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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 couple is scheduled to have a Huhner test for infertility. In preparation for the test, the nurse will instruct the couple about
- A. being sedated during the procedure
- B. determining the estimated time of ovulation.
- C. experiencing shoulder pain after the procedure.
- D. refraining from intercourse before the appointment.
Correct Answer: B
Rationale: The correct answer is B because the Huhner test is used to assess the quality of cervical mucus and its ability to support sperm survival and movement. Therefore, determining the estimated time of ovulation is crucial as it ensures that the test is performed during the most fertile period of the woman's cycle. This increases the chances of obtaining accurate and relevant results.
A: Being sedated during the procedure is unnecessary as the Huhner test is a simple and non-invasive procedure that does not require sedation.
C: Experiencing shoulder pain after the procedure is not a common side effect of the Huhner test and is not a significant aspect to focus on during preparation.
D: Refraining from intercourse before the appointment is not specifically required for the Huhner test, as the purpose of the test is to evaluate the quality of cervical mucus rather than the presence of sperm.
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.
Delayed breathing at birth is a common danger faced by newborn infants. What is a frequent cause of delayed breathing?
- A. Fetal hypoxia during the birth process
- B. Maternal hypoxia during the birth process
- C. Fetal hypercapnia
- D. Maternal hypercapnia
Correct Answer: A
Rationale: The correct answer is A: Fetal hypoxia during the birth process. Fetal hypoxia, which is a lack of oxygen to the fetus during birth, can lead to delayed breathing in newborn infants. This lack of oxygen can result from various factors such as umbilical cord compression or placental insufficiency. Maternal hypoxia (choice B) and hypercapnia (choices C and D) may affect the fetus indirectly but are not direct causes of delayed breathing in newborns. Therefore, the correct choice is A, as it directly addresses the specific cause of delayed breathing in newborn infants.
Arterial supply of breast include
- A. Internal thoracic artery
- B. Thoracoaromial artery
- C. Superior epigastric artery
- D. Common carotid artery
Correct Answer: A
Rationale: The correct answer is A: Internal thoracic artery. The internal thoracic artery is a major branch of the subclavian artery and supplies the breast tissue. It gives rise to the perforating branches that supply the breast. The other choices, B, C, and D, are incorrect because the thoracoaromial artery primarily supplies the upper limb, the superior epigastric artery supplies the anterior abdominal wall, and the common carotid artery supplies the head and neck, but not the breast tissue. Therefore, based on the anatomical knowledge of arterial supply, the internal thoracic artery is the correct choice for the arterial supply of the breast.
The semen contains liquids originating from:
- A. prostate;
- B. scrotum;
- C. seminal vesicles;
- D. epididymal duct;
Correct Answer: A
Rationale: Step-by-step rationale:
1. The prostate gland secretes a milky fluid that constitutes a major portion of semen.
2. This prostatic fluid contains enzymes, citric acid, and zinc, which nourish and protect sperm.
3. Seminal vesicles also contribute to semen production, but mainly by providing fructose for sperm energy.
4. The scrotum houses the testes but does not directly contribute fluids to semen.
5. The epididymal duct is a site for sperm maturation and storage but does not produce semen fluids.
Summary:
Choice A is correct because the prostate gland secretes a significant portion of semen. Choices B, C, and D are incorrect because they do not directly contribute fluids to semen production.