurse should observe?
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Absence of urethral discharge
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Skin lesions
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Enlargement of the prostate gland
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Enccroachment by the prostate on the urethra
Correct Answer
A. Skin lesionsExplanation
Skin lesions on the external genitalia can be an abnormality that the nurse should observe during a physical exam. Skin lesions can indicate various conditions such as infections, sexually transmitted diseases, or skin disorders. It is important for the nurse to identify and document any abnormalities or changes in the skin to provide appropriate care and referral if needed.Rate this question:
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- 41.
Which is accurate client education for the nurse to make regarding the reproductive system of males and the aging process?
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The volume and viscosity of seminal fluid increase with age
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Men retain the ability to fertilize ova irrespective of age
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There is a gradual increase in sperm and testosterone production
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The scrotum becomes less pendulous and becomes firm
Correct Answer
A. Men retain the ability to fertilize ova irrespective of ageExplanation
Men retain the ability to fertilize ova irrespective of age. This means that men can still impregnate a woman and father a child regardless of their age. Age does not affect a man's fertility or his ability to produce healthy sperm that can fertilize an egg. This is an important fact for the nurse to educate the client about the reproductive system of males and the aging process.Rate this question:
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- 42.
Fertility studies for men include a semen analysis to determine sperm count, sperm motility, abnormal sperm. Which of the following test can also be performed to determine infertility? Select all that apply
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Leutinizing hormone (LH)
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PSA
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Testicular biopsy
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FSH
Correct Answer(s)
A. Leutinizing hormone (LH)
A. Testicular biopsyExplanation
Leutinizing hormone (LH) is a hormone that plays a crucial role in the production of testosterone and the maturation of sperm. Abnormal levels of LH can indicate problems with sperm production and fertility. Testicular biopsy involves the removal of a small sample of testicular tissue to examine it under a microscope. This can help identify any abnormalities or issues with sperm production. Therefore, both LH and testicular biopsy can be performed to determine infertility in men.Rate this question:
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- 43.
The nurse is assessing Cathy for severe premenstrual syndrome (PMS). Cathy consumes about 500mg of vitamin b6 and wants to know whether this will provide relief from the pain. What is the correct advice?
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Stop the vitamin supplement
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Increase the dosage a little to help cope with the symptoms
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Take the supplement only after meals
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Avoid the intake of soy products while taking vitamin b 6
Correct Answer
A. Stop the vitamin supplementExplanation
The correct advice is to stop the vitamin supplement. This is because there is no scientific evidence to support the use of vitamin B6 for relieving symptoms of severe premenstrual syndrome (PMS). Therefore, continuing to take the supplement is unlikely to provide any relief from the pain.Rate this question:
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- 44.
A female outpatient suspected of pelvic inflammatory disease (PID) needs to be examined for confirming the diagnosis. What is the correct instruction to the client before examination?
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Refrain from having intercourse for 48hrs before examination
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Refrain from douching for 48hrs before exam
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Refrain from strenuous physical activity for 48hrs before exam
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Increase the intake of water or fluids 48hrs before exam
Correct Answer
A. Refrain from douching for 48hrs before examExplanation
The correct instruction to the client before examination is to refrain from douching for 48 hours before the exam. Douching can disrupt the natural balance of bacteria in the vagina and increase the risk of infection. By refraining from douching, the client can ensure that the examination results are accurate and not influenced by any potential changes in the vaginal flora caused by douching.Rate this question:
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- 45.
After having been diagnosed with endometriosis, Janice, aged 41, comes to the nurse to seek advice on possible endometriosis treatments. Which of the following decesions can the nurse help Janice make regarding her problem?
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Practices adopted to regularize the menstrual cycle
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Methods adopted to reduce menstruation
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Medical and surgical treatment of endometriosis before natural menopause
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Methods used to ensure perineal care
Correct Answer
A. Medical and surgical treatment of endometriosis before natural menopauseExplanation
The nurse can help Janice make decisions regarding medical and surgical treatment options for her endometriosis before she reaches natural menopause. This could involve discussing different treatment options, explaining the potential benefits and risks of each option, and helping Janice make an informed decision about her treatment plan.Rate this question:
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- 46.
Which of the following is an adverse affect of androgen therapy?
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Severe bleeding from the vagina
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Increased appetite and weight gain
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Decreased libido
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Pigmentation of the nipple and areola
Correct Answer
A. Increased appetite and weight gainExplanation
Androgen therapy is a treatment that involves the administration of male hormones, such as testosterone, to individuals who have low levels of these hormones. One of the adverse effects of androgen therapy is increased appetite and weight gain. This can occur due to the hormonal changes caused by the therapy, which can affect metabolism and lead to an increase in hunger and food intake. Weight gain can also be a result of fluid retention or changes in body composition.Rate this question:
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- 47.
During a follow up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. Which of the following advice should the nurse give the client?
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Avoid working altogether
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Wear gloves and protective clothing to avoid any injuries
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Increase the frequency of follow up visits if she works
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Avoid working in the backyard but do some household work
Correct Answer
A. Wear gloves and protective clothing to avoid any injuriesExplanation
The nurse should advise the client to wear gloves and protective clothing to avoid any injuries. This is because after a mastectomy, the client may be at risk for lymphedema, which is swelling in the arm due to a buildup of fluid. By wearing gloves and protective clothing, the client can minimize the risk of injury and infection while doing household work or working in the backyard. This advice promotes the client's safety and well-being.Rate this question:
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- 48.
Which of the following advice is most appropriate for preventing breast cancer?
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Have a child before age 40
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Maintain an ideal weight
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Menopausal women should opt for hormone replacement theraphy
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Reduce the consumption of alcohol
Correct Answer
A. Maintain an ideal weightExplanation
Maintaining an ideal weight is the most appropriate advice for preventing breast cancer. Research has shown that obesity increases the risk of developing breast cancer, especially in postmenopausal women. By maintaining a healthy weight through a balanced diet and regular exercise, individuals can reduce their risk of breast cancer.Rate this question:
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- 49.
A client is prescribed danazol or Danocrine drug theraphy for fibrocystic breast disease for 4-6 months. Which of the following information should the nurse give the client after the drug is discountinued?
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Inform the HCP if Nausea or vomiting occurs beyond 9 days afer discountinuing the drug
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Inform the HCP if the client is not able to sleep after discountinuing the drug
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Inform the HCP if constipation occurs after 90 days of discountinuing the drug
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Inform the HCP if regular menses does not resume within 90 days
Correct Answer
A. Inform the HCP if regular menses does not resume within 90 daysExplanation
After discontinuing the danazol or Danocrine drug therapy for fibrocystic breast disease, the nurse should inform the client to notify the healthcare provider if regular menses does not resume within 90 days. This is because danazol can disrupt the menstrual cycle and cause amenorrhea. It is important for the healthcare provider to be aware of any changes in the client's menstrual cycle to assess the effectiveness of the drug therapy and determine if any further interventions are needed.Rate this question:
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Mar 21, 2023Quiz Edited by
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Sep 24, 2011Quiz Created by
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