Nokea
As preparation for hysterectomy, Mrs. Washington is having radiation therapy for cancer of the uterus, stage IIa. To promote her self-care during recovery from irradiation, which of the following is correct?
- A. Extensive psychologic support is necessary
- B. Extensive physical care is necessary
- C. Instruction in skin care is a priority
- D. Dietary fiber and roughage should be increased
Correct Answer: C
Rationale: Proper skin care is crucial to manage and prevent radiation-induced skin reactions.
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The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient’s sexual orientation and related risk factors?
- A. “Do you have sex with men, women, or both?”
- B. “Which gender do you prefer to have sex with?”
- C. “What types of sexual activities do you prefer?”
- D. “Are you heterosexual, homosexual, or bisexual?”
Correct Answer: A
Rationale: The correct answer is A because it directly asks about the patient's sexual partners without assuming their orientation. This open-ended question allows the patient to freely disclose their sexual orientation and related risk factors. Answer B assumes a preference rather than orientation. Answer C focuses on activities rather than orientation. Answer D limits the options to specific labels, which may not accurately reflect the patient's experience.
Estrogen
- A. Facilitate the growth of ovarian follicles
- B. Cause cystic changes in the vagina
- C. Cause cervical mucous to become more alkanized
- D. Produce ductal proliferation in the breast
Correct Answer: D
Rationale: Estrogen is known to stimulate ductal proliferation in the breast tissue as part of its role in breast development and maintenance. This is crucial for preparing the breast for potential pregnancy and lactation. The other choices are incorrect because estrogen does not directly cause cystic changes in the vagina, alter the pH of cervical mucus to become more alkaline, or specifically facilitate the growth of ovarian follicles. Estrogen plays a role in ovarian follicle development, but its main function in this context is to stimulate the growth and maturation of the follicles, not just facilitate their growth.
In educating a male patient about testicular cancer, the nurse includes which statement?
- A. The highest incidence of this cancer is in men between 20 and 34 years of age.
- B. The incidence of this cancer is correlated with human papillomavirus (HPV) infection.
- C. The risk of this cancer increases with multiple sexual partners.
- D. This type of cancer more commonly affects uncircumcised males.
Correct Answer: A
Rationale: Step 1: The correct answer is A because testicular cancer has the highest incidence in men between 20 and 34 years of age, making it crucial to educate this age group.
Step 2: Choice B is incorrect as testicular cancer is not correlated with HPV; it is more associated with undescended testicles.
Step 3: Choice C is incorrect as there is no direct link between the number of sexual partners and testicular cancer risk.
Step 4: Choice D is incorrect as circumcision status is not a significant factor in the development of testicular cancer.
While working in a long-term-care (LTC) facility, you are assessing a client with a history of benign prostatic hypertrophy (BPH). Which information will require the most immediate action?
- A. Client tells you that he always has trouble starting his urinary stream.
- B. Client's chart shows an elevated prostate-specific antigen (PSA) level.
- C. Client is restless and his bladder is palpable above the symphysis pubis.
- D. Client says he has not voided since having a glass of juice 4 hours ago.
Correct Answer: C
Rationale: A palpable bladder indicates urinary retention, which requires immediate action to prevent complications.
Where does fertilization normally occur?
- A. uterus
- B. uterine tube
- C. ovary
- D. pelvic cavity
Correct Answer: B
Rationale: The correct answer is B, the uterine tube. Fertilization typically occurs in the uterine tube, also known as the fallopian tube, where the egg and sperm meet and fuse to form a zygote. This is the site where the fertilized egg begins its journey towards the uterus for implantation. The other choices are incorrect because fertilization does not occur in the uterus (A), ovary (C), or pelvic cavity (D). The uterus is where the fertilized egg implants and develops into a fetus, the ovary is where the egg is released during ovulation, and the pelvic cavity is a space that houses reproductive organs but not the site of fertilization.