During a history, a patient reports rectal bleeding, a warning sign of colorectal cancer. The nurse correlates which clinical finding with colorectal cancer?
- A. Thick, blood-tinged mucus within the rectum
- B. A pus-filled cavity in the anorectal area
- C. An irregular mass with raised edges on the rectal wall
- D. A small, smooth nodule protruding from the rectum
Correct Answer: C
Rationale: The correct answer is C because an irregular mass with raised edges on the rectal wall is a common clinical finding associated with colorectal cancer. This mass could be a tumor or polyp, which can lead to rectal bleeding. Option A is incorrect because thick, blood-tinged mucus is more commonly associated with inflammatory conditions. Option B is incorrect as a pus-filled cavity suggests an abscess or infection, not colorectal cancer. Option D is incorrect because a small, smooth nodule is more indicative of hemorrhoids rather than colorectal cancer.
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Uterine tubes are otherwise called as
- A. Vas deferens
- B. Epididymis
- C. Fallopian tubes
- D. Vagina
Correct Answer: C
Rationale: The correct answer is C: Fallopian tubes. These tubes are also known as uterine tubes because they connect the ovaries to the uterus, allowing eggs to travel from the ovaries to the uterus. The other choices are incorrect because:
A: Vas deferens is a tube that carries sperm from the epididymis to the urethra in males.
B: Epididymis is a coiled tube located on the back of each testicle where sperm mature.
D: Vagina is the muscular tube that connects the cervix to the external genitalia in females.
A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?
- A. Thinning of pubic hair
- B. Increased size of the uterus
- C. Decreased size of the clitoris
- D. Loss of tone of the pelvic ligaments
Correct Answer: B
Rationale: The correct answer is B: Increased size of the uterus. In a 72-year-old woman, an increased size of the uterus can indicate potential issues such as fibroids or endometrial hyperplasia, which may require further investigation. Thinning of pubic hair (A) is a common age-related change. Decreased size of the clitoris (C) and loss of tone of the pelvic ligaments (D) can also occur with aging but are not typically concerning findings during a routine physical exam in this age group.
The process when the ovarian follicle ruptures and releases an ovum is called ___________.
- A. Menopause
- B. ovulation
- C. Implantation
- D. Breast
Correct Answer: B
Rationale: The correct answer is B: ovulation. Ovulation is the process where the ovarian follicle ruptures and releases an ovum. This occurs around the middle of the menstrual cycle. Menopause (A) is the cessation of menstrual periods, not the release of an ovum. Implantation (C) is the attachment of a fertilized egg to the uterine wall, not the release of an ovum. Breast (D) is not related to the process of ovulation.
What is the function of the milky-colored fluids secreted from the prostate?
- A. Enable sperm to swim
- B. Activate sperm
- C. Cleanse the urethra
- D. Neutralize urine
Correct Answer: C
Rationale: The milky-colored fluid secreted from the prostate cleanses the urethra. This fluid helps neutralize the acidity of the urethra, providing a more suitable environment for sperm to survive. It does not enable sperm to swim or activate them, as these functions are performed by other components of semen. Additionally, it does not neutralize urine, as its primary function is to support sperm survival and motility.
A 67-year-old client with incomplete bladder emptying caused by BPH has a new prescription for tamsulosin (Flomax). Which statement about tamsulosin is most important to include when teaching this client?
- A. This medication will improve your symptoms by shrinking the prostate.
- B. The force of your urinary stream will probably increase.
- C. Your blood pressure will decrease as a result of taking this medication.
- D. You should avoid making sudden changes in position.
Correct Answer: D
Rationale: Tamsulosin can cause orthostatic hypotension, so advising the client to avoid sudden position changes is crucial.