Nokea
A client diagnosed with a vaginal fistula is at risk for low self-esteem. Which of the following would be an appropriate recommendation for the client?
- A. Wear disposable, absorbent incontinence briefs
- B. Avoid the use of commercial deodorizers at home
- C. Abstain from sexual intercourse
- D. Avoid frequent douches
Correct Answer: A
Rationale: Disposable, absorbent incontinence briefs can help manage symptoms and improve comfort and confidence.
You may also like to solve these questions
Bones that are fused across the joint space by surgery is termed as
- A. Ankylosis
- B. Arthrodesis
- C. Arthroplasty
- D. Arthroscopy
Correct Answer: B
Rationale: The correct answer is B: Arthrodesis. Arthrodesis refers to the surgical fusion of bones across a joint space. This procedure aims to stabilize a joint by creating a bony union. Ankylosis (A) is the natural fusion of bones due to disease or injury. Arthroplasty (C) involves replacing a damaged joint with an artificial prosthesis. Arthroscopy (D) is a minimally invasive procedure to visualize and treat joint problems without open surgery. In this context, only arthrodesis specifically involves fusing bones across a joint space.
Which of the following statements relating to the corpus luteum is incorrect.
- A. the corpus luteum contains the zona pellucida
- B. the corpus luteum degrades if fertilization does not take place
- C. the corpus luteum is derived from the Latin word meaning yellow body.
- D. the corpus luteum develops from the remaining follicle after ovulation
Correct Answer: A
Rationale: The correct answer is A because the corpus luteum does not contain the zona pellucida. The zona pellucida is a glycoprotein layer surrounding the oocyte, not the corpus luteum. The other choices are incorrect because B is true - the corpus luteum degrades if fertilization does not occur; C is true - corpus luteum derives from Latin for yellow body; and D is true - the corpus luteum develops from the remaining follicle after ovulation.
Which statements about the ovarian follicles are true:
- A. they are located in the cortical area of the ovary;
- B. they are present in the ovary since birth;
- C. they are formed in the ovary at puberty;
- D. they are found in successive stages of evolution;
Correct Answer: B
Rationale: The correct answer is B because ovarian follicles are actually present in the ovary since birth. They are formed during fetal development and remain in a dormant state until puberty. Choice A is incorrect because follicles are located in the medullary area of the ovary, not the cortical area. Choice C is incorrect because follicles are formed before puberty. Choice D is incorrect because follicles do not go through stages of evolution but rather stages of development.
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding would be reported to the primary health care provider immediately?
- A. Mild cramping
- B. Slight chills and fever
- C. Spotting of blood
- D. Fatigue after anesthesia
Correct Answer: B
Rationale: The correct answer is B, slight chills and fever. This finding may indicate an infection, which can be a serious complication post-endometrial biopsy. Fever and chills can be signs of systemic infection, requiring immediate medical attention to prevent further complications. Mild cramping (A) is a common post-procedure symptom. Spotting of blood (C) is also normal after an endometrial biopsy. Fatigue (D) after anesthesia is expected and not an immediate concern unless severe or persistent.
Where does implantation of the blastocyst occur?
- A. uterine tubes
- B. endometrium
- C. cervix
- D. ovary
Correct Answer: B
Rationale: The correct answer is B: endometrium. After fertilization, the blastocyst travels through the uterine tubes and implants into the endometrium for further development. The endometrium is the inner lining of the uterus where implantation occurs to establish pregnancy. The uterine tubes (choice A) are the site of fertilization, but not implantation. The cervix (choice C) is the lower part of the uterus that connects to the vagina and does not play a role in implantation. The ovary (choice D) is where the egg is released during ovulation and not the site of implantation.