Nokea
The client diagnosed with cancer of the testes calls and tells the nurse he is having low back pain that does not go away with acetaminophen, a nonnarcotic analgesic. Which action should the nurse implement?
- A. Ask the client to come in to see the HCP for an examination.
- B. Tell the client to use a nonsteroidal anti-inflammatory drug instead.
- C. Inform the client this means the cancer has metastasized.
- D. Encourage the client to perform lower back-strengthening exercises.
Correct Answer: A
Rationale: Low back pain in testicular cancer may indicate metastasis (e.g., to retroperitoneal nodes); HCP evaluation is urgent. NSAIDs, assuming metastasis, or exercises are inappropriate without assessment.
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The postmenopausal client reveals it has been several years since her last gynecological examination and states, 'Oh, I don’t need exams anymore. I am beyond having children.' Which statement should be the nurse’s response?
- A. As long as you are not sexually active, you don’t have to worry.'
- B. You should be taking hormone replacement therapy now.'
- C. You are beyond bearing children. How does that make you feel?'
- D. There are situations other than pregnancy that should be checked.'
Correct Answer: D
Rationale: Postmenopausal women need gynecological exams to screen for cancers (e.g., endometrial, ovarian). Sexual activity is irrelevant, HRT is not mandatory, and feelings are secondary to health education.
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 preparing an educational presentation for women in the community. Which primary nursing intervention should the nurse discuss regarding the development of ovarian cancer?
- A. Instruct the clients not to use talcum powder on the perineum.
- B. Encourage the clients to consume diets with a high-fat content.
- C. Teach the women to have a lower pelvic sonogram yearly.
- D. Discuss the need to be aware of the family history of cancer.
Correct Answer: D
Rationale: Family history awareness is key for ovarian cancer risk assessment, guiding screening or genetic testing. Talc use is controversial, high-fat diets are not recommended, and yearly sonograms are not standard.
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.