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A male patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. When assisting with data collection from the patient, it is most important that the nurse gather information related which aspect of his history?
- A. recent urinary infections.
- B. episodes of prostatitis.
- C. contagious diseases like mumps.
- D. present and past sexual partners and notify them to get treatment.
Correct Answer: D
Rationale: The nurse should encourage notification of present and past sexual partners of the diagnosis and stress the need for them promptly to seek medical care.
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Which action is the sixth step in the process of the menstrual cycle to produce menses?
- A. Egg matures in the graafian follicle.
- B. Corpus luteum is formed from old follicle.
- C. Estrogen from the maturing follicle causes vascularization of the uterine lining.
- D. Anterior pituitary releases luteinizing hormone (LH), releasing the ovum.
- E. Anterior pituitary releases follicle-stimulating hormone (FSH).
- F. Corpus luteum releases estrogen and progesterone.
- G. Corpus luteum disintegrates causing a decrease in progesterone.
Correct Answer: F
Rationale: The anterior pituitary releases FHS, which allows the egg to mature in the graafian follicle; estrogen from the maturing follicle causes vascularization of the uterine lining; the anterior pituitary releases LS to release the ovum into the fallopian tubes and into the uterus; corpus luteum (made up of the old graafian follicle) releases estrogen and progesterone. The corpus luteum disintegrates, causing a decrease in progesterone and the lining of the uterus is shed as menses.
Vaginal fistulas are caused by an ulcerating process resulting from which cause?
- A. cancer.
- B. radiation.
- C. poor hygiene.
- D. multiple sexual partners.
- E. weakening of tissue from pregnancies.
- F. surgical interventions.
Correct Answer: A,B,E,F
Rationale: Vaginal fistulas are caused by an ulcerating process resulting from cancer, radiation, weakening of tissue by pregnancies, and surgical interventions.
The nurse is assisting the health care provider in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical ___
Correct Answer: conization
Rationale: Conization of the cervix is indicated when eroded or infected tissue is to be removed or when there is a need for confirmation of cervical cancer. A cone-shaped section is removed when the mass is confined to the epithelial tissue.
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 is the recommended age range for an annual option for a mammogram?
- A. 25 and 30 years
- B. 31 and 34 years
- C. 35 and 39 years
- D. 40 and 44 years
Correct Answer: D
Rationale: The American Cancer Society recommends that mammograms be an annual option for women starting between ages 40 and 44 years. Annual mammography for women ages 45-54 is recommended.