Nokea
The 45-year-old male client has had a circumcision secondary to phimosis. Which intervention should the nurse include in the plan of care?
- A. Teach how to care for the glans to prevent recurrence of the phimosis.
- B. Assess for pain on a scale of one (1) to 10.
- C. Perform wet-to-dry dressing changes daily.
- D. Instruct the client to perform a monthly penis check for cancer.
Correct Answer: B
Rationale: Pain assessment is critical post-circumcision to manage discomfort. Glans care prevents infection but not phimosis recurrence, wet-to-dry dressings are unnecessary, and cancer checks are not standard.
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When carrying out this intervention, which action is most appropriate?
- A. Apply ice to the site in a sealed plastic bag.
- B. Place a covered ice pack to the scrotum.
- C. Position the client on a hypothermia blanket.
- D. Seat the client on an ice-filled ring.
Correct Answer: B
Rationale: A covered ice pack reduces swelling and pain in the scrotum safely and effectively post-hydrocele aspiration.
The nurse discusses healthy sexual behaviors with the client. Which risk factor predisposes the client to acquiring a sexually transmitted infection?
- A. Experiencing early puberty
- B. Finding sex information on the Internet
- C. Having multiple sexual partners
- D. Receiving limited sex education
Correct Answer: C
Rationale: Multiple sexual partners increase exposure to STIs, significantly raising infection risk.
When the nurse administers the parenteral form of the antineoplastic drug, which nursing action is best for preventing accidental self-absorption of the drug?
- A. Use only prefilled syringes.
- B. Wear disposable examination gloves.
- C. Dilute the drug with saline solution.
- D. Mix the drug in a closed vial.
Correct Answer: B
Rationale: Wearing gloves prevents skin contact with antineoplastic drugs, reducing the risk of absorption and toxicity.
The nurse is caring for a client who is eight (8) hours postoperative unilateral orchiectomy for cancer of the testes. Which intervention should the nurse implement?
- A. Provide an athletic supporter before ambulating.
- B. Encourage the client to delay use of pain medications.
- C. Place the client on a clear liquid diet for the first 48 hours.
- D. Monitor the PT/INR levels and have vitamin K ready.
Correct Answer: A
Rationale: An athletic supporter reduces scrotal swelling and discomfort during ambulation post-orchiectomy. Delaying pain medication, clear liquids, and PT/INR monitoring are inappropriate.
Which instruction is most appropriate if a Papanicolaou (Pap) smear will be obtained at the time of the pelvic examination?
- A. Avoid douching for several days before your appointment.
- B. Stop using any and all forms of contraception temporarily.
- C. Drink at least 1 quart of liquid an hour before your appointment.
- D. Avoid having sexual intercourse for a week before the test.
Correct Answer: A
Rationale: Douching can wash away cervical cells, leading to inaccurate Pap smear results, so it should be avoided for several days prior to the test.