Nokea
A nurse has been asked to teach ovulation and menstruation to a class of secondary school students. Place the events listed below in the order in which they occur in the menstrual cycle after menstrual flow ends. Use all the options.
- A. Ovum is released.
- B. Progesterone decreases.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- E. Endometrium is shed.
- F. Corpus luteum forms.
Correct Answer: C,D,A,F,B,E
Rationale: After menstruation, the sequence is: endometrium thickens (follicular phase), ovarian follicle matures, ovum is released (ovulation), corpus luteum forms, progesterone decreases (if no pregnancy), and endometrium is shed (next menstruation).
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To facilitate obtaining truthful information regarding this client's sexual history, which attitude is most important for the nurse to convey?
- A. Authoritative
- B. Nonjudgmental
- C. Encouraging
- D. Optimistic
Correct Answer: B
Rationale: A nonjudgmental attitude fosters trust, encouraging the client to provide honest sexual history information without fear of stigma.
The nurse correctly places the client in which position when the physician is ready to perform the pelvic examination?
- A. Sims' position
- B. Trendelenburg's position
- C. Fowler's position
- D. Lithotomy position
Correct Answer: D
Rationale: The lithotomy position, with the client's legs in stirrups, provides optimal access for the physician to perform a pelvic examination.
Which could be a complication of cryotherapy surgery for cancer of the prostate?
- A. The urethra could become scarred and cause retention.
- B. The client could have ejaculation difficulties and be impotent.
- C. Bone marrow suppression could occur from the chemotherapy.
- D. Chronic vomiting and diarrhea causing electrolyte imbalance could occur.
Correct Answer: A
Rationale: Cryotherapy can scar the urethra, leading to urinary retention. Ejaculation issues are possible but less specific, and bone marrow suppression or GI issues are chemotherapy-related, not cryotherapy.
The nurse in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
- A. Wear a peri-pad to keep from having an accident.
- B. Try not to laugh or sneeze unless at home.
- C. Discuss the pros and cons of a vaginal hysterectomy.
- D. Instruct to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
The client is diagnosed with breast cancer and is considering whether to have a lumpectomy or a more invasive procedure, a modified radical mastectomy. Which information should the nurse discuss with the client?
- A. Ask if the client is afraid of having general anesthesia.
- B. Determine how the client feels about radiation and chemotherapy.
- C. Tell the client she will need reconstruction with either procedure.
- D. Find out if the client has any history of breast cancer in her family.
Correct Answer: B
Rationale: Discussing feelings about radiation and chemotherapy is key, as lumpectomy often requires radiation, while mastectomy may involve chemotherapy. Anesthesia fears, mandatory reconstruction, and family history are less relevant to the procedure choice.