Nokea
A Gram stain smear of the patient's discharge reveals the presence of Neisseria gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information will the nurse include in response to his comment?
- A. Women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.'
- B. When gonorrhea infections occur in women, the disease affects only the ovaries and not the other genital organs.'
- C. Many women are not aware that they have gonorrhea because they often do not have symptoms of infection.'
- D. Women develop subclinical cases of gonorrhea that do not cause tissue damage or symptoms.'
Correct Answer: C
Rationale: Most women remain asymptomatic but may show a greenish-yellow discharge from the cervix.
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When the veins in the scrotum become dilated, and the scrotum becomes enlarged and dilated, the condition is called a ___
Correct Answer: varicocele
Rationale: A varicocele is a condition in which the scrotum becomes enlarged and dilated, from obstructed vessels.
The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?
- A. I should sleep on the side opposite my mastectomy.'
- B. I should keep my right arm supported in a sling when I am up and around until my incision is healed.'
- C. I can do whatever exercises and activities I want as long as I don't elevate my right hand above my head.'
- D. I should take aspirin before moving or exercising my arm to prevent pain during the exercises.'
Correct Answer: A
Rationale: The patient should be instructed to avoid sleeping on the involved arm.
Which situation does the diagnosis of secondary infertility refer to?
- A. Has never conceived.
- B. Is infertile because of repeated infection.
- C. Has conceived but is now unable to do so.
- D. Is over the age of 38.
Correct Answer: C
Rationale: Secondary infertility refers to a woman who has conceived in the past and now is unable to do so.
A patient, age 46, is recovering from an abdominal hysterectomy. Postoperative nursing assessment findings include a urinary output of $100 \mathrm{~mL}$ in 4 hours. Which action will the nurse take?
- A. Force fluids.
- B. Report urinary retention to the charge nurse.
- C. Milk' the urinary catheter.
- D. Turn the patient onto her right side.
Correct Answer: B
Rationale: Postoperative nursing interventions for patients with abdominal hysterectomy focus on monitoring vital signs and preventing urinary retention. The patient should have an output of at least 30 mL/hr. Anything less than that should be reported.
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
- A. The testes feel smooth and egg-shaped.'
- B. The best time to perform TSE is after a shower.'
- C. I will examine my scrotum after every ejaculation.'
- D. The epididymis feels like a soft tube.'
Correct Answer: C
Rationale: It is not recommended for a patient to perform a testicular self-examination after every ejaculation. Perform testicular self-examination after a bath or shower when the scrotum is warm and most relaxed. The testes should feel smooth and be firm to the touch. The epididymis feels like a soft tube.