Nokea
The 24-year-old female client presents to the clinic with lower abdominal pain on the left side she rates as a '9' on a 1-to-10 scale. Which diagnostic procedure should the nurse prepare the client for?
- A. A computed tomography scan.
- B. A lumbar puncture.
- C. An appendectomy.
- D. A pelvic sonogram.
Correct Answer: D
Rationale: Severe left-sided pelvic pain suggests ovarian pathology (e.g., cyst, torsion); a pelvic sonogram is the initial diagnostic tool. CT is less specific, lumbar puncture is irrelevant, and appendectomy is premature.
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The nurse is instructing a group of workers at an industrial plant regarding the transmission of sexually transmitted diseases (STDs). Which information should be included in the presentation?
- A. The same behaviors causing one STD could lead to another.
- B. Once clients have had an STD, they develop immunity to it.
- C. An infection with syphilis protects the client from being infected with HIV.
- D. Herpes simplex 1 is a totally different disease from herpes simplex 2.
Correct Answer: A
Rationale: Behaviors like unprotected sex increase risk for multiple STDs. STDs do not confer immunity, syphilis increases HIV risk, and HSV-1/HSV-2 are related viruses.
If the nurse finds the radioactive insert in the client's bed, which nursing action is most appropriate?
- A. Return it to the nuclear medicine department.
- B. Discard it in the infectious waste receptacle.
- C. Reinsert it immediately.
- D. Place it in a lead container.
Correct Answer: D
Rationale: Placing the radioactive insert in a lead container shields radiation and ensures safe handling until it can be managed by radiation safety personnel.
Which nursing interventions are most appropriate to add to the client's immediate postoperative care plan? Select all that apply.
- A. Elevate the affected arm to reduce swelling.
- B. Monitor for signs of infection at the surgical site.
- C. Encourage early ambulation to prevent complications.
- D. Administer prescribed pain medications as needed.
- E. Teach the client to avoid using the affected arm for 6 weeks.
Correct Answer: A,B,C,D
Rationale: Elevating the arm reduces lymphedema risk, monitoring for infection ensures early detection, ambulation prevents complications like thrombosis, and pain management promotes comfort. Restricting arm use for 6 weeks is excessive and not standard.
Which question is most important for the nurse to ask the client with a cystocele who is scheduled to have a pessary inserted?
- A. Do you know if you are allergic to latex?'
- B. When did you start having incontinence?'
- C. When was your last bowel movement?'
- D. Are you experiencing any pelvic pressure?'
Correct Answer: A
Rationale: Latex allergies are critical to assess before pessary insertion, as many pessaries are latex-based, risking anaphylaxis. Incontinence history, bowel movements, and pelvic pressure are relevant but secondary to safety.
The nurse is working in a health clinic. Which disease is required to be reported to the public health department?
- A. Pelvic inflammatory disease.
- B. Epididymitis.
- C. Syphilis.
- D. Ectopic pregnancy.
Correct Answer: C
Rationale: Syphilis is a reportable STD to track and control spread, per public health regulations. PID, epididymitis, and ectopic pregnancy are not typically reportable.