Nokea
Mastectomy is usually recommended for which women?
- A. Those who have not had radiation to the breast
- B. Those who have multiple tumors in the breast in several quadrants
- C. Those with no extensive DCIS
- D. Those with a small tumor compared to breast volume
Correct Answer: B
Rationale: The correct answer is B: Those who have multiple tumors in the breast in several quadrants. Mastectomy is usually recommended for patients with multiple tumors in several quadrants to ensure complete removal of all cancerous tissue. This choice is correct because it addresses the need for more extensive surgery to effectively treat the cancer.
A: Those who have not had radiation to the breast - Incorrect, as radiation history is not the sole determinant for recommending mastectomy.
C: Those with no extensive DCIS - Incorrect, as the presence of DCIS alone may not warrant a mastectomy.
D: Those with a small tumor compared to breast volume - Incorrect, as tumor size relative to breast volume is not the primary factor in determining the need for mastectomy in cases of multiple tumors in several quadrants.
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A 20-year-old college student expresses concern over the recent appearance of genital warts, an assessment finding her primary care provider confirms as attributable to HPV infection. Which client education should be included?
- A. It's important to start treatment as soon as possible, so you will receive a prescription for pills today.
- B. There is a chance that the genital warts will clear up on their own without any treatment.
- C. I recommend receiving an HPV vaccination today.
- D. Unfortunately, this is going to greatly increase your chance of developing pelvic inflammatory disease.
Correct Answer: B
Rationale: The correct answer is B: There is a chance that the genital warts will clear up on their own without any treatment.
Rationale:
1. Genital warts caused by HPV can sometimes resolve spontaneously without treatment.
2. This option emphasizes the possibility of self-resolution, which is a common occurrence.
3. Encouraging observation without immediate treatment aligns with current guidelines for managing HPV-related genital warts.
4. Avoiding unnecessary treatment helps prevent potential side effects and reduces healthcare costs.
Summary of Incorrect Choices:
A: Incorrect because immediate treatment is not always necessary for genital warts caused by HPV.
C: Incorrect because HPV vaccination does not treat existing HPV infections, including genital warts.
D: Incorrect because developing pelvic inflammatory disease is not directly related to the presence of genital warts caused by HPV.
When bathing an infant, what sign does the nurse recognize as a sign of developmental hip dysplasia?
- A. Hypotonicity of the leg muscles
- B. One leg is shorter than the other
- C. Broadening and flattening of the buttocks
- D. Two skinfolds on the back of each thigh
Correct Answer: B
Rationale: The correct answer is B: One leg is shorter than the other. This is a key sign of developmental hip dysplasia in infants. It indicates an imbalance in the hip joint, leading to unequal leg lengths. This can be detected during routine physical examinations by the nurse.
Incorrect choices:
A: Hypotonicity of the leg muscles - While muscle tone abnormalities can be associated with hip dysplasia, it is not a specific sign that is easily recognizable during bathing.
C: Broadening and flattening of the buttocks - This may be a sign of hip dysplasia in older children but is not a typical indicator in infants.
D: Two skinfolds on the back of each thigh - Although skinfolds can sometimes be present in infants with hip dysplasia, it is not a reliable or specific sign compared to the leg length discrepancy.
Which factors contribute to a woman’s perception of her body? Select all that apply.
- A. Role of motherhood
- B. Sexuality
- C. Relationships at work
- D. Family and social relationships
Correct Answer: B
Rationale: The correct answer is B: Sexuality. This factor contributes to a woman's perception of her body as it influences how she views herself in terms of attractiveness, desirability, and self-image. Sexuality plays a significant role in shaping body image and self-esteem.
A: Role of motherhood - While motherhood can impact body image, it is not a universal factor for all women.
C: Relationships at work - While work relationships can influence self-esteem, they may not directly impact body perception.
D: Family and social relationships - While important, they may not directly relate to body perception as much as sexuality does.
In summary, sexuality plays a crucial role in shaping a woman's perception of her body compared to the other factors listed.
A nurse working in a community clinic is teaching a client about chlamydia. Which statement made by the client would indicate a need for further instruction?
- A. Treatment is also required for individuals who are asymptomatic.
- B. Individuals can only spread the infection if symptomatic.
- C. All pregnant women should be screened for chlamydia.
- D. Any sexually active individuals can be infected with chlamydia.
Correct Answer: B
Rationale: The correct answer is B because it is incorrect. Chlamydia can be spread by individuals who are asymptomatic, so the statement that individuals can only spread it if symptomatic is inaccurate. Asymptomatic individuals can still transmit the infection to others. Therefore, this statement indicates a need for further instruction. Choices A, C, and D are all correct statements. Treatment is necessary for asymptomatic individuals to prevent complications, pregnant women should be screened for chlamydia to prevent transmission to the baby, and any sexually active individuals can indeed be infected with chlamydia.
The nurse is meeting with a client who was newly diagnosed with polycystic ovary syndrome. She knows that the client has the potential for which diagnoses? Select all that apply.
- A. Knowledge deficit
- B. Disturbed body image
- C. Risk for type 2 diabetes
- D. Impaired mobility
Correct Answer: D
Rationale: The correct answer is D: Impaired mobility. This is because polycystic ovary syndrome (PCOS) can lead to obesity and insulin resistance, which in turn can increase the risk of impaired mobility due to joint pain, reduced muscle strength, and overall decreased physical activity. The other choices are incorrect because A (Knowledge deficit) can be addressed through education, B (Disturbed body image) is more related to self-esteem and body perception issues, and C (Risk for type 2 diabetes) is a potential consequence of PCOS but not directly related to impaired mobility.