Nokea
If the client experiences all of the following signs and symptoms after the laparoscopy, which one can the nurse attribute directly to the endoscopic procedure?
- A. Nausea and vomiting
- B. Shoulder discomfort
- C. Urinary frequency
- D. Leg cramps
Correct Answer: B
Rationale: Shoulder discomfort is a common post-laparoscopy symptom due to residual carbon dioxide gas irritating the diaphragm.
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When counseling a female client with a new diagnosis of genital herpes, which statement by the nurse is accurate?
- A. Have a Pap test done at least every 6 months.
- B. Avoid having vaginal intercourse for at least 6 months.
- C. If you take your medicine, you will not infect anyone else.
- D. Your infection provides immunity for any future children.
Correct Answer: D
Rationale: Genital herpes infection may confer some immunity to neonates via maternal antibodies, reducing severe neonatal herpes risk.
The female client diagnosed with human papillomavirus (HPV) asks the nurse, 'What other problems can HPV lead to?' Which statement is the most appropriate response by the nurse?
- A. HPV is transmitted during sexual intercourse.'
- B. HPV infection can cause cancer of the cervix.'
- C. It has been known to lead to ovarian problems.'
- D. Regular Pap smears can help prevent problems.'
Correct Answer: B
Rationale: HPV is a major cause of cervical cancer, a critical complication to highlight. Transmission mode is irrelevant, ovarian issues are unrelated, and Pap smears detect, not prevent, issues.
Which nursing action is most appropriate to carry out the medical order?
- A. Catheterize the client as soon as possible.
- B. Catheterize the client after her next voiding.
- C. Connect the catheter to gravity drainage.
- D. Use a small-gauge catheter to drain the bladder.
Correct Answer: B
Rationale: Catheterizing after the next voiding allows measurement of residual urine, assessing bladder function accurately.
The nurse is assessing a client with rule-out testicular cancer. Which assessment data support the client having testicular cancer?
- A. The client complains of pain when urinating.
- B. There is a chancre sore on the shaft of the penis.
- C. The client complains of heaviness in the scrotum.
- D. There is a red, raised rash on the testes.
Correct Answer: C
Rationale: Heaviness in the scrotum is a classic symptom of testicular cancer due to tumor mass. Dysuria, chancre sores, and rashes are unrelated or indicative of other conditions (e.g., STDs).
The client who is four (4) months pregnant finds a lump in her breast and the biopsy is positive for Stage II cancer of the breast. Which treatment should the nurse anticipate the HCP recommending to the client?
- A. A lumpectomy to be performed after the baby is born.
- B. A modified radical mastectomy.
- C. Radiation therapy to the chest wall only.
- D. Chemotherapy only until the baby is born.
Correct Answer: D
Rationale: In pregnancy, chemotherapy is often used for Stage II breast cancer after the first trimester to control disease while minimizing fetal risk. Lumpectomy or mastectomy is delayed until after delivery, and radiation is avoided during pregnancy.