Nokea
Besides a mild analgesic such as ibuprofen (Motrin), which therapeutic interventions are most appropriate for the nurse to recommend? Select all that apply.
- A. Obtain a prescription for an oral contraceptive.
- B. Switch from menstrual pads to tampons.
- C. Use local applications of heat.
- D. Reduce physical activity.
- E. Massage the lower abdomen when experiencing pain.
- F. Lie prone while sleeping or napping.
Correct Answer: C,E
Rationale: Heat application relaxes uterine muscles, reducing cramps, and massaging the lower abdomen can alleviate pain. Oral contraceptives require a prescription, tampons don't relieve cramps, reducing activity is unnecessary, and lying prone may not help.
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Which nursing diagnosis is most appropriate for the nurse to add to the client's care plan at this time?
- A. Risk for ineffective airway clearance
- B. Risk for imbalanced nutrition
- C. Ineffective coping
- D. Impaired verbal communication
Correct Answer: A
Rationale: General anesthesia and abdominal surgery increase the risk of respiratory complications, making ineffective airway clearance a priority diagnosis.
The male client is considering a vasectomy for birth control. Which information should the nurse teach the client?
- A. Instruct the client to use hot packs to relieve scrotal edema after the surgery.
- B. Tell the client to wear loose-fitting boxer underwear after the surgery.
- C. Explain initially an alternate form of birth control will be required.
- D. Discuss potency will be diminished about 20% after a vasectomy.
Correct Answer: C
Rationale: Alternate contraception is needed post-vasectomy until sperm clearance (confirmed by semen analysis). Hot packs worsen edema, boxer underwear is nonspecific, and potency is unaffected.
Which tumor marker information is used to follow the progress of a client diagnosed with testicular cancer?
- A. CA-125.
- B. Carcinogenic embryonic antigen (CEA).
- C. DNA ploidy test.
- D. Human chorionic gonadotropin (hCG).
Correct Answer: D
Rationale: hCG is a key tumor marker for testicular cancer, used to monitor disease progression and treatment response. CA-125 is for ovarian cancer, CEA is nonspecific, and DNA ploidy is not a marker.
The client is diagnosed with tertiary syphilis. Which signs and symptoms should the nurse expect the client to exhibit?
- A. Lymphadenopathy and hair loss.
- B. Warts in the genital area.
- C. Dementia and psychosis.
- D. Raised rash covering the body.
Correct Answer: C
Rationale: Tertiary syphilis affects the nervous system, causing dementia and psychosis. Lymphadenopathy/hair loss and rashes occur in earlier stages, and warts are HPV-related.
If the client is typical of others with gonorrhea, which statements made by the client will help to make the diagnosis? Select all that apply.
- A. I have burning when I urinate.
- B. I have a yellow drainage from my penis.
- C. I had sexual intercourse 5 days ago.
- D. I have a painless ulceration on my penis.
- E. I have little blisters on my penis and scrotum.
- F. I have extra skin growing around my penis.
Correct Answer: A,B
Rationale: Burning on urination and yellow penile discharge are hallmark symptoms of gonorrhea, supporting the diagnosis.