Nokea
In addition to pressure in the pelvic region, which sign or symptom is the client most likely to reveal during a nursing history?
- A. Heavy menstrual bleeding
- B. Light menstrual bleeding
- C. Abdominal pain at the time of ovulation
- D. Breast tenderness during menstruation
Correct Answer: A
Rationale: Fibroid tumors often cause heavy menstrual bleeding due to increased uterine surface area and vascularity.
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Which client has the highest risk for developing cancer of the testicles?
- A. The client diagnosed with epididymitis.
- B. The client born with cryptorchidism.
- C. The client with an enlarged prostate.
- D. The client diagnosed with hypospadias.
Correct Answer: B
Rationale: Cryptorchidism (undescended testis) significantly increases testicular cancer risk due to abnormal testicular development. Epididymitis, enlarged prostate, and hypospadias are not strong risk factors.
Besides assessing the dressing for signs of bleeding, which other postoperative nursing assessment is a priority after this surgical procedure?
- A. Checking the client's deep-breathing efforts
- B. Assessing the client's ability to achieve an erection
- C. Monitoring the volume of urine output
- D. Monitoring the infusion of I.V. antibiotics
Correct Answer: C
Rationale: Monitoring urine output is critical post-circumcision to ensure no urinary retention or complications from swelling.
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.
Because many antineoplastic drugs affect bone marrow function, which laboratory test is most important to monitor for client safety?
- A. Mean cell volume
- B. Total leukocyte count
- C. Differential cell count
- D. Complete blood count
Correct Answer: D
Rationale: A complete blood count monitors red cells, white cells, and platelets, detecting bone marrow suppression caused by antineoplastic drugs.
The nurse is teaching the client diagnosed with uterine prolapse. Which information should the nurse include in the discussion?
- A. Increase fluids and daily exercise to prevent constipation.
- B. Explain there is only one acceptable treatment for uterine prolapse.
- C. Instruct the client to visually check the uterine prolapse daily.
- D. Discuss limiting coughing and lifting heavy objects.
Correct Answer: D
Rationale: Limiting coughing and heavy lifting reduces pelvic pressure, preventing prolapse worsening. Fluids and exercise aid bowel health but are secondary, multiple treatments exist, and daily visual checks are unnecessary.