Nokea
If the nurse finds the radioactive insert in the client's bed, which nursing action is most appropriate?
- A. Return it to the nuclear medicine department.
- B. Discard it in the infectious waste receptacle.
- C. Reinsert it immediately.
- D. Place it in a lead container.
Correct Answer: D
Rationale: Placing the radioactive insert in a lead container shields radiation and ensures safe handling until it can be managed by radiation safety personnel.
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The client is diagnosed with primary syphilis. Which symptoms should the nurse observe?
- A. A chancre sore in the perineal area.
- B. A rash on the trunk and extremities.
- C. Blistering of the palms of the hands.
- D. Confusion and disorientation.
Correct Answer: A
Rationale: Primary syphilis presents with a painless chancre sore at the infection site. Rash is secondary, blisters are herpes-related, and confusion is tertiary.
Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
- A. The client should report any vaginal bleeding or cramping to the surgeon.
- B. The client should start a vigorous exercise routine to restore her muscle tone.
- C. The client should continue sitting in the bedside chair at least six (6) hours daily.
- D. The client should soak in a warm tub bath each night for one (1) hour.
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.
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 nurse is caring for a client diagnosed with uterine cancer who has received afterload intracavitary radiation. Which precaution should the nurse implement?
- A. Wear rubber gloves to protect the nurse from all exposure.
- B. Allow any visitor the client wishes to see.
- C. Minimize the amount of time spent with the client.
- D. Encourage the client to ambulate in the hallway.
Correct Answer: C
Rationale: Minimizing time with the client reduces radiation exposure during intracavitary brachytherapy. Gloves are insufficient, visitors are limited, and ambulation increases exposure risk.
The outpatient clinic nurse is working with clients diagnosed with sexually transmitted diseases (STD). Which long-term complication should the nurse discuss with the clients about STDs?
- A. Stress the need for clients to completely finish all antibiotics prescriptions.
- B. Inform the clients that, legally, many STIs must be reported to the health department.
- C. Sexually transmitted diseases can result in reproductive problems.
- D. Discuss the myth that acquired immunodeficiency syndrome is an STI.
Correct Answer: C
Rationale: STDs like chlamydia and gonorrhea can cause infertility or ectopic pregnancy, a critical long-term complication. Antibiotic completion, reporting, and AIDS myths are important but not complications.