Nokea
If a culture is ordered to detect the causative organism, which body substance will the nurse collect?
- A. Venous blood
- B. Sterile urine
- C. Specialized semen
- D. Urethral drainage
Correct Answer: D
Rationale: Urethral drainage is the primary specimen for culturing gonorrhea, as it directly samples the infection site.
You may also like to solve these questions
The nurse is caring for a client who is one (1) day postoperative hysterectomy for cancer of the ovary. Which nursing interventions should the nurse implement? Select all that apply.
- A. Assess for calf enlargement and tenderness.
- B. Turn, cough, and deep breathe every six (6) hours.
- C. Assess pain on a 1-to-10 pain scale.
- D. Apply sequential compression devices to legs.
- E. Assess bowel sounds every four (4) hours.
Correct Answer: A,C,D,E
Rationale: Assess for DVT (calf tenderness), manage pain, use SCDs for DVT prevention, and monitor bowel sounds (ileus risk) are critical post-hysterectomy. Turning every 6 hours is too infrequent; every 2 hours is standard.
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.
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.
Which specific complication should the nurse assess for in the client with a uterine prolapse recovering from an anterior and posterior repair?
- A. Orthostatic hypotension.
- B. Atelectasis.
- C. Allen sign.
- D. Deep vein thrombosis.
Correct Answer: D
Rationale: Deep vein thrombosis is a significant risk post-pelvic surgery due to immobility and venous stasis. Orthostatic hypotension is unrelated, atelectasis is a respiratory risk, and Allen sign pertains to arterial occlusion.
Which nursing order is most appropriate to add to the client's initial postoperative care plan?
- A. Connect the cystostomy tube to a leg bag for drainage.
- B. Secure the cystostomy tube to the client's thigh.
- C. Ensure that the cystostomy tube is unclamped at all times.
- D. Clamp the indwelling catheter when the cystostomy tube is irrigated.
Correct Answer: C
Rationale: Keeping the cystostomy tube unclamped ensures continuous drainage, preventing complications like infection or pressure buildup.