Nokea
The client diagnosed with ovarian cancer is prescribed radiation therapy for regional control of the disease. Which statement indicates the client requires further teaching?
- A. I will not wash the marks off my abdomen.'
- B. I will have a treatment every day for six (6) weeks.'
- C. Nausea caused by radiation therapy cannot be controlled.'
- D. I need to drink a nutritional shake if I don’t feel like eating.'
Correct Answer: C
Rationale: Nausea from radiation can be managed with antiemetics; this statement indicates a misconception. Preserving marks, daily treatments, and nutritional shakes are correct.
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Which intervention should the nurse include when teaching the client who is having an anterior colporrhaphy to repair a cystocele?
- A. Discuss the need to perform perineal care every four (4) hours.
- B. Discuss the care of an indwelling catheter for at least one (1) month.
- C. Instruct the client how to care for the pessary inserted in surgery.
- D. Teach the client how to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, aiding recovery and preventing recurrence post-anterior colporrhaphy. Perineal care frequency is excessive, catheters are temporary, and pessaries are not used surgically.
The client in the gynecology clinic asks the nurse, 'What are the risk factors for developing cancer of the cervix?' Which statement is the nurse's best response?
- A. The earlier the age of sexual activity and the more partners, the greater the risk.'
- B. Eating fast foods high in fat and taking birth control pills are risk factors.'
- C. A Chlamydia trachomatis infection can cause cancer of the cervix.'
- D. Having yearly Pap smears will protect you from developing cancer.'
Correct Answer: A
Rationale: Early sexual activity and multiple partners increase HPV exposure, the primary risk for cervical cancer. Diet and birth control are not direct risks, Chlamydia is secondary, and Pap smears detect, not prevent, cancer.
The nurse is discharging a client diagnosed with pelvic inflammatory disease (PID). Which statement by the client indicates an understanding of the discharge instructions?
- A. I should expect pelvic pain after intercourse.'
- B. I need to douche every day to prevent PID.'
- C. I will have a vaginal examination every two (2) years.'
- D. My partner should use a condom if he is infectious.'
Correct Answer: D
Rationale: Condom use by an infectious partner prevents PID reinfection. Pain post-intercourse is abnormal, douching increases PID risk, and exams every 2 years are insufficient.
Which could be a complication of cryotherapy surgery for cancer of the prostate?
- A. The urethra could become scarred and cause retention.
- B. The client could have ejaculation difficulties and be impotent.
- C. Bone marrow suppression could occur from the chemotherapy.
- D. Chronic vomiting and diarrhea causing electrolyte imbalance could occur.
Correct Answer: A
Rationale: Cryotherapy can scar the urethra, leading to urinary retention. Ejaculation issues are possible but less specific, and bone marrow suppression or GI issues are chemotherapy-related, not cryotherapy.
Which instruction is appropriate to include when providing the client with oral contraceptive teaching?
- A. Take oral contraceptives at the same time each day.
- B. Take oral contraceptives on an empty stomach.
- C. Take oral contraceptives on the first day of menses.
- D. Take oral contraceptives in the morning with food.
Correct Answer: A
Rationale: Taking oral contraceptives at the same time daily ensures consistent hormone levels, maximizing efficacy.