Nokea
Before the physician performs the vaginal examination, which nursing intervention is most important?
- A. Arrange to have a female nurse present during the examination.
- B. Instruct the client on the dangers of cervical cancer.
- C. Palpate the internal organs to obtain a baseline assessment.
- D. Encourage the client to instill a vaginal lubricant.
Correct Answer: A
Rationale: Having a female nurse present ensures the client's comfort and adheres to ethical standards, providing a chaperone during the examination.
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When the client asks how this condition will affect him sexually, which response by the nurse is most appropriate?
- A. It most likely will have little effect on your masculinity.
- B. It means that you will probably be impotent.
- C. You may notice that your breasts will enlarge later.
- D. Your sex drive will not be like that of other boys.
Correct Answer: A
Rationale: An undescended testicle, if corrected, typically has minimal impact on sexual function or masculinity, especially if addressed early.
The 30-year-old male client diagnosed with germinal cell carcinoma of the testes asks the nurse, 'What chance do I have? Should I end it all now?' Which response by the nurse indicates an understanding of the disease process?
- A. God does not want you to give up hope and end it all now.'
- B. There is a good chance for survival with standard treatment options.'
- C. There may be little hope, but ending it all is not the answer.'
- D. You have a 50/50 chance of living for at least 5 years.'
Correct Answer: B
Rationale: Germinal cell carcinoma has a high cure rate with treatment (e.g., orchiectomy, chemotherapy), offering good survival chances. Religious references, pessimism, or vague statistics are less appropriate.
Although it has not been conclusively proven, the nurse explains that some women with fibrocystic disease get relief from their symptoms by eliminating which substance from their diet?
- A. The blood
- B. Caffeine
- C. Saturated fat
- D. Refined sugar
Correct Answer: B
Rationale: Caffeine is thought to exacerbate fibrocystic breast symptoms in some women by stimulating breast tissue, and reducing intake may provide symptom relief, though evidence is not definitive.
The client is diagnosed with benign uterine fibroid tumors. Which question should the nurse ask to determine if the client is experiencing a complication?
- A. How many periods have you missed?'
- B. Do you get short of breath easily?'
- C. How many times have you been pregnant?'
- D. Where is the location of the pain you are having?'
Correct Answer: D
Rationale: Pain location helps identify complications like fibroid degeneration or pressure on organs. Missed periods are common, shortness of breath is unrelated, and pregnancy history is less relevant.
The nurse is admitting a client diagnosed with Stage Ia cancer of the cervix to an outpatient surgery center for a conization. Which data would the client most likely report?
- A. Diffuse watery discharge.
- B. No symptoms.
- C. Dyspareunia.
- D. Intense itching.
Correct Answer: B
Rationale: Stage Ia cervical cancer is often asymptomatic, detected via Pap smear or biopsy. Watery discharge, dyspareunia, and itching are more associated with advanced stages or infections.