Nokea
A 67-year-old man who was admitted for a transurethral resection and fulguration of a stage A bladder tumor is ready for discharge. In his discharge teaching plan the nurse should reinforce the importance of his physician for
- A. periodic cystoscopies
- B. headaches
- C. routine urinalysis
- D. increased daily urinary output
Correct Answer: A
Rationale: Periodic cystoscopies are important to monitor for recurrence of bladder tumors.
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A 20-year-old woman is not having menstrual cycles. Her plasma progesterone concentration is found to be minimal. What is the explanation for the low level of progesterone?
- A. LH secretion rate is elevated
- B. LH secretion rate is suppressed
- C. FSH secretion rate is suppressed
- D. No corpus luteum is present
Correct Answer: D
Rationale: The correct answer is D: No corpus luteum is present. The corpus luteum is responsible for producing progesterone after ovulation. Without a corpus luteum, progesterone levels will be minimal, leading to a lack of menstrual cycles.
A: If LH secretion rate is elevated, it would lead to increased corpus luteum formation and progesterone production.
B: If LH secretion rate is suppressed, there would be insufficient stimulation for corpus luteum formation and progesterone production.
C: FSH is responsible for follicle development, not progesterone production.
Which of the following reasons would make a client who was treated successfully for a chlamydia infection at a greater risk for acquiring AIDS?
- A. The tissue irritation may be permanent, despite successful eradication of the bacteria.
- B. The immune system is already compromised.
- C. The bacterium Chlamydia trachomatis causes AIDS.
- D. The bacterium Chlamydia trachomatis continues to live inside the cells it has infected.
Correct Answer: B
Rationale: Having had an STI indicates existing vulnerabilities in the immune system, increasing susceptibility to HIV/AIDS.
When does a nurse use transillumination of the scrotum?
- A. When the patient has tortuosity of the veins along the spermatic cord
- B. When the patient has an indirect hernia
- C. When there is a mass or fluid in the epididymis
- D. When there is twisting of the testicle and spermatic cord
Correct Answer: C
Rationale: Transillumination of the scrotum is used when there is a mass or fluid in the epididymis. Transillumination helps to differentiate between solid masses and fluid-filled structures. It is not used for tortuosity of veins (A), indirect hernia (B), or twisting of the testicle and spermatic cord (D). Vein tortuosity is diagnosed through physical examination, hernias are detected through palpation, and testicular torsion is confirmed through Doppler ultrasound.
Three days after having a pelvic exenteration procedure, a client suddenly complains of a 'giving' sensation along her abdominal incision. You check under the dressing and find that the wound edges are open and loops of intestine are protruding. Which action should you take first?
- A. Call the client's surgeon and report that wound evisceration has occurred.
- B. Cover the wound with saline-soaked dressings.
- C. Don sterile gloves and gently replace the intestine back in the wound.
- D. Check the client's blood pressure and heart rate.
Correct Answer: B
Rationale: Covering the exposed tissue with saline-soaked dressings prevents drying and reduces risk of further complications.
The process of capacitation usually occurs in the _____.
- A. vagina
- B. testis
- C. prostate
- D. epididymis
Correct Answer: A
Rationale: The process of capacitation occurs in the female reproductive tract, specifically in the vagina. Capacitation is essential for sperm to fertilize an egg, where they undergo changes in the female reproductive tract to become more motile and capable of penetrating the egg. The vagina provides the ideal environment for capacitation to take place due to its specific pH, temperature, and components present in the cervical mucus. The other choices (B: testis, C: prostate, D: epididymis) are incorrect as capacitation is a process that occurs in the female reproductive tract, not in the male reproductive organs.