Nokea
The client has an infected Bartholin’s cyst and the HCP has performed an incision and drainage (I&D) of the area. Which discharge instructions should the nurse teach the client?
- A. Complete all antibiotics as ordered.
- B. Report any drainage immediately.
- C. Keep all water away from the area.
- D. Lie prone as much as possible.
Correct Answer: A
Rationale: Completing antibiotics prevents recurrence of infection post-I&D. Drainage is expected, water avoidance is impractical, and prone positioning is unnecessary.
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What information provided by the nurse is most appropriate for the client who plans on douching twice a week?
- A. A nonprescented solution of vinegar and water.
- B. Avoid frequent douching because it removes helpful microorganisms.
- C. Instill no more than 16 oz of irrigant solution with each douching.
- D. Discontinue the instillation if cramping occurs.
Correct Answer: B
Rationale: Frequent douching disrupts the vaginal flora, increasing infection risk, so the nurse should advise against it to maintain vaginal health.
The male client is considering a vasectomy for birth control. Which information should the nurse teach the client?
- A. Instruct the client to use hot packs to relieve scrotal edema after the surgery.
- B. Tell the client to wear loose-fitting boxer underwear after the surgery.
- C. Explain initially an alternate form of birth control will be required.
- D. Discuss potency will be diminished about 20% after a vasectomy.
Correct Answer: C
Rationale: Alternate contraception is needed post-vasectomy until sperm clearance (confirmed by semen analysis). Hot packs worsen edema, boxer underwear is nonspecific, and potency is unaffected.
If the client reports all of the following data, which factor is most likely contributing to the bleeding?
- A. The client has been taking an oral contraceptive for 2 months.
- B. The client has just changed employment and is under unusual stress.
- C. The client's sexual partner has a sexually transmitted infection.
- D. The client has been using a vibrator to elicit sexual arousal.
Correct Answer: A
Rationale: Breakthrough bleeding is a common side effect of oral contraceptives, especially in the first few months, making it the most likely cause of vaginal bleeding outside expected menses.
Because many antineoplastic drugs affect bone marrow function, which laboratory test is most important to monitor for client safety?
- A. Mean cell volume
- B. Total leukocyte count
- C. Differential cell count
- D. Complete blood count
Correct Answer: D
Rationale: A complete blood count monitors red cells, white cells, and platelets, detecting bone marrow suppression caused by antineoplastic drugs.
Which comment indicates that the client lacks a clear understanding of syphilis?
- A. I need to take my antibiotic for several months.
- B. My sex partner should be tested for the disease.
- C. Syphilitic lesions may be present in my partner's vagina.
- D. One infection provides lifelong immunity.
Correct Answer: D
Rationale: Syphilis does not confer lifelong immunity; reinfection is possible, indicating a misunderstanding by the client.