Nokea
The charge nurse is making rounds on the genitourinary surgery floor. Which action by the primary nurse warrants immediate intervention?
- A. The nurse elevates the scrotum of a client who has had an orchiectomy.
- B. The nurse encourages the client to cough, although he complains of pain.
- C. The nurse empties the client’s JP drain and leaves it rounded.
- D. The nurse asks the UAP to empty a catheter drainage bag.
Correct Answer: B
Rationale: Encouraging coughing despite pain risks complications (e.g., bleeding) post-surgery; pain control is needed first. Scrotal elevation, JP drain management, and UAP delegation are appropriate.
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If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which consequence?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
An elderly woman is diagnosed with pelvic relaxation disorder secondary to age-related changes. Which medication should the nurse expect to administer?
- A. Estrogen, a hormone.
- B. Cervidil, a cervical ripening agent.
- C. Progesterone, a hormone.
- D. Pitocin, an oxytocic agent.
Correct Answer: A
Rationale: Estrogen strengthens pelvic tissues in postmenopausal women with pelvic relaxation. Cervidil and Pitocin are for labor, and progesterone is less effective for this condition.
Which vaccination should the nurse recommend to the postpubertal male to prevent orchitis?
- A. Yearly flu injections.
- B. Herpes varicella inoculations.
- C. Mumps vaccination.
- D. Rubella injections.
Correct Answer: C
Rationale: Mumps vaccination prevents mumps-related orchitis, a common cause in postpubertal males. Flu, varicella, and rubella are unrelated to orchitis.
The nurse is admitting a client diagnosed with trichomoniasis. Which assessment data support this diagnosis?
- A. Odorless, white, curdlike vaginal discharge.
- B. Strawberry spots on the vaginal surface and itching.
- C. Scant white vaginal discharge and dyspareunia.
- D. Purulent discharge from the endocervix and pelvic pain.
Correct Answer: B
Rationale: Trichomoniasis causes strawberry spots (petechiae) on the vagina and itching due to inflammation. Curdlike discharge is candidiasis, scant discharge/dyspareunia is nonspecific, and purulent discharge suggests PID.
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a genitourinary floor. Which nursing task can be delegated to the UAP?
- A. Increase the drip rate on the Murphy drip irrigation set.
- B. Check the suprapubic catheter insertion site for infection.
- C. Encourage the two (2)-hour postoperative client to turn and cough.
- D. Document the amount of red drainage in the catheter.
Correct Answer: C
Rationale: Encouraging turning and coughing is within UAP scope to prevent respiratory complications. Adjusting irrigation, checking for infection, and documenting drainage require nursing judgment.