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Before the client leaves the office, on which topic should the nurse provide health teaching?
- A. Ask about the qualifications of the person who did the tattoos and piercings
- B. Whether the client is practicing safe, protected sex
- C. The client's sexual experiences with members of both sexes
- D. The names of all of the client's sexual partners
Correct Answer: B
Rationale: Tattoos and piercings increase infection risk, but safe sex practices are critical to discuss due to potential STI transmission, especially with vaginal bleeding.
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The nurse is assessing a male client for symptoms of gonorrhea. Which data support the diagnosis?
- A. Presence of a chancre sore on the penis.
- B. No symptoms.
- C. A CD4 count of less than 200.
- D. Pain in the testes and scrotal edema.
Correct Answer: B
Rationale: Gonorrhea in males can be asymptomatic, especially early. Chancre sores indicate syphilis, low CD4 is HIV-related, and testicular pain/edema suggest epididymitis, not gonorrhea.
The client has had a total abdominal hysterectomy for cancer of the uterus. Which discharge instruction should the nurse teach?
- A. The client should take HRT every day to prevent bone loss.
- B. The client should practice pelvic rest until seen by the HCP.
- C. The client can drive a car as soon as she is discharged from the hospital.
- D. The client should expect some bleeding after this procedure.
Correct Answer: B
Rationale: Pelvic rest (no intercourse, tampons) prevents complications post-hysterectomy until HCP clearance. HRT is individualized, driving is restricted initially, and bleeding is abnormal.
Before taking the client to the room where the pelvic examination will be performed, which nursing action is most appropriate?
- A. Ask the client to sign a consent form.
- B. Give the client a gown to wear.
- C. Offer the client a mild analgesic.
- D. Help the client instill a vaginal lubricant.
Correct Answer: B
Rationale: Providing a gown ensures the client's privacy and comfort during the pelvic examination, which is a priority before the procedure.
The nurse is assessing a 34-year-old female client with fibrocystic breasts. Which question should the nurse ask the client during the assessment?
- A. Are your breasts more tender during your period?'
- B. Have you ever developed an allergy to chocolate?'
- C. Can you tell me more about your feelings of having fibrocystic breast changes?'
- D. Have you considered having a prophylactic mastectomy?'
Correct Answer: A
Rationale: Fibrocystic breast changes cause cyclical tenderness, worse premenstrually; this question assesses symptoms. Chocolate allergies, feelings, and prophylactic mastectomy are irrelevant.
The charge nurse is making rounds on the genitourinary surgery floor. Which action by the primary nurse warrants immediate intervention?
- A. The nurse elevates the scrotum of a client who has had an orchiectomy.
- B. The nurse encourages the client to cough, although he complains of pain.
- C. The nurse empties the client’s JP drain and leaves it rounded.
- D. The nurse asks the UAP to empty a catheter drainage bag.
Correct Answer: B
Rationale: Encouraging coughing despite pain risks complications (e.g., bleeding) post-surgery; pain control is needed first. Scrotal elevation, JP drain management, and UAP delegation are appropriate.