Nokea
If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which outcome?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
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Which question is most important for the nurse to ask the client with a cystocele who is scheduled to have a pessary inserted?
- A. Do you know if you are allergic to latex?'
- B. When did you start having incontinence?'
- C. When was your last bowel movement?'
- D. Are you experiencing any pelvic pressure?'
Correct Answer: A
Rationale: Latex allergies are critical to assess before pessary insertion, as many pessaries are latex-based, risking anaphylaxis. Incontinence history, bowel movements, and pelvic pressure are relevant but secondary to safety.
The client frequently finds lumps in her breasts, especially around her menstrual period. Which information should the nurse teach the client regarding breast self-care?
- A. This is a benign process, which does not require follow-up.
- B. The client should eliminate chocolate and caffeine from the diet.
- C. The client should practice breast self-examination monthly.
- D. This is the way breast cancer begins and the client needs surgery.
Correct Answer: C
Rationale: Lumps around the menstrual period are often fibrocystic changes, a benign condition. Teaching monthly breast self-examination empowers monitoring for changes. Assuming benignity without follow-up is unsafe, dietary changes are secondary, and suggesting surgery is premature.
The office manager schedules a mandatory staff meeting for all nursing personnel. As the nurse enters the room, several documents containing the client's name, medical records number, mammogram results, and diagnosis are found unattended on the table. Which nursing actions are appropriate in this situation? Select all that apply.
- A. Notify housekeeping to come and dispose of the papers.
- B. Toss the papers in the trash.
- C. Put the papers into the shredder bin.
- D. Try to determine who left the papers unattended.
- E. State the papers neatly, placing them off to the side.
- F. Notify the office manager of the breach in confidentiality.
Correct Answer: C,F
Rationale: Shredding the papers ensures secure disposal of protected health information (PHI), and notifying the office manager addresses the confidentiality breach, as required by HIPAA regulations.
Which is the American Cancer Society’s recommendation for the early detection of cancer of the prostate?
- A. A yearly PSA level and DRE beginning at age 50.
- B. A biannual rectal examination beginning at age 40.
- C. A semiannual alkaline phosphatase level beginning at age 45.
- D. A yearly urinalysis to determine the presence of prostatic fluid.
Correct Answer: A
Rationale: ACS recommends yearly PSA and DRE starting at age 50 for average-risk men. Biannual DRE, alkaline phosphatase, and urinalysis are not standard for prostate cancer screening.
Which gynecologic symptom reported by a female client is most suggestive of trichomoniasis?
- A. A series of fluid-filled vesicles on the vagina
- B. Vaginal drainage that causes intense itching
- C. Vaginal drainage that resembles milk
- D. Tenderness and pressure in the lower abdomen
Correct Answer: B
Rationale: Trichomoniasis typically causes frothy, foul-smelling vaginal discharge with itching, distinguishing it from other infections.