Nokea
The client has had an exploratory laparotomy to remove an ovarian tumor. The pathology report classifies the tumor as a 'low malignancy potential' (LMP) tumor. Which statement explains the scientific rationale for this pathology report?
- A. The client does not have cancer but will need adjuvant therapy.
- B. The client would have developed cancer if the tumor had not been removed.
- C. These borderline tumors resemble ovarian cancer but have better outcomes.
- D. The client has a very poor prognosis and has less than six (6) months to live.
Correct Answer: C
Rationale: LMP tumors (borderline ovarian tumors) have malignant features but lower metastatic potential, with better prognosis than invasive ovarian cancer. They are cancerous, not precancerous, and do not inherently require adjuvant therapy or indicate poor prognosis.
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Which nursing diagnosis is most appropriate for the nurse to add to the client's care plan at this time?
- A. Risk for ineffective airway clearance
- B. Risk for imbalanced nutrition
- C. Ineffective coping
- D. Impaired verbal communication
Correct Answer: A
Rationale: General anesthesia and abdominal surgery increase the risk of respiratory complications, making ineffective airway clearance a priority diagnosis.
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.
The nurse writes a client problem of urinary retention for a client diagnosed with Stage IV cancer of the prostate. Which intervention should the nurse implement first?
- A. Catheterize the client to determine the amount of residual.
- B. Encourage the client to assume a normal position for urinating.
- C. Teach the client to use the Valsalva maneuver to empty the bladder.
- D. Determine the client’s normal voiding pattern.
Correct Answer: A
Rationale: Catheterization assesses residual urine, confirming retention and guiding treatment in advanced prostate cancer. Positioning, Valsalva, and voiding patterns are secondary.
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.
The client has had a total abdominal hysterectomy for cancer of the ovary. Which diet should the nurse discuss when providing discharge instructions?
- A. A low-residue diet without seeds.
- B. A low-sodium, low-fat diet with skim milk.
- C. A regular diet with fruits and vegetables.
- D. A full liquid-only diet with milkshake supplements.
Correct Answer: C
Rationale: A regular diet with fruits and vegetables supports recovery unless complications (e.g., ileus) are present. Low-residue or liquid diets are unnecessary, and low-sodium/low-fat is not specific.