Nokea
A male client tells the clinic nurse that he is experiencing burning on urination, and assessment reveals that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement?
- A. Observe the perineal area for a chancroid-like lesion
- B. Obtain a specimen of urethral drainage for culture
- C. Assess for perineal itching, erythema and excoriation
- D. Identify all sexual partners in the last four days
Correct Answer: B
Rationale: A culture of urethral drainage is necessary to diagnose a potential sexually transmitted infection (STI).
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Side effects of propranolol may include
- A. hypothyroidism
- B. elevated triglycerides
- C. school performance problems
- D. pulmonary fibrosis
Correct Answer: B
Rationale: Propranolol can cause elevated triglycerides and school performance issues due to its beta-blocking effects.
Regarding hand innervation:
- A. Median nerve supplies all thenar muscles except adductor pollicis
- B. The sensory supply to the dorsal surface of the medial two digits is via the radial nerve
- C. In ulnar nerve damage at the elbow there is sensory loss over the medial aspect of forearm proximal to the wrist
- D. Radial nerve provides the sensory innervation to the terminal areas of the dorsal surfaces of the lateral three digits
Correct Answer: A
Rationale: The median nerve innervates most thenar muscles, except for the adductor pollicis, which is supplied by the ulnar nerve.
A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis?
- A. Coronary arteries
- B. Heart muscle and the mitral valve
- C. Aortic and pulmonic valves
- D. Contractility of the ventricles
Correct Answer: B
Rationale: The tissues that cover the heart and heart valves are affected. The heart muscle may be involved and the mitral valve is frequently involved.
Guillain-Barre syndrome (GBS) is excluded by:
- A. A normal CSF
- B. The presence of autonomic neuropathy
- C. Distinct sensory level
- D. Ophthalmoplegia
Correct Answer: C
Rationale: A distinct sensory level is not a feature of GBS, which typically presents with ascending symmetrical weakness and absent reflexes.
The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding?
- A. Nuchal rigidity
- B. Carotid bruit
- C. Jugular vein distention
- D. Palpable cervical lymph node
Correct Answer: B
Rationale: A carotid bruit indicates turbulent blood flow, which is a risk factor for stroke.