Nokea
The client is diagnosed with metastatic prostate cancer to the bones. Which nursing intervention should the nurse implement?
- A. Prepare for a transurethral resection of the prostate.
- B. Keep the foot of the bed elevated at all times.
- C. Place the client on a scheduled bowel regimen.
- D. Discuss the client’s altered sexual functioning.
Correct Answer: C
Rationale: Bone metastasis increases constipation risk (e.g., from analgesics); a bowel regimen prevents complications. TURP is for obstruction, bed elevation is irrelevant, and sexual function is secondary.
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Which question is most important to ask to ensure valid analysis of the vaginal specimen?
- A. How did you last have sexual intercourse?
- B. How old were you when you had your first pregnancy?
- C. What was the date of your last menstrual period?
- D. Have you ever used oral contraceptives?
Correct Answer: C
Rationale: The date of the last menstrual period is critical to interpret vaginal specimen results, as the menstrual cycle phase affects cervical and vaginal cell characteristics.
Which assessment findings recorded by the nurse indicate high risk factors for developing breast cancer? Select all that apply.
- A. The client began menstruating before age 12.
- B. The client had three full-term pregnancies.
- C. The client has a very large breast.
- D. The client has had radiation treatment to the chest.
- E. The client has had breast implants.
Correct Answer: A,D
Rationale: Early menarche (before age 12) and chest radiation exposure are established risk factors for breast cancer due to prolonged estrogen exposure and DNA damage, respectively. Multiple pregnancies reduce risk, and breast size or implants are not significant risk factors.
The client is diagnosed with primary syphilis. Which symptoms should the nurse observe?
- A. A chancre sore in the perineal area.
- B. A rash on the trunk and extremities.
- C. Blistering of the palms of the hands.
- D. Confusion and disorientation.
Correct Answer: A
Rationale: Primary syphilis presents with a painless chancre sore at the infection site. Rash is secondary, blisters are herpes-related, and confusion is tertiary.
Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
- A. The client should report any vaginal bleeding or cramping to the surgeon.
- B. The client should start a vigorous exercise routine to restore her muscle tone.
- C. The client should continue sitting in the bedside chair at least six (6) hours daily.
- D. The client should soak in a warm tub bath each night for one (1) hour.
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.
Which gynecologic symptom reported by a female client is most suggestive of trichomoniasis?
- A. A series of fluid-filled vesicles on the vagina
- B. Vaginal drainage that causes intense itching
- C. Vaginal drainage that resembles milk
- D. Tenderness and pressure in the lower abdomen
Correct Answer: B
Rationale: Trichomoniasis typically causes frothy, foul-smelling vaginal discharge with itching, distinguishing it from other infections.