Nokea
A client has been advised to use a pessary to provide support to the uterus. The nurse educates the client about pessary management and the precautions related to its use. In which of the following situations should the client report to the physician?
- A. Regarding a Pap test of the client
- B. Regarding the maintenance of a pessary
- C. When a white or yellow discharge from the vagina develops
- D. Regarding a culture and sensitivity test of vagina
Correct Answer: C
Rationale: Abnormal discharge can indicate infection or other complications requiring medical attention.
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The female genitive ducts include the following structures:
- A. uterus;
- B. vulva;
- C. vagina;
- D. ovary
Correct Answer: D
Rationale: The correct answer is D: ovary. The female genitive ducts refer to the structures involved in the production, transport, and release of eggs. The ovary is the primary organ responsible for producing eggs. The uterus, vulva, and vagina are not directly involved in egg production but rather in the reception, nurturing, and passage of the egg. Therefore, the ovary is the correct choice as it is a key structure in the female reproductive system responsible for egg production.
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.
The average menstrual cycle is
- A. 14 days
- B. 18 days
- C. 24 days
- D. 28 days
Correct Answer: D
Rationale: The correct answer is D (28 days) as it is the average length of a menstrual cycle, which is typically counted from the first day of one period to the first day of the next. The menstrual cycle is controlled by hormonal changes and the average duration is around 28 days. This length allows for the proper preparation and shedding of the uterine lining. Choices A, B, and C are incorrect as they do not align with the typical length of a menstrual cycle, which is around 28 days.
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.
A client is learning how to maintain optimum bladder function. Which of the following strategies identifies the method of pressing on the bladder while seated on the toilet?
- A. Valsalva maneuver
- B. Kegel maneuver
- C. Pelvic floor maneuver
- D. Crede's maneuver
Correct Answer: D
Rationale: Crede's maneuver involves applying manual pressure to the bladder to aid in voiding.