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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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The fingerlike ends of fallopian tubes are called as:
- A. Cilia
- B. Papillae
- C. Flagellae
- D. Fimbriae
Correct Answer: D
Rationale: The correct answer is D: Fimbriae. Fimbriae are the fingerlike projections at the end of the fallopian tubes that help capture the released egg from the ovary. They create a sweeping motion to guide the egg into the tube for fertilization. Cilia (A) are hair-like projections that help with movement, but they are not specific to the fallopian tubes. Papillae (B) are small, raised projections found in various organs, not in the fallopian tubes. Flagellae (C) are whip-like structures used for movement in some cells, not found in the fallopian tubes. In summary, fimbriae are specifically designed to capture and guide the egg, making them the correct choice.
PID is:
- A. Prostate inflammatory disease
- B. Pelvic infiltrative disorder
- C. Pelvic inflammatory disease
- D. Prostate inhibitory disorder
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. PID stands for Pelvic Inflammatory Disease.
2. PID is an infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries.
3. Symptoms include pelvic pain, abnormal vaginal discharge, fever, and painful urination.
4. Choice A is incorrect because PID does not specifically refer to the prostate.
5. Choice B is incorrect as PID does not involve infiltration but rather inflammation.
6. Choice D is incorrect as PID is not a disorder that inhibits the prostate.
A couple is scheduled to have a Huhner test for infertility. In preparation for the test, the nurse will instruct the couple about
- A. being sedated during the procedure
- B. determining the estimated time of ovulation.
- C. experiencing shoulder pain after the procedure.
- D. refraining from intercourse before the appointment.
Correct Answer: B
Rationale: The correct answer is B because the Huhner test is used to assess the quality of cervical mucus and its ability to support sperm survival and movement. Therefore, determining the estimated time of ovulation is crucial as it ensures that the test is performed during the most fertile period of the woman's cycle. This increases the chances of obtaining accurate and relevant results.
A: Being sedated during the procedure is unnecessary as the Huhner test is a simple and non-invasive procedure that does not require sedation.
C: Experiencing shoulder pain after the procedure is not a common side effect of the Huhner test and is not a significant aspect to focus on during preparation.
D: Refraining from intercourse before the appointment is not specifically required for the Huhner test, as the purpose of the test is to evaluate the quality of cervical mucus rather than the presence of sperm.
The nurse recognizes which patient has the highest risk of endometrial cancer?
- A. A 24-year-old woman with menarche at age 9
- B. A 30-year-old woman who started menstruating at age 19
- C. A 42-year-old woman who reached menopause at age 40
- D. A 64-year-old woman who had irregular, heavy menstrual cycles
Correct Answer: A
Rationale: The correct answer is A because early menarche (age 9) and late menopause increase the lifetime exposure of estrogen, a known risk factor for endometrial cancer. Choice B has a later menarche age, reducing estrogen exposure. Choice C's early menopause decreases estrogen exposure. Choice D's irregular cycles may indicate hormonal imbalances but don't directly relate to increased estrogen exposure.
Delayed breathing at birth is a common danger faced by newborn infants. What is a frequent cause of delayed breathing?
- A. Fetal hypoxia during the birth process
- B. Maternal hypoxia during the birth process
- C. Fetal hypercapnia
- D. Maternal hypercapnia
Correct Answer: A
Rationale: The correct answer is A: Fetal hypoxia during the birth process. Fetal hypoxia, which is a lack of oxygen to the fetus during birth, can lead to delayed breathing in newborn infants. This lack of oxygen can result from various factors such as umbilical cord compression or placental insufficiency. Maternal hypoxia (choice B) and hypercapnia (choices C and D) may affect the fetus indirectly but are not direct causes of delayed breathing in newborns. Therefore, the correct choice is A, as it directly addresses the specific cause of delayed breathing in newborn infants.