A nurse is teaching a client in the doctor's office about genital warts. Which of the following is the best discharge instruction to give to a client with genital warts?
- A. Advise all sexual contacts to be examined and treated.
- B. Antiviral IV drugs are recommended to prevent viral shedding.
- C. Topical applications of the antiviral drugs are recommended for clinical benefits.
- D. Use of alcohol, peroxide, witch hazel, and warm air from a hair dryer are recommended to keep the lesions dry.
Correct Answer: A
Rationale: Notifying and treating all sexual contacts is essential to prevent further spread of genital warts.
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A 79-year-old client who has just returned to the surgical unit following a TURP complains of acute abdominal pain caused by bladder spasms. All of these orders are listed on the client's chart. In what order will you accomplish these actions?
- A. Administer acetaminophen/oxycodone 325 mg/5 mg (Percocet) 2 tablets.
- B. Irrigate retention catheter with 30-50 mL of sterile normal saline.
- C. Infuse 500 mL of 5% dextrose in lactated Ringer's solution over 2 hours.
- D. Encourage client's oral fluid intake to at least 2500-3000 mL daily.
Correct Answer: B
Rationale: Irrigating the catheter addresses the potential blockage causing the spasms.
Which of the following would a nurse suggest for a client with an inflammation of the prostate gland?
- A. Treat the client and also his sexual partners.
- B. Avoid standing for long periods and foods that cause diarrhea.
- C. No masturbation or sexual intercourse until treated.
- D. Avoid foods that may cause acidity.
Correct Answer: C
Rationale: Abstinence from sexual activity until treatment is complete helps prevent exacerbation and transmission.
Which hormone promotes a small number of primary follicles within the ovary to grow and mature each month?
- A. Luteinizing hormone (LH)
- B. Estrogen
- C. Follicl
- D. stimulating hormone (FSH)
Correct Answer: D
Rationale: The correct answer is D, follicle-stimulating hormone (FSH). FSH promotes the growth and maturation of primary follicles in the ovary each month. It stimulates the follicles to develop and produce estrogen. LH surge triggers ovulation. A and B are involved in the menstrual cycle, but they do not specifically promote the growth of primary follicles. C is not a hormone involved in the process.
Which hormone thickens the lining of the uterus?
- A. FSH
- B. estrogen
- C. LH
- D. progesterone
Correct Answer: B
Rationale: The correct answer is B: estrogen. Estrogen is responsible for thickening the lining of the uterus during the menstrual cycle in preparation for implantation of a fertilized egg. Follicle-stimulating hormone (FSH) stimulates the growth of ovarian follicles. Luteinizing hormone (LH) triggers ovulation. Progesterone helps maintain the uterine lining during the second half of the menstrual cycle. Estrogen plays a key role in the initial thickening of the uterine lining, making it the correct choice.
Which is a sign of benign prostatic hyperplasia?
- A. Weight loss
- B. Bone pain
- C. Fever
- D. Nocturia
Correct Answer: D
Rationale: The correct answer is D: Nocturia. Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland, leading to urinary symptoms like frequent urination, especially at night (nocturia). Weight loss, bone pain, and fever are not typical signs of BPH. Nocturia is a common symptom due to the prostate gland pressing against the urethra, causing urinary retention. It is important to differentiate BPH symptoms from other potential causes to provide appropriate treatment.
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