Nokea
A client who is scheduled for an endometrial biopsy expresses concerns about the procedure as she is apprehensive of 'being operated' on. How can the nurse relieve her anxiety?
- A. The nurse should inform her that this test will not require her to be under anesthetic influence for a long period.
- B. The nurse should inform her that this test will be performed under general anesthesia and she will be pain free.
- C. The nurse should inform her that this test will be performed under the care of expert physicians and nurses.
- D. The nurse should inform her that this procedure may be performed without anesthesia in the physician's office.
Correct Answer: D
Rationale: Endometrial biopsies are typically minimally invasive and often do not require anesthesia.
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Fertilization usually occurs in the nuclear division only. ______.
- A. Meiosis produces two
- B. ovary
- C. vesicular (Graafian) follicle
- D. Meiosis occurs in all cells of
Correct Answer: D
Rationale: The correct answer is D because meiosis occurs in all cells of the body. Meiosis is a specialized type of cell division that produces gametes (sperm and egg cells) with half the number of chromosomes. Fertilization, the fusion of sperm and egg, typically occurs after meiosis in the reproductive organs. Choices A, B, and C are incorrect because they do not directly relate to the process of fertilization or meiosis occurring in all cells. Choice A talks about the outcome of meiosis, choice B refers to a specific organ, and choice C mentions a stage in the development of an egg cell.
Which of the following does not occur during puberty in a female?
- A. Increased fat deposits beneath the skin
- B. Onset of menopause
- C. Widening and lightening of the pelvis
- D. Development of the breasts
Correct Answer: B
Rationale: The correct answer is B: Onset of menopause. Puberty is the period of sexual maturation and development, typically occurring in adolescence. Menopause, on the other hand, is the cessation of menstruation and fertility, usually happening in women in their late 40s or early 50s. During puberty in females, there is an increase in fat deposits beneath the skin, widening and lightening of the pelvis to prepare for childbirth, and development of the breasts as part of secondary sexual characteristics. Menopause does not occur during puberty; it is a separate phase in a woman's reproductive life cycle. Therefore, B is the correct answer.
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.
Your 20 year old male patient is c/o growths on his penile shaft. He noticed them first about 6 weeks ago, and he thinks there are more now. Denies pain with intercourse or urination. He has had 3 former partners and has been with his current girlfriend for 6 months. She is on the pill so they do not use condoms. Denies fever, weight loss, night sweats. His PMH is unremarkable. He is in college part time and works in construction and is engaged to be married and has no children. On exam, you see several moist papules along all sides of the penile shaft and two on the corona. He has been circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. Which abnormality of the penis does this patient most likely have?
- A. Condylomata acuminata
- B. Genital herpes
- C. Syphilitic chancre
- D. Penile carcinoma
Correct Answer: A
Rationale: The correct answer is A: Condylomata acuminata (genital warts) based on the patient's presentation of painless moist papules on the penile shaft and corona, multiple sexual partners, lack of other systemic symptoms, and absence of inguinal lymphadenopathy. This is consistent with HPV infection, the most likely cause of genital warts. Genital herpes (B) typically presents as painful vesicles or ulcers, syphilitic chancre (C) presents as a painless ulcer, and penile carcinoma (D) usually presents as a solitary, indurated, ulcerated lesion with associated lymphadenopathy.
PID is an infection of the pelvic organs, excepting the uterus. The nurse's role in caring for a client hospitalized with PID includes which of the following?
- A. The nurse inquires if the client has douched within the last 48 hours
- B. The nurse advises a douche every hour prior to being examined
- C. The nurse avoids administering analgesics
- D. The nurse avoids washing the perineal area
Correct Answer: A
Rationale: Inquiring about recent douching helps understand potential contributing factors to the infection.