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A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
- A. Eliciting the cremasteric reflex is recommende
- C. The glans is assessed for redness or lesions.
- D. COM
Correct Answer: C
Rationale: The correct answer is C: The glans is assessed for redness or lesions. This is the appropriate step for a genital examination in a 2-month-old uncircumcised infant to check for any signs of infection or abnormalities. Eliciting the cremasteric reflex (choice A) is not necessary for a routine well-baby checkup and is more relevant in assessing testicular descent. Choices B and D are incomplete or irrelevant, not addressing the specific aspect of the genital examination needed in this scenario.
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When performing the bimanual examination, the nurse notices that the cervix feels smooth and firm, is round, and is fixed in place (does not move). When cervical palpation is performed, the patient complains of some pain. The nurse's interpretation of these results should be which of these?
- A. These findings are all within normal limits.
- B. Cervical consistency should be soft and velvety, not firm.
- C. The cervix should move when palpated; an immobile cervix may indicate malignancy.
- D. Pain may occur during palpation of the cervix.
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C):
1. The cervix is normally mobile and should move when palpated. A fixed cervix may indicate malignancy.
2. Pain during cervical palpation can be a sign of inflammation, infection, or other abnormalities.
3. Smooth and firm cervix, along with pain, raise suspicion of an underlying issue.
4. Therefore, the nurse should interpret these findings as potentially concerning and further assessment is needed.
Summary:
Choice A is incorrect because the findings are not within normal limits. Choice B is incorrect as the cervix should not be firm. Choice D is incorrect as pain during palpation is significant and should not be dismissed.
The nurse is caring for a patient who has undergone
- A. Empty the drainage bag at least every 8 hours. creation of a urinary diversion. Forty-eight hours
- B. Irrigate the catheter every 8 hours with normal saline postoperatively, the nurses assessment reveals that the stoma is a dark purplish color. What is the nurses most
Correct Answer: C
Rationale: Rationale: Choice C is correct because it presents the only complete and coherent statement. The other options are incomplete or irrelevant, providing incorrect instructions for postoperative care. Emptying a drainage bag, irrigating a catheter, or assessing stoma color are not directly related to caring for a patient after urinary diversion surgery. Therefore, choice C is the most appropriate answer based on the context of postoperative care.
Which statement by a new nurse teaching a patient with cystitis requires intervention?
- A. You should always drink 1 to 3 liters of fluid every day.
- B. Empty your bladder regularly even if you do not feel the urge to urinate.
- C. Drinking cranberry juice daily may decrease bacteria in your bladder.
- D. It's OK to soak in the tub with bubble bath as it will keep you clean.
Correct Answer: D
Rationale: The correct answer is D because soaking in a tub with bubble bath can exacerbate cystitis symptoms due to potential irritation from the bubble bath chemicals. This can worsen the patient's condition. A, B, and C are correct statements. A promotes proper hydration, B encourages regular emptying of the bladder to prevent bacterial growth, and C suggests a potential remedy for cystitis by consuming cranberry juice.
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the:
- A. Menstrual history, because it is generally nonthreatening.
- B. Obstetric history, because it includes the most important information.
- C. Urinary system history, because problems may develop in this area as well.
- D. Sexual history, because discussing it first will build rapport.
Correct Answer: A
Rationale: The correct answer is A: Menstrual history, because it is generally nonthreatening. Starting with the menstrual history is appropriate as it is a common and noninvasive topic that can help build rapport and make the patient feel more comfortable. It also provides important insights into the patient's overall health and reproductive system. By addressing this topic first, the nurse can establish a foundation for a more in-depth discussion of other aspects of the patient's gynecologic health.
Summary of other choices:
B: Obstetric history is not the most appropriate to start with as it may not be relevant for all patients during an annual gynecologic examination.
C: Urinary system history may not be the most relevant starting point for a routine gynecologic exam and may not be as nonthreatening as discussing menstrual history.
D: Sexual history, while important, may be more sensitive and personal for some patients, making it less suitable as an initial topic for building rapport and establishing trust.
The nurse is caring for a patient who is going to have to an older adult?
- A. If possible, try to drink at least 4 liters of fluid daily.
- B. Ensure that you avoid replacing water with other procedure? beverages.
- C. Discuss the patients diagnosis with the family.
- D. Remember to drink frequently, even if you dont feel
Correct Answer: D
Rationale: The correct answer is D because older adults are at higher risk for dehydration due to decreased thirst sensation. Reminding the patient to drink frequently, even if they don't feel thirsty, helps prevent dehydration. A: Drinking 4 liters of fluid daily may not be suitable for all older adults and can lead to water intoxication. B: Avoiding replacing water with other beverages is important, but it is not the most critical aspect of hydration in older adults. C: Discussing the patient's diagnosis with the family is unrelated to the immediate need for hydration in this scenario.