Nokea
In the early stages of BPH, the nurse expects the physician to monitor the progression of disease with which diagnostic test?
- A. A semiannual prostate-specific antigen (PSA) test
- B. An annual cystoscopy
- C. A digital rectal examination
- D. A retrograde pyelogram
Correct Answer: C
Rationale: A digital rectal examination is a primary method to monitor BPH progression by assessing prostate size and consistency.
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The client is diagnosed with early cancer of the prostate. Which assessment data would the client report?
- A. Urinary urgency and frequency.
- B. Retrograde ejaculation during intercourse.
- C. Low back and hip pain.
- D. No problems have been noticed.
Correct Answer: D
Rationale: Early prostate cancer is often asymptomatic, detected via PSA or DRE. Urinary symptoms, retrograde ejaculation, and pain are associated with advanced stages.
The client diagnosed with endometriosis experiences pain rated a '5' on a 1-to-10 pain scale during her menses. Which intervention should the nurse teach the client?
- A. Teach the client to take a stool softener when taking morphine, a narcotic.
- B. Instruct the client to soak in a tepid bath for 30 to 45 minutes when the pain occurs.
- C. Explain the need to take the nonsteroidal anti-inflammatory drugs with food.
- D. Discuss the possibility of a hysterectomy to help relieve the pain.
Correct Answer: C
Rationale: NSAIDs are first-line for endometriosis pain, taken with food to prevent GI upset. Morphine is excessive, tepid baths are less effective, and hysterectomy is a last resort.
The client diagnosed with ovarian cancer is prescribed radiation therapy for regional control of the disease. Which statement indicates the client requires further teaching?
- A. I will not wash the marks off my abdomen.'
- B. I will have a treatment every day for six (6) weeks.'
- C. Nausea caused by radiation therapy cannot be controlled.'
- D. I need to drink a nutritional shake if I don’t feel like eating.'
Correct Answer: C
Rationale: Nausea from radiation can be managed with antiemetics; this statement indicates a misconception. Preserving marks, daily treatments, and nutritional shakes are correct.
The Gravida 7 Para 6 client delivered a 9-pound 4-ounce infant two (2) hours ago. Which intervention is priority for the nurse to implement?
- A. Assess the client’s fundus every hour.
- B. Assess the client’s voiding pattern every shift.
- C. Discuss birth control options with the client.
- D. Discuss breastfeeding methods with the client.
Correct Answer: A
Rationale: Fundal assessment every hour post-delivery prevents postpartum hemorrhage, a life-threatening risk in high-parity clients with large infants. Voiding, birth control, and breastfeeding are secondary.
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.