Nokea
The client is diagnosed with vulvar cancer. Which are the most common symptoms of cancer of the vulva?
- A. Red, painful lesions.
- B. Vulvar itching.
- C. Thin, white vulvar skin.
- D. Vaginal dryness.
Correct Answer: B
Rationale: Vulvar itching is the most common symptom of vulvar cancer, often persistent. Red lesions, thin skin, and dryness are less specific or associated with other conditions.
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Which intervention for applying antiembolism stockings is most appropriate to include in the client's care plan?
- A. Have the client wear the stockings continuously, but remove and reapply them at least twice a day.
- B. Have the client wear the stockings continuously during the day hours, and remove them at night.
- C. Have the client wear the stockings only when getting up to ambulate.
- D. Have the client wear the stockings only while in bed.
Correct Answer: A
Rationale: Removing and reapplying stockings twice daily ensures skin inspection and hygiene while maintaining continuous compression to prevent thrombosis.
The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which instructions should the nurse teach to achieve the first two (2) specimens?
- A. Collect the first 15 mL in one jar and then the next 50 mL in another.
- B. Collect three (3) early-morning, clean voided urine specimens.
- C. Collect the specimens after the HCP massages the prostate.
- D. Collect a routine urine specimen for analysis.
Correct Answer: A
Rationale: Urethral (first 15 mL) and bladder (midstream 50 mL) urine are collected sequentially to differentiate infection sites. Early-morning specimens, post-prostate massage, or routine urine are incorrect.
The client diagnosed with cancer of the testes calls and tells the nurse he is having low back pain that does not go away with acetaminophen, a nonnarcotic analgesic. Which action should the nurse implement?
- A. Ask the client to come in to see the HCP for an examination.
- B. Tell the client to use a nonsteroidal anti-inflammatory drug instead.
- C. Inform the client this means the cancer has metastasized.
- D. Encourage the client to perform lower back-strengthening exercises.
Correct Answer: A
Rationale: Low back pain in testicular cancer may indicate metastasis (e.g., to retroperitoneal nodes); HCP evaluation is urgent. NSAIDs, assuming metastasis, or exercises are inappropriate without assessment.
When carrying out this intervention, which action is most appropriate?
- A. Apply ice to the site in a sealed plastic bag.
- B. Place a covered ice pack to the scrotum.
- C. Position the client on a hypothermia blanket.
- D. Seat the client on an ice-filled ring.
Correct Answer: B
Rationale: A covered ice pack reduces swelling and pain in the scrotum safely and effectively post-hydrocele aspiration.
The client has undergone a bilateral orchiectomy for cancer of the prostate. Which intervention should the nurse implement?
- A. Support the scrotal sac with a towel and apply ice.
- B. Administer testosterone replacement hormone orally.
- C. Encourage the client to place sperm in a sperm bank.
- D. Have the client talk to another man with ejaculation dysfunction.
Correct Answer: A
Rationale: Supporting the scrotum and applying ice reduce swelling and pain post-orchiectomy. Testosterone is contraindicated, sperm banking is preoperative, and ejaculation discussions are secondary.