Nokea
After a 26-yr-old patient has been treated for pelvic inflammatory disease, the nurse will plan to teach about the
- A. use of hormone therapy (HT).
- B. potential complication of infertility.
- C. irregularities in the menstrual cycle
- D. changes in secondary sex characteristics.
Correct Answer: B
Rationale: The correct answer is B - potential complication of infertility. Pelvic inflammatory disease (PID) can lead to scarring and damage to the reproductive organs, increasing the risk of infertility. Teaching about this potential complication is crucial for the patient's understanding of the long-term consequences of PID. Option A (use of hormone therapy) is not directly related to PID treatment. Option C (irregularities in the menstrual cycle) may occur but is not the primary concern post-PID treatment. Option D (changes in secondary sex characteristics) is not a common complication of PID. Therefore, option B is the most appropriate choice for teaching post-PID treatment.
You may also like to solve these questions
A client who is scheduled for an endometrial biopsy expresses concerns about the procedure as she is apprehensive of 'being operated' on. How can the nurse relieve her anxiety?
- A. The nurse should inform her that this test will not require her to be under anesthetic influence for a long period.
- B. The nurse should inform her that this test will be performed under general anesthesia and she will be pain free.
- C. The nurse should inform her that this test will be performed under the care of expert physicians and nurses.
- D. The nurse should inform her that this procedure may be performed without anesthesia in the physician's office.
Correct Answer: D
Rationale: Endometrial biopsies are typically minimally invasive and often do not require anesthesia.
The hormone testosterone is tubes called seminiferous tubules that produced by the ________ cells of the are found within each ________. testes.
- A. spermatic cord
- B. spermatogonia
- C. testis
- D. oogonia
Correct Answer: B
Rationale: The correct answer is B: spermatogonia. Spermatogonia are the cells within the seminiferous tubules of the testes that give rise to sperm cells. Testosterone is produced by Leydig cells, not spermatogonia. A is incorrect because the spermatic cord does not produce testosterone. C is incorrect as the testis is the overall organ where the seminiferous tubules are located. D is incorrect as oogonia are female germ cells found in the ovaries, not the testes.
Levels of transcortin are elevated in a pregnant woman. Which of the following laboratory findings would be expected in this patient?
- A. Increased total (protein-bound plus free) plasma cortisol concentration
- B. Increased free (non–protein-bound) plasma cortisol concentration
- C. Decreased total plasma cortisol concentration
- D. Decreased free plasma cortisol concentration
Correct Answer: A
Rationale: Rationale: Elevated levels of transcortin in a pregnant woman lead to an increase in total plasma cortisol concentration. Transcortin binds to cortisol, increasing its total concentration but reducing the amount of free (non-protein-bound) cortisol. Choice A is correct as total cortisol concentration increases due to transcortin binding. Choices B and D are incorrect as free cortisol concentration decreases. Choice C is incorrect as total cortisol concentration is elevated, not decreased.
One treatment for erectile dysfunction requires the injection of a substance into the corpora cavernosa of the penis. The injection of which of the following causes an erection?
- A. Norepinephrine
- B. A substance that inhibits formation of nitric oxide
- C. Alprostadil
- D. Angiotensin II
Correct Answer: C
Rationale: Alprostadil is the correct answer because it is a prostaglandin E1 analog that dilates blood vessels in the corpora cavernosa, promoting blood flow and causing an erection. Norepinephrine (choice A) constricts blood vessels and inhibits erection. A substance that inhibits nitric oxide formation (choice B) is counterproductive as nitric oxide is essential for vasodilation. Angiotensin II (choice D) constricts blood vessels and does not promote erection. Therefore, C is the correct choice for inducing an erection through vasodilation in the corpora cavernosa.
Which of the following cells may eventually become spermatozoa?
- A. Sertoli cells
- B. Sustentacular cells
- C. Spermatogonia
- D. Chief cells
Correct Answer: C
Rationale: The correct answer is C: Spermatogonia. Spermatogonia are the male germ cells that undergo mitosis to produce more spermatogonia or differentiate into primary spermatocytes, which eventually develop into spermatozoa through meiosis. Sertoli cells (A) and Sustentacular cells (B) are somatic cells within the testes that support and nourish developing sperm cells, but they do not give rise to spermatozoa. Chief cells (D) are typically found in the stomach and are responsible for producing pepsinogen, unrelated to sperm production.