Nokea
At which stage of life should a male be taught testicular self-examination (TSE)?
- A. childhood
- B. pre-adolescent
- C. puberty
- D. middle age adult
Correct Answer: C
Rationale: Young men should be taught to perform TSE monthly beginning at puberty.
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The nurse is assisting the health care provider in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical ___
Correct Answer: conization
Rationale: Conization of the cervix is indicated when eroded or infected tissue is to be removed or when there is a need for confirmation of cervical cancer. A cone-shaped section is removed when the mass is confined to the epithelial tissue.
Why do false-negative results in mammography occur in specific age-groups?
- A. Older women have greater density of breast tissue.
- B. Older women have less density of breast tissue.
- C. Younger women have greater density of breast tissue.
- D. Younger women have less density of breast tissue.
Correct Answer: C
Rationale: Because of the greater density of breast tissue, mammography is less sensitive in younger women, which may result in more false-negative results.
The patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
- A. If you have been free of symptoms for 2 weeks you are cured.'
- B. You should get a rapid plasma reagin (RPR) just to make sure.'
- C. No case is considered cured until you have had three consecutive negative cervical smears.'
- D. To confirm your cure, you should get a Venereal Disease Research Lab (VDRL).'
Correct Answer: C
Rationale: No case of gonorrhea is considered cured until you have had three consecutive negative cervical smears. The RPR and the VDRL are tests for syphilis.
A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole for 7 days. Which advice will the nurse give to the patient?
- A. Avoid alcohol while on metronidazole
- B. Be aware that her urine may turn blue and will stain clothing.
- C. Wear snug underwear during treatment.
- D. Be aware that she need not notify her sexual partners as trichomoniasis is not contagious.
Correct Answer: A
Rationale: Alcohol should be avoided as it can cause disorientation, cramps, and possibly convulsions.
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.