Nokea
A couple who has not been able to conceive is scheduled for a postcoital test for infertility. Which of the following information should the nurse provide to the couple in preparation for the test?
- A. Possible shoulder pain after the procedure
- B. Sedative medications used during the procedure
- C. Ways to determine the estimated time of ovulation
- D. How long to refrain from intercourse before the test
Correct Answer: C
Rationale: For the postcoital test, the couple should have intercourse at the estimated time of ovulation and then arrive for the test 2-8 hours after intercourse. The other instructions would be used for other types of fertility testing.
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When scheduling a pelvic examination and Pap test, which of the following instructions should the nurse include?
- A. Shower, but not a tub bath, before the examination.
- B. Do not have sexual intercourse the day before the Pap.
- C. Plan to have the Pap test just after her menstrual period.
- D. Avoid douching for at least 24 hours before the examination.
Correct Answer: D
Rationale: The results of a Pap test may be affected by douching, which can remove cells from the cervix. The patient may shower or take a bath before the examination, and sexual intercourse or timing relative to the menstrual period do not significantly impact the results.
The nurse is assessing an older-adult male patient and the patient says that he does not respond to sexual stimulation the way he did when he was younger. Which of the following responses to the patient's comment is best?
- A. Many men need more sexual stimulation with aging.
- B. Interest in sex frequently decreases as men get older.
- C. Erectile dysfunction is a common problem with older men.
- D. Tell me more about how your sexual response has changed.
Correct Answer: D
Rationale: The initial response by the nurse should be further assessment of the problem. The other statements by the nurse are accurate but might not respond to the patient's concerns.
The nurse is assessing the sexual-reproductive functional health pattern for a patient. Which of the following questions is most useful in determining the patient's sexual orientation and risk factors?
- A. Do you have sex with men, women, or both?
- B. Which gender do you prefer to have sex with?
- C. What types of sexual activities do you prefer?
- D. Are you heterosexual, homosexual, or bisexual?
Correct Answer: A
Rationale: This question is the most simply stated and will increase the likelihood of obtaining the relevant information about sexual orientation and possible risk factors associated with sexual activity. A patient who prefers intercourse with women may also have intercourse at times with men. The types of sexual activities engaged in may not indicate sexual orientation. Many patients who have intercourse with both men and women do not identify themselves as homosexual or bisexual.
The nurse is preparing a patient for colposcopy with a cervical biopsy. Which of the following information should the nurse explain to the patient about the procedure?
- A. It involves dilation of the cervix and biopsy of the tissue lining the uterus.
- B. It will take place in a same-day-surgery centre so that local anesthesia can be used.
- C. It requires that the patient have nothing to eat or drink for 6 hours before the procedure.
- D. It is similar to a speculum examination of the cervix and should result in little or no pain.
Correct Answer: D
Rationale: Colposcopy involves visualization of the cervix with a binocular microscope and is similar to a speculum examination. A cervical biopsy may cause a minimal amount of pain.
Which of the following questions should the nurse ask when assessing a patient who has a history of benign prostatic hyperplasia (BPH)?
- A. Have you noticed any unusual discharge from your penis?
- B. Has there been any change in your sex life in the last year?
- C. Do you find it hard to initiate your urinary stream?
- D. Have you been experiencing any difficulty in achieving an erection?
Correct Answer: C
Rationale: Enlargement of the prostate blocks the urethra, leading to urinary changes. Benign prostatic hyperplasia is a common problem of older men. It can alter normal urination, causing retention and difficulty in initiating the urinary stream. The other questions address possible problems with infection or sexual difficulties but would not be helpful in determining whether there were functional changes caused by BPH.