Nokea
The evening after surgery, she complains of a 'tightness' at her incision. The most appropriate nursing action would be to
- A. notify the doctor
- B. reassure Mrs. Smith that this is a normal sensation
- C. redress the wound
- D. check removal drainage
Correct Answer: B
Rationale: Reassuring the patient that tightness is normal post-surgery helps alleviate anxiety.
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Vaginal candidacies are suspected in a young woman who complains of severe vaginal itching. Which of the following nursing actions should be performed first when assisting in the collection of a vaginal smear for microscopic examination?
- A. Inspect the external genitalia
- B. Don gloves
- C. Wash hands
- D. Label the specimen
Correct Answer: B
Rationale: Donning gloves is the first step to ensure hygiene and prevent contamination during specimen collection.
Which of the followings is the inferior portion of the uterus. It consists of two parts (supravaginal, vaginal), two openings (internal os, external os) and a cervical canal.
- A. clitoris
- B. Ovary
- C. Cervix
- D. implatation
Correct Answer: C
Rationale: The correct answer is C: Cervix. The cervix is the inferior portion of the uterus that consists of two parts (supravaginal, vaginal), two openings (internal os, external os), and a cervical canal. The clitoris (A) is a small sensitive organ located at the top of the vulva. The ovary (B) is a female reproductive organ that produces eggs and hormones. Implantation (D) refers to the attachment of a fertilized egg to the uterine lining, not a specific anatomical structure within the uterus. The cervix clearly fits the description provided, making it the correct answer.
Removal of internal organs from a body cavity
- A. Conization
- B. Exenteration
- C. Dissection
- D. Cauterization
Correct Answer: B
Rationale: Exenteration involves the removal of internal organs from a body cavity, often performed in cases of advanced cancer or severe infection. This procedure is extensive, removing multiple organs or structures within a body cavity. Conization is a surgical procedure to remove a cone-shaped piece of tissue, typically from the cervix. Dissection involves cutting through tissues for examination or study, not necessarily removing organs. Cauterization is the process of burning tissue to stop bleeding or remove unwanted tissue, not specifically related to removal of organs from a body cavity. Therefore, the correct answer is B because it specifically describes the removal of internal organs from a body cavity.
Approximately how long does it take sperm to get to the site of fertilization?
- A. 2 mins
- B. 20 mins
- C. 60 mins
- D. 3 hours
Correct Answer: D
Rationale: The correct answer is D: 3 hours. After ejaculation, sperm needs to travel through the female reproductive tract to reach the site of fertilization in the fallopian tube. This journey typically takes around 3 hours due to the distance and obstacles the sperm must overcome. Choice A (2 mins) is too short for sperm to travel such a distance. Choice B (20 mins) is also insufficient for the journey. Choice C (60 mins) is closer but still underestimates the time required for sperm to reach the fallopian tube.
A client is having a hysterosalpingogram. What action by the nurse is most important?
- A. Assist the client in sitting up after the procedure
- B. Provide the client with a pad to avoid dye stains on the clothes.
- C. Teach her to take all antibiotics prescribed until finished
- D. Inform the client that the procedure may cause shoulder pain.
Correct Answer: A
Rationale: The correct answer is A: Assist the client in sitting up after the procedure. This is important to prevent complications like vasovagal response or fainting due to sudden positional changes. Sitting up slowly helps stabilize blood pressure and prevent dizziness.
B: Providing a pad for dye stains is not the most important action as it is a minor concern compared to client safety post-procedure.
C: Taking antibiotics has no direct relevance to the hysterosalpingogram procedure, so it is not the most important action.
D: Informing the client about potential shoulder pain is helpful, but ensuring immediate safety by assisting the client in sitting up takes precedence.