Nokea
Mrs. Marx, 60, was recently diagnosed as having endometrial cancer. She smokes a pack of cigarettes a week and is about 5 lb over her ideal weight. Which of these factors may be related to her developing endometrial cancer?
- A. Smoking
- B. Infertility
- C. Poverty
- D. Obesity
Correct Answer: D
Rationale: Obesity is a known risk factor for endometrial cancer due to increased estrogen levels.
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Which of the following are not parts of the clitoris?
- A. corpora cavernosa
- B. crura
- C. glans
- D. corpus spongiosum
Correct Answer: D
Rationale: The correct answer is D: corpus spongiosum. The clitoris does not have a corpus spongiosum. The clitoris is made up of the corpora cavernosa, crura, and glans. The corpus spongiosum is a part of the male anatomy, specifically found in the penis, and is responsible for maintaining erection by filling with blood during arousal. Therefore, the corpus spongiosum is not a part of the clitoris and is the correct answer.
Three days after having a pelvic exenteration procedure, a client suddenly complains of a 'giving' sensation along her abdominal incision. You check under the dressing and find that the wound edges are open and loops of intestine are protruding. Which action should you take first?
- A. Call the client's surgeon and report that wound evisceration has occurred.
- B. Cover the wound with saline-soaked dressings.
- C. Don sterile gloves and gently replace the intestine back in the wound.
- D. Check the client's blood pressure and heart rate.
Correct Answer: B
Rationale: Covering the exposed tissue with saline-soaked dressings prevents drying and reduces risk of further complications.
The transmission of sound vibrations through the inner ear occurs chiefly through:
- A. Bone
- B. Nerve fibers
- C. Air
- D. Liquid
Correct Answer: D
Rationale: The correct answer is D: Liquid. Sound vibrations travel through the inner ear mainly through the liquid-filled cochlea. When sound waves reach the ear, they cause the fluid inside the cochlea to move, stimulating hair cells that convert the vibrations into electrical signals sent to the brain. Choice A (Bone) is incorrect as bone conduction bypasses the middle ear, while sound must pass through it to reach the cochlea. Choice B (Nerve fibers) is incorrect because nerves transmit the electrical signals generated by the hair cells, not sound vibrations themselves. Choice C (Air) is incorrect as the inner ear is filled with liquid, not air, and sound waves need a medium like air to travel through the ear canal but not inside the inner ear.
Which of the following nursing interventions are required for a client undergoing antibiotic treatment for epididymitis and orchitis?
- A. Use an alcohol rub to keep the scrotum dry.
- B. Apply a skin cream.
- C. Elevate the scrotum to relieve the pain.
- D. Limit alcohol intake to 2 drinks per week.
Correct Answer: C
Rationale: Elevating the scrotum helps alleviate pain and swelling.
Why should a nurse educate women to have regular gynecologic examinations and Pap tests?
- A. It helps decide the mode of surgical treatment.
- B. It is the best cure for most infections.
- C. It increases the potential for an early diagnosis.
- D. It is an inexpensive test.
Correct Answer: C
Rationale: Regular screenings increase the likelihood of early detection and treatment of conditions like cervical cancer.