Nokea
The client has failed to conceive after many attempts over a three (3)-year time period and asks the nurse, 'I have tried everything. What should I do now?' Which statement is the nurse’s best response?
- A. By “everything” do you mean you have consulted an infertility specialist?'
- B. You have tried everything. This must be hard for you. Would you like to talk?'
- C. You should get on an adoption list because it can take a long time.'
- D. You need to relax and not try so hard. It is your nerves preventing conception.'
Correct Answer: A
Rationale: Referring to an infertility specialist is proactive, addressing potential medical causes. Emotional support is secondary, adoption is premature, and blaming nerves is unhelpful.
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The client is eight (8) hours post-transurethral prostatectomy for cancer of the prostate. Which nursing intervention is priority at this time?
- A. Control postoperative pain.
- B. Assess abdominal dressing.
- C. Encourage early ambulation to prevent DVT.
- D. Monitor fluid and electrolyte balance.
Correct Answer: D
Rationale: Fluid and electrolyte balance is critical post-TURP due to irrigation and bleeding risks (e.g., hyponatremia). Pain, dressings, and ambulation are important but secondary.
Which laboratory test should the nurse expect for the client to rule out the diagnosis of syphilis?
- A. Vaginal cultures.
- B. Rapid plasma reagin card test (RPR-CT).
- C. Gram-stained specimen of the urethral meatus.
- D. Immunological assay.
Correct Answer: B
Rationale: RPR-CT is a standard screening test for syphilis, detecting antibodies. Vaginal cultures, Gram stains, and immunological assays are not specific for syphilis.
To accurately determine the dosage of antineoplastic drugs, which information is essential to obtain from the client's chart?
- A. Urine output for the past 24 hours
- B. Body weight and height
- C. Date of surgery
- D. Drug allergies
Correct Answer: B
Rationale: Body weight and height are used to calculate body surface area, which determines accurate dosing of antineoplastic drugs.
Which health practice is most appropriate for the nurse to teach this client?
- A. Take showers rather than tub baths if possible.
- B. Wipe away from the vagina after a bowel movement.
- C. The client's sexual experience with members of both sexes
- D. Avoid having sexual intercourse more than once a week.
Correct Answer: B
Rationale: Wiping away from the vagina prevents fecal bacteria from entering the vaginal area, reducing the risk of infections like candidiasis.
Which staff nurse is best suited to care for a client with a radioactive implant?
- A. A male nurse with oncology nursing experience
- B. A female nurse who has had a hysterectomy
- C. A male nurse whose mother died of cancer
Correct Answer: A
Rationale: Oncology experience equips the nurse to safely manage a client with a radioactive implant, regardless of gender or personal history.