A man diagnosed with epididymitis 2 days ago calls the nurse...

A man diagnosed with epididymitis 2 days ago calls the nurse at a health clinic to discuss the problem. What information is most important for the nurse to ask about at this time?

A. What are you taking for pain and does it provide total relief?'
B. Did your provider recommend that you be tested for Chlamydia?'
C. Do you have any questions about your care?'
D. Did you know a consequence of epididymitis is infertility?'

Correct Answer: B

Rationale: Did your provider recommend that you be tested for Chlamydia?' Epididymitis can result from Chlamydia infection, in which case the client's sexual partners should be tested as well. All of the questions should be asked, however, determining the reason for the client's referral is the most important to start with.

You may also like to solve these questions

The client is admitted with a tentative diagnosis of hepatitis. The nurse determines that which client statement would be consistent with hepatitis?

A. "I've not been sleeping well; I've heartburn at night that wakes me."
B. "Whenever I eat dairy products I have diarrhea for a few days."
C. "Lately I've been short of breath when walking short distances."
D. "I am a smoker, but lately I can't tolerate the taste of cigarettes."

Correct Answer: D

Rationale: D: Distaste for cigarettes reflects anorexia, a common hepatitis symptom. A: Heartburn suggests GERD. B: Diarrhea with dairy indicates lactose intolerance. C: Shortness of breath is unrelated to hepatitis.

As part of an infection-control policy, newly admitted clients are screened for possible undiagnosed or unsuspected infectious tuberculosis. Which questions should the nurse ask to accomplish this screening? Select all that apply.

A. "Have you been exposed to someone with tuberculosis?"
B. "What was the date of your last tuberculin skin test?"
C. "Have you had a cough that lasted more than 3 weeks?"
D. "Have you experienced blood in your urine or stools?"
E. "Have you had a recent weight gain, fever, or night sweats?"

Correct Answer: A,B,C

Rationale: A: Exposure history is key for TB screening. B: Recent skin tests indicate prior screening. C: Prolonged cough is a TB symptom. D: Blood in urine/stools is unrelated. E: Weight loss, not gain, is associated with TB.

While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. What is the nurse's best response?

A. As you urinate more, you will need less medication to control fluid.'
B. You will have to take this medication for about a year.'
C. The medication must be continued so the fluid problem is controlled.'
D. Please talk to your health care provider about medications and treatments.'

Correct Answer: C

Rationale: The medication must be continued so the fluid problem is controlled.' This is the most therapeutic response and gives the client accurate information.

The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?

A. Hold the tube feeding and notify the provider
B. Administer the tube feeding as scheduled
C. Irrigate the tube with diet cola soda
D. Apply intermittent suction to the feeding tube

Correct Answer: A

Rationale: Hold the tube feeding and notify the provider. A pH of less than 4 indicates that the tube is appropriately placed in the stomach, a highly acidic environment. A pH higher than 4 (alkaline pH) indicates intestinal placement.

The nurse is caring for the client with a urinary catheter. Which interventions should the nurse implement to prevent a catheter-acquired UTI? Select all that apply.

A. Rubbing for 10 seconds when using alcohol-based hand rubs
B. Changing urinary catheters and drainage bags once a week
C. Using the smallest numbered catheter with intermittent catheterizations
D. Properly securing the catheter on the client's thigh to prevent movement
E. Keeping a urinary drainage bag below the level of the client's bladder

Correct Answer: D,E

Rationale: D: Securing the catheter prevents urethral irritation, reducing UTI risk. E: Keeping the bag below bladder level prevents urine reflux. A: Hand rubs require 15-30 seconds. B: Routine changes increase risk. C: Larger catheters may be needed.