Nokea
The client had a mastectomy for cancer of the breast and asks the nurse about a TRAM flap procedure. Which information should the nurse explain to the client?
- A. The surgeon will insert a saline-filled sac under the skin to simulate a breast.
- B. The surgeon will pull the client's own tissue under the skin to create a breast.
- C. The surgeon will use tissue from inside the mouth to make a nipple.
- D. The surgeon can make the breast any size the client wants the breast to be.
Correct Answer: B
Rationale: TRAM flap uses abdominal tissue for breast reconstruction. Saline sacs describe implants, mouth tissue isn’t used for nipples, and breast size is limited by available tissue.
You may also like to solve these questions
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a gynecology surgery floor. Which intervention cannot be delegated to the UAP?
- A. Empty the indwelling catheter on the three (3)-hour postoperative client.
- B. Assist the client who is two (2) days post-hysterectomy to the bathroom.
- C. Monitor the peri-pad count on a client diagnosed with fibroid tumors.
- D. Encourage the client who is refusing to get out of bed to walk in the hall.
Correct Answer: C
Rationale: Monitoring peri-pad count involves assessing bleeding, requiring nursing judgment. Emptying catheters, assisting to the bathroom, and encouraging ambulation are within UAP scope.
The client has undergone a bilateral orchiectomy for cancer of the prostate. Which intervention should the nurse implement?
- A. Support the scrotal sac with a towel and apply ice.
- B. Administer testosterone replacement hormone orally.
- C. Encourage the client to place sperm in a sperm bank.
- D. Have the client talk to another man with ejaculation dysfunction.
Correct Answer: A
Rationale: Supporting the scrotum and applying ice reduce swelling and pain post-orchiectomy. Testosterone is contraindicated, sperm banking is preoperative, and ejaculation discussions are secondary.
The client who has had a mastectomy tells the nurse, 'My husband will leave me now since I am not a whole woman anymore.' Which response by the nurse is most therapeutic?
- A. You're afraid your husband will not find you sexually appealing?'
- B. Your husband should be grateful you will be able to live and be with him.'
- C. Maybe your husband would like to attend a support group for spouses.'
- D. You don't know that is true. You need to give him a chance.'
Correct Answer: A
Rationale: Reflecting the client’s fear validates her emotions and encourages discussion, a therapeutic approach. Gratitude dismisses feelings, support groups are premature, and reassurance without exploration is less effective.
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.
The client is diagnosed with vulvar cancer. Which are the most common symptoms of cancer of the vulva?
- A. Red, painful lesions.
- B. Vulvar itching.
- C. Thin, white vulvar skin.
- D. Vaginal dryness.
Correct Answer: B
Rationale: Vulvar itching is the most common symptom of vulvar cancer, often persistent. Red lesions, thin skin, and dryness are less specific or associated with other conditions.