Nokea
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.
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Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.
The patient who had a colporrhaphy for the repair of a cystocele and rectocele asks that the catheter be removed as it is bothersome to her. In which way will the nurse explain the reason for the catheter?
- A. It replaces uncomfortable gauze packing.
- B. It will prevent adhesions and will be in place for about 2 weeks.
- C. It allows for quick urine sample collection.
- D. It keeps the bladder empty and prevents stress on the sutures.
Correct Answer: D
Rationale: A retention catheter is usually inserted into the bladder to keep it empty and prevent pressure on sutures.
Which condition would prevent the use of a vaginal hysterectomy?
- A. A woman with more than four pregnancies
- B. Large uterine fibroids
- C. Menorrhagia for over 6 months
- D. Women over the age of 50
Correct Answer: B
Rationale: In the case of large uterine fibroids, a vaginal hysterectomy is not an option.
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
- A. Offering carbonated beverages
- B. Encouraging ambulation at least four times per day
- C. Administering a 1000-mL soapsuds enema
- D. Applying an abdominal binder
Correct Answer: B
Rationale: Early ambulation is very helpful to return the bowel to normal function.
Which statement is true of the Gardasil vaccine?
- A. It requires two more immunizations at 6 months after the first dose.
- B. It reduces incidence of cervical cancer.
- C. It reduces the incidence of human papilloma virus (HPV).
- D. It can be given only to females.
- E. It should be given before a person becomes sexually active.
- F. It is safe for people as young as 8 years of age.
Correct Answer: A,B,C,E
Rationale: Gardasil is a vaccine that is effective against HPV and reduces the incidence of cervical cancer; it can be given to males and females before they become sexually active. It is not recommended for children under 11 years of age.