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A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the gym to 2 hours each day. What is the nurses’ best response?
- A. “Do you want to talk about the need for that much exercise?”
- B. “Exercise is healthy but can decrease body fat and cause irregular periods.”
- C. “Bingeing and purging can cause electrolyte problems in your body.”
- D. “Anorexic behavior can result in decreased estrogen levels.”
Correct Answer: B
Rationale: Rationale:
The correct answer is B because excessive exercise can lead to decreased body fat, which in turn disrupts hormone levels causing irregular periods. Choice A is inappropriate as it doesn't address the underlying issue. Choices C and D are incorrect as they refer to different conditions (bulimia and anorexia) not related to the client's concern.
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A nurse is teaching a client in the doctor's office about genital warts. Which of the following is the best discharge instruction to give to a client with genital warts?
- A. Advise all sexual contacts to be examined and treated.
- B. Antiviral IV drugs are recommended to prevent viral shedding.
- C. Topical applications of the antiviral drugs are recommended for clinical benefits.
- D. Use of alcohol, peroxide, witch hazel, and warm air from a hair dryer are recommended to keep the lesions dry.
Correct Answer: A
Rationale: Notifying and treating all sexual contacts is essential to prevent further spread of genital warts.
The evolutionary stages of the ovarian follicles are:
- A. secondary;
- B. tertiary (de Graaf);
- C. primordial;
- D. evolutionary;
Correct Answer: C
Rationale: The correct answer is C: primordial. Ovarian follicles go through several stages of development. Primordial follicles are the earliest stage, containing primary oocytes surrounded by a single layer of squamous cells. This stage represents the resting pool of follicles. Secondary follicles come next, with primary oocytes surrounded by multiple layers of granulosa cells. Tertiary (de Graaf) follicles are the most advanced stage, containing a fluid-filled antrum and a mature oocyte. Evolutionary is not a recognized stage in ovarian follicle development. Secondary is incorrect as it comes after primordial, and tertiary is incorrect as it is not the earliest stage.
The nurse correlates which patient complaint with suspected enlargement of the prostate gland?
- A. Constipation
- B. Change in bowel patterns
- C. Weak urine stream
- D. Increased mucus in urine
Correct Answer: C
Rationale: The correct answer is C: Weak urine stream. Enlargement of the prostate gland can compress the urethra, leading to difficulty in urination and a weak urine stream. Constipation (A), change in bowel patterns (B), and increased mucus in urine (D) are not typically associated with prostate enlargement. This highlights the importance of understanding the anatomical and physiological implications of prostate enlargement on urinary function.
A nurse identifies a client with an abnormal lab test that screens for prostate cancer. What is the test that the client will receive to screen for prostate cancer?
- A. PAS
- B. APS
- C. PSA
- D. PCA
Correct Answer: C
Rationale: PSA (Prostate-Specific Antigen) is the standard screening test for prostate cancer.
The corpus luteum secretes whereas oogenesis will produce ___
- A. FSH. ova/ ovum.
- B. LH.
- C. 2; 2
- D. prolactin.
Correct Answer: A
Rationale: The correct answer is A because the corpus luteum secretes progesterone, not FSH. Oogenesis produces ova/ovum, not FSH, LH, or prolactin. FSH and LH are hormones produced by the pituitary gland to regulate the menstrual cycle, not by the corpus luteum or involved in ova production. Prolactin is a hormone involved in milk production, not in oogenesis or corpus luteum function. Therefore, A is correct as it correctly identifies the function of the corpus luteum and the product of oogenesis.