Nokea
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.
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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.
The 67-year-old male client reports difficulty initiating a urinary stream, urinary frequency, and inability to completely empty the bladder. Which procedure would the nurse anticipate the health-care provider (HCP) performing first?
- A. Digital rectal examination (DRE).
- B. Prostate-specific surface antigen (PSA).
- C. Prostate ultrasound.
- D. Biopsy of the prostate.
Correct Answer: A
Rationale: DRE is the initial procedure for assessing prostate enlargement (e.g., BPH), which causes urinary symptoms. PSA, ultrasound, and biopsy are follow-ups if DRE is abnormal.
The client has had an exploratory laparotomy to remove an ovarian tumor. The pathology report classifies the tumor as a 'low malignancy potential' (LMP) tumor. Which statement explains the scientific rationale for this pathology report?
- A. The client does not have cancer but will need adjuvant therapy.
- B. The client would have developed cancer if the tumor had not been removed.
- C. These borderline tumors resemble ovarian cancer but have better outcomes.
- D. The client has a very poor prognosis and has less than six (6) months to live.
Correct Answer: C
Rationale: LMP tumors (borderline ovarian tumors) have malignant features but lower metastatic potential, with better prognosis than invasive ovarian cancer. They are cancerous, not precancerous, and do not inherently require adjuvant therapy or indicate poor prognosis.
The client has had a total abdominal hysterectomy for cancer of the ovary. Which diet should the nurse discuss when providing discharge instructions?
- A. A low-residue diet without seeds.
- B. A low-sodium, low-fat diet with skim milk.
- C. A regular diet with fruits and vegetables.
- D. A full liquid-only diet with milkshake supplements.
Correct Answer: C
Rationale: A regular diet with fruits and vegetables supports recovery unless complications (e.g., ileus) are present. Low-residue or liquid diets are unnecessary, and low-sodium/low-fat is not specific.
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.