Nokea
In order to educate clients, the nurse should understand that the most common site of cancer for a female is the:
- A. Uterine cervix
- B. Vagina
- C. Uterine body
- D. Fallopian tube
Correct Answer: A
Rationale: The most common site of cancer for a female is the uterine cervix. Cervical cancer is the fourth most common cancer in women worldwide. It is primarily caused by the human papillomavirus (HPV), a sexually transmitted infection. Regular Pap smears can help detect precancerous changes in the cervix early, making it a preventable and treatable cancer if caught early. It is important for nurses to educate their clients on the importance of routine screenings and HPV vaccination to prevent cervical cancer.
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Poor prognostic factors in Hodgkin lymphoma include all the following EXCEPT
- A. age of more than 15 year at the time of diagnosis
- B. stage IV disease
- C. manifested by positron emission tomography (PET) scan positivity
- D. poor response to therapy
Correct Answer: A
Rationale: Older age is generally considered a poor prognostic factor, but not necessarily worse than other listed options.
For a patient who is being discharged on digoxin, the nurse should include which of the ff. in an explanation to the patient on the signs and symptoms of digoxin toxicity?
- A. Poor appetite
- B. Halos around lights
- C. Constipation
- D. Tachycardia
Correct Answer: B
Rationale: Digoxin toxicity can manifest in various ways, but one common sign is the presence of visual disturbances such as seeing halos around lights. This is due to digoxin's effect on the optic nerve. Patients experiencing halos around lights should seek medical attention promptly as it may indicate a serious reaction to the medication. The other options (poor appetite, constipation, tachycardia) may occur with digoxin toxicity as well, but the visual disturbance of halos around lights is a classic and important sign to be aware of.
A nurse plans therapeutic play time for a hospitalized child. What are the benefits of play? (Select all that apply.)
- A. Serves as method to assist disturbed children
- B. Allows the child to express feelings
- C. The nurse can gain insight into the child's feelings.
- D. The child can deal with concerns and feelings.
Correct Answer: A
Rationale: Play serves as a method to assist disturbed children by providing them with a therapeutic outlet to express themselves and work through their emotions in a safe and constructive manner.
Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:
- A. teaching to avoid use of sunscreen agents.
- B. applying generously to the skin.
- C. explaining that medication should not be applied until at least 20 to 30 minutes after washing.
- D. explaining that erythema and peeling are indications of toxicity.
Correct Answer: C
Rationale: Nursing considerations with Tretinoin (Retin-A) should include explaining that the medication should not be applied until at least 20 to 30 minutes after washing. This wait time allows the skin to fully dry and reduces the risk of irritation. Applying the medication too soon after washing can increase the likelihood of skin irritation, dryness, and peeling. It is essential to follow this guideline to ensure the effectiveness of the treatment and minimize adverse effects on the skin.
Sexual abuse should be considered in children who have behavioral problems, although no behavior is pathognomonic. Which of the following behavior should raise the suspicion of sexual abuse?
- A. aggressive
- B. obsessive-compulsive
- C. dissociative
- D. hypersexuality
Correct Answer: D
Rationale: Hypersexuality in children is highly unusual and strongly indicative of possible sexual abuse, as it reflects exposure to inappropriate sexual content or experiences.