Nokea
A client is having a hysterosalpingogram. What action by the nurse is most important?
- A. Assist the client in sitting up after the procedure
- B. Provide the client with a pad to avoid dye stains on the clothes.
- C. Teach her to take all antibiotics prescribed until finished
- D. Inform the client that the procedure may cause shoulder pain.
Correct Answer: A
Rationale: The correct answer is A: Assist the client in sitting up after the procedure. This is important to prevent complications like vasovagal response or fainting due to sudden positional changes. Sitting up slowly helps stabilize blood pressure and prevent dizziness.
B: Providing a pad for dye stains is not the most important action as it is a minor concern compared to client safety post-procedure.
C: Taking antibiotics has no direct relevance to the hysterosalpingogram procedure, so it is not the most important action.
D: Informing the client about potential shoulder pain is helpful, but ensuring immediate safety by assisting the client in sitting up takes precedence.
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A nurse is called to the playground near her house in relation to an adolescent who experienced intense pain in his testicle after riding his bike. The nurse suspects which of the following problems has occurred?
- A. Torsion of the spermatic cord
- B. Cryptorchidism
- C. Phimosis
- D. Spermatocele
Correct Answer: A
Rationale: Testicular torsion presents with sudden, severe pain and requires immediate medical attention.
The nurse documents which finding as expected on inspection of the anus?
- A. Skin tone darker and coarser than that of the surrounding skin
- B. Sphincter lightly closed when the patient is relaxed
- C. Large amount of stiff, curling hair surrounding the anus
- D. Slight protrusion under the skin when the patient strains or bears down
Correct Answer: A
Rationale: The correct answer is A because the normal skin tone of the anus is typically slightly darker and coarser than the surrounding skin due to increased melanin concentration. This is a result of the natural pigmentation of the area.
Choice B is incorrect because the sphincter should be relaxed during inspection, not lightly closed. Choice C is incorrect as a large amount of stiff, curling hair surrounding the anus is not an expected finding. Choice D is incorrect as a slight protrusion under the skin when the patient strains or bears down could indicate hemorrhoids, which are not considered normal.
Approximately how long does it take sperm to get to the site of fertilization?
- A. 2 mins
- B. 20 mins
- C. 60 mins
- D. 3 hours
Correct Answer: D
Rationale: The correct answer is D: 3 hours. After ejaculation, sperm needs to travel through the female reproductive tract to reach the site of fertilization in the fallopian tube. This journey typically takes around 3 hours due to the distance and obstacles the sperm must overcome. Choice A (2 mins) is too short for sperm to travel such a distance. Choice B (20 mins) is also insufficient for the journey. Choice C (60 mins) is closer but still underestimates the time required for sperm to reach the fallopian tube.
_________ is an example of a viviparous animal.
- A. Goat
- B. Duck
- C. Crocodile
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A: Goat. Viviparous animals give birth to live young instead of laying eggs. Goats fall under this category as they give birth to live kids. Ducks (B) are oviparous, laying eggs. Crocodiles (C) are also oviparous, laying eggs. Choice D is incorrect as goats are viviparous animals.
The fructose in semen is secreted by
- A. the epididymis.
- B. the seminiferous tubules.
- C. the seminal vesicles.
- D. the prostate glands.
Correct Answer: C
Rationale: The correct answer is C, the seminal vesicles. Seminal vesicles secrete fructose in semen to provide energy for sperm motility. This process occurs after sperm leave the epididymis and seminiferous tubules, ruling out choices A and B. The prostate glands contribute to the alkaline fluid in semen, not fructose, eliminating choice D. Therefore, choice C is correct due to its role in providing energy for sperm function.