A patient, age 46, is recovering from an abdominal hysterectomy. Postoperative nursing assessment findings include a urinary output of $100 \mathrm{~mL}$ in 4 hours. Which action will the nurse take?
- A. Force fluids.
- B. Report urinary retention to the charge nurse.
- C. Milk' the urinary catheter.
- D. Turn the patient onto her right side.
Correct Answer: B
Rationale: Postoperative nursing interventions for patients with abdominal hysterectomy focus on monitoring vital signs and preventing urinary retention. The patient should have an output of at least 30 mL/hr. Anything less than that should be reported.
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An alternative remedy, ___, is used by men for the treatment of impotence.
Correct Answer: yohimbine
Rationale: Yohimbine is an alternative remedy for the treatment of male impotence.
A patient, age 36, is scheduled for a right modified radical mastectomy. She is withdrawn and does not initiate interaction with the nurse. Which activity is the most appropriate nursing action at this time?
- A. Carefully explain the postoperative activity restrictions.
- B. Show her a diagram of what the orchiectomy will accomplish.
- C. Assure her that she will have adequate future sexual functioning.
- D. Assess her concerns related to her diagnosis and treatment.
Correct Answer: D
Rationale: A common patient problem for a patient with a reproductive disorder is having concerns related to the diagnosis and treatment of breast cancer. It is beneficial to listen to the concerns about this treatment.
Although menopause is a normal part of aging, why do some women enter menopause at an earlier age?
- A. Having become sexually active at an early age
- B. Living at high altitudes
- C. Excessive use of alcohol
- D. Morbid obesity
Correct Answer: B
Rationale: Early menopause may be brought on at an earlier age because of living in high altitudes, smoking, cancer treatment, and family history.
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
- A. The testes feel smooth and egg-shaped.'
- B. The best time to perform TSE is after a shower.'
- C. I will examine my scrotum after every ejaculation.'
- D. The epididymis feels like a soft tube.'
Correct Answer: C
Rationale: It is not recommended for a patient to perform a testicular self-examination after every ejaculation. Perform testicular self-examination after a bath or shower when the scrotum is warm and most relaxed. The testes should feel smooth and be firm to the touch. The epididymis feels like a soft tube.
When the veins in the scrotum become dilated, and the scrotum becomes enlarged and dilated, the condition is called a ___
Correct Answer: varicocele
Rationale: A varicocele is a condition in which the scrotum becomes enlarged and dilated, from obstructed vessels.
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