Nokea
If the nurse must handle the radioactive implant, which action provides the best protection for the nurse?
- A. Putting on sterile vinyl gloves
- B. Washing hands before putting on vinyl gloves
- C. Using long-handled forceps to handle the implant
- D. Enclosing the implant in a glass jar
Correct Answer: C
Rationale: Using long-handled forceps minimizes direct exposure to the radioactive implant, reducing the nurse's radiation risk.
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The client diagnosed with gestational diabetes delivered a 10-pound 5-ounce infant. Which is priority for the nursery nurse to monitor?
- A. Failure to latch on to the breast during feeding.
- B. Jaundice and clay-colored stools.
- C. Parchment-like skin and lack of lanugo.
- D. Low blood glucose readings.
Correct Answer: D
Rationale: Macrosomic infants from gestational diabetes are at risk for hypoglycemia; monitoring blood glucose is priority. Latching issues, jaundice, and skin changes are secondary.
If this client is typical of others with this condition, she will most likely report to the nurse that she experiences urinary incontinence during which time?
- A. When sitting
- B. As she walks
- C. During sleep
- D. Upon sneezing
Correct Answer: D
Rationale: A cystocele causes stress incontinence, with urine leakage during activities that increase abdominal pressure, such as sneezing.
Which could be a complication of cryotherapy surgery for cancer of the prostate?
- A. The urethra could become scarred and cause retention.
- B. The client could have ejaculation difficulties and be impotent.
- C. Bone marrow suppression could occur from the chemotherapy.
- D. Chronic vomiting and diarrhea causing electrolyte imbalance could occur.
Correct Answer: A
Rationale: Cryotherapy can scar the urethra, leading to urinary retention. Ejaculation issues are possible but less specific, and bone marrow suppression or GI issues are chemotherapy-related, not cryotherapy.
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.
To facilitate obtaining truthful information regarding this client's sexual history, which attitude is most important for the nurse to convey?
- A. Authoritative
- B. Nonjudgmental
- C. Encouraging
- D. Optimistic
Correct Answer: B
Rationale: A nonjudgmental attitude fosters trust, encouraging the client to provide honest sexual history information without fear of stigma.