Nokea
The client is diagnosed with early cancer of the prostate. Which assessment data would the client report?
- A. Urinary urgency and frequency.
- B. Retrograde ejaculation during intercourse.
- C. Low back and hip pain.
- D. No problems have been noticed.
Correct Answer: D
Rationale: Early prostate cancer is often asymptomatic, detected via PSA or DRE. Urinary symptoms, retrograde ejaculation, and pain are associated with advanced stages.
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Which instruction is appropriate to include when providing the client with oral contraceptive teaching?
- A. Take oral contraceptives at the same time each day.
- B. Take oral contraceptives on an empty stomach.
- C. Take oral contraceptives on the first day of menses.
- D. Take oral contraceptives in the morning with food.
Correct Answer: A
Rationale: Taking oral contraceptives at the same time daily ensures consistent hormone levels, maximizing efficacy.
The nurse in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
- A. Wear a peri-pad to keep from having an accident.
- B. Try not to laugh or sneeze unless at home.
- C. Discuss the pros and cons of a vaginal hysterectomy.
- D. Instruct to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
A nurse has been asked to teach ovulation and menstruation to a class of secondary school students. Place the events listed below in the order in which they occur in the menstrual cycle after menstrual flow ends. Use all the options.
- A. Ovum is released.
- B. Progesterone decreases.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- E. Endometrium is shed.
- F. Corpus luteum forms.
Correct Answer: C,D,A,F,B,E
Rationale: After menstruation, the sequence is: endometrium thickens (follicular phase), ovarian follicle matures, ovum is released (ovulation), corpus luteum forms, progesterone decreases (if no pregnancy), and endometrium is shed (next menstruation).
The female client diagnosed with human papillomavirus (HPV) asks the nurse, 'What other problems can HPV lead to?' Which statement is the most appropriate response by the nurse?
- A. HPV is transmitted during sexual intercourse.'
- B. HPV infection can cause cancer of the cervix.'
- C. It has been known to lead to ovarian problems.'
- D. Regular Pap smears can help prevent problems.'
Correct Answer: B
Rationale: HPV is a major cause of cervical cancer, a critical complication to highlight. Transmission mode is irrelevant, ovarian issues are unrelated, and Pap smears detect, not prevent, issues.
The Gravida 7 Para 6 client delivered a 9-pound 4-ounce infant two (2) hours ago. Which intervention is priority for the nurse to implement?
- A. Assess the client’s fundus every hour.
- B. Assess the client’s voiding pattern every shift.
- C. Discuss birth control options with the client.
- D. Discuss breastfeeding methods with the client.
Correct Answer: A
Rationale: Fundal assessment every hour post-delivery prevents postpartum hemorrhage, a life-threatening risk in high-parity clients with large infants. Voiding, birth control, and breastfeeding are secondary.