Nokea
A nurse is called to the playground near her house in relation to an adolescent who experienced intense pain in his testicle after riding his bike. The nurse suspects which of the following problems has occurred?
- A. Torsion of the spermatic cord
- B. Cryptorchidism
- C. Phimosis
- D. Spermatocele
Correct Answer: A
Rationale: Testicular torsion presents with sudden, severe pain and requires immediate medical attention.
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Following a discussion about impending chemotherapy, Mrs. Morris says: 'I need to buy a wig.' From her comment you know Mrs. Morris understands one of the side effects of chemotherapy is
- A. hirsutism
- B. alopecia
- C. tinnea capitus
- D. folliculitis
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy.
Which one of the following is not a component of semen?
- A. Sperm
- B. Seminal fluid
- C. Prostatic fluid
- D. Bulbourethral fluid
Correct Answer: D
Rationale: The correct answer is D: Bulbourethral fluid. Semen is composed of sperm, seminal fluid, and prostatic fluid. Bulbourethral fluid is not a component of semen but contributes to pre-ejaculatory fluid. This fluid is released from the Cowper's glands and serves to lubricate the urethra prior to ejaculation. The other choices (A, B, C) are all essential components of semen that play crucial roles in sperm transport, nourishment, and protection.
A client is having a hysterosalpingogram. What action by the nurse is most important?
- A. Assist the client in sitting up after the procedure
- B. Provide the client with a pad to avoid dye stains on the clothes.
- C. Teach her to take all antibiotics prescribed until finished
- D. Inform the client that the procedure may cause shoulder pain.
Correct Answer: A
Rationale: The correct answer is A: Assist the client in sitting up after the procedure. This is important to prevent complications like vasovagal response or fainting due to sudden positional changes. Sitting up slowly helps stabilize blood pressure and prevent dizziness.
B: Providing a pad for dye stains is not the most important action as it is a minor concern compared to client safety post-procedure.
C: Taking antibiotics has no direct relevance to the hysterosalpingogram procedure, so it is not the most important action.
D: Informing the client about potential shoulder pain is helpful, but ensuring immediate safety by assisting the client in sitting up takes precedence.
Which of the following nursing interventions are required for a client undergoing antibiotic treatment for epididymitis and orchitis?
- A. Use an alcohol rub to keep the scrotum dry.
- B. Apply a skin cream.
- C. Elevate the scrotum to relieve the pain.
- D. Limit alcohol intake to 2 drinks per week.
Correct Answer: C
Rationale: Elevating the scrotum helps alleviate pain and swelling.
Which of the following structures are located inferior to the prostate on either side of the membranous urethra within the deep muscles of the perineum?
- A. bulbourethral gland
- B. Seminal vesicles
- C. Ejaculatory ducts
- D. Urethral ducts
Correct Answer: A
Rationale: The correct answer is A: bulbourethral gland. These glands are located inferior to the prostate on either side of the membranous urethra within the deep muscles of the perineum. They secrete a clear mucus-like fluid that neutralizes acidic urine in the urethra.
The other choices are incorrect:
B: Seminal vesicles are located posterior to the bladder and contribute to seminal fluid production.
C: Ejaculatory ducts connect the vas deferens to the urethra and are not located in the deep muscles of the perineum.
D: Urethral ducts are not a specific anatomical structure and do not exist in this context.