Nokea
The client diagnosed with uterine cancer is complaining of lower back pain and unilateral leg edema. Which statement best explains the scientific rationale for these signs/symptoms?
- A. This is expected pain for this type of cancer.
- B. This means the cancer has spread to other areas of the pelvis.
- C. The pain is a result of the treatment of uterine cancer.
- D. Radiation treatment always causes some type of pain in the region.
Correct Answer: B
Rationale: Lower back pain and leg edema suggest pelvic lymph node involvement or metastasis, indicating cancer spread. Expected pain is vague, and treatment or radiation is less likely the cause.
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Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
- A. The client should report any vaginal bleeding or cramping to the surgeon.
- B. The client should start a vigorous exercise routine to restore her muscle tone.
- C. The client should continue sitting in the bedside chair at least six (6) hours daily.
- D. The client should soak in a warm tub bath each night for one (1) hour.
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.
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 school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-examination should the nurse include?
- A. Perform the examination in a cool room under a fan.
- B. Any lump should be examined by an HCP as soon as possible.
- C. Discuss having a second person confirm a negative result.
- D. The procedure will cause mild discomfort if done correctly.
Correct Answer: B
Rationale: Any lump detected during testicular self-examination requires prompt HCP evaluation to rule out cancer. Cool rooms, second-person confirmation, and discomfort are not recommended.
The occupational health nurse is preparing a class regarding sexually transmitted diseases (STDs) for employees at a manufacturing plant. Which high-risk behavior information should be included in the class information?
- A. Engaging in oral or anal sex decreases the risk of getting an STD.
- B. Using a sterile needle guarantees the client will not get an STD.
- C. The more sexual partners, the greater the chance of developing an STD.
- D. If a condom is used, the client will not get a sexually transmitted disease.
Correct Answer: C
Rationale: Multiple sexual partners increase STD risk due to greater exposure. Oral/anal sex carries risk, sterile needles prevent bloodborne STDs but not others, and condoms reduce but don’t eliminate risk.
Which question is most important to ask to ensure valid analysis of the vaginal specimen?
- A. How did you last have sexual intercourse?
- B. How old were you when you had your first pregnancy?
- C. What was the date of your last menstrual period?
- D. Have you ever used oral contraceptives?
Correct Answer: C
Rationale: The date of the last menstrual period is critical to interpret vaginal specimen results, as the menstrual cycle phase affects cervical and vaginal cell characteristics.