Nokea
A 20-year-old patient presents in the emergency room with a temperature of 103°F, blood pressure of 92/58, headache, and desquamation of both palms. Which question will the nurse make sure to ask about during the interview?
- A. Any recent traveling outside the country
- B. Immunization against influenza
- C. Method of birth control
- D. Use of tampons
Correct Answer: D
Rationale: These are signs of toxic shock frequently brought on by leaving a tampon in place too long. The nurse should inquire about tampon use, headache, muscle pain, and fatigue.
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___ are the most benign tumors of the uterus and arise from the uterine muscle tissue.
Correct Answer: Fibroids
Rationale: Fibroids are benign tumors arising from the muscle tissue of the uterus.
___ are produced in the seminiferous tubules and stored in the epididymis.
Correct Answer: Sperm
Rationale: The two oval testes (gonads) are enclosed in the scrotum, a saclike structure that lies suspended from the exterior abdominal wall. This position keeps the temperature in the testes below normal body temperature, which is necessary for viable sperm production and storage. Each testis contains one to three coiled seminiferous tubules that produce the sperm cells.
For which reason will the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
- A. To reduce pain.
- B. To stimulate appetite.
- C. To reduce lymphedema.
- D. To increase muscle tension.
Correct Answer: C
Rationale: An exercise regimen, built up gradually, can help reduce lymphedema following a modified radical mastectomy.
Which instruction will a nurse give a patient with genital herpes who does not have lesions at the present?
- A. Continued use of acyclovir will prevent reinfection by the virus.'
- B. Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present.'
- C. Acyclovir ointment should be applied to the lesions to increase comfort and speed healing.'
- D. Recurrent genital herpes is promoted by any sexual stimulation.'
Correct Answer: B
Rationale: Sexual transmission of HSV (genital herpes, a virus) has been documented even in the absence of clinical lesions, and the use of condoms should be encouraged. Acyclovir does not cure the disease but makes the attacks less virulent.
Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching?
- A. I understand I can lift as much as 20 lb.'
- B. I'm leaving today to stay with my daughter who lives 20 miles away. My husband plans to drive the family car.'
- C. The health care provider said I can't have sexual intercourse for 4 to 6 weeks.'
- D. I'm going to miss wearing my girdle or knee-high hose.'
Correct Answer: A
Rationale: If there has been an abdominal incision, there may be further restrictions on heavy lifting (nothing over 10 lb).