Nokea
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.
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The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, 'Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore.' Which response from the nurse is most therapeutic?
- A. Don't be concerned. All young women get upset before this kind of surgery.'
- B. Certainly, I will be glad to tell her about hormone replacement.'
- C. She will get over this feeling soon.'
- D. No matter what I may say to her, it is you that needs to listen to her concerns and assure her.'
Correct Answer: D
Rationale: Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful.
The nurse instructs a group of women who attend the health clinic that persons who are particularly at risk for cervical cancer are persons who have which risk factor?
- A. smoke.
- B. wear tampons.
- C. have been sexually active since their teens.
- D. have multiple sexual partners.
- E. had chickenpox as a child.
- F. have a history of sexually transmitted infections (STI).
Correct Answer: A,C,D,F
Rationale: Women who have been sexually active since their teens, have multiple sexual partners, and have a history of STDs are more at risk for cancer of the cervix.
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 She is withdrawn and does not initiate interaction with the nurse.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.
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.
The patient, age 52, is recovering from a modified radical mastectomy. For which reason will the nurse ensure postoperative elevation of the patient's arm after this procedure?
- A. To prevent vascular and lymph stasis, thus lymphedema.
- B. To prevent drainage accumulation at the incisional site.
- C. To prevent wound infection and dehiscence.
- D. To prevent pleural effusion and respiratory distress.
Correct Answer: A
Rationale: If the arm is not restricted by dressings, it may be elevated on a pillow with the hand and wrist higher than the elbow and the elbow higher than the shoulder joint. This will facilitate the flow of fluids through the lymph and venous routes and prevent lymphedema.