Nokea
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.
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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.
Which intervention should the nurse include when teaching the client who is having an anterior colporrhaphy to repair a cystocele?
- A. Discuss the need to perform perineal care every four (4) hours.
- B. Discuss the care of an indwelling catheter for at least one (1) month.
- C. Instruct the client how to care for the pessary inserted in surgery.
- D. Teach the client how to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, aiding recovery and preventing recurrence post-anterior colporrhaphy. Perineal care frequency is excessive, catheters are temporary, and pessaries are not used surgically.
The nurse is discussing pelvic floor exercises with a client. Which information should the nurse teach?
- A. Perform the exercises four (4) times per day.
- B. The exercises will prevent stress incontinence.
- C. Contract the perineal muscles and hold for 10 seconds.
- D. Contract the abdominal and buttock muscles to increase strength.
Correct Answer: C
Rationale: Kegel exercises involve contracting perineal muscles for 10 seconds to strengthen the pelvic floor. Frequency varies, they reduce but don’t prevent incontinence, and abdominal/buttock contraction is incorrect.
Which could be a complication of cryotherapy surgery for cancer of the prostate?
- A. The urethra could become scarred and cause retention.
- B. The client could have ejaculation difficulties and be impotent.
- C. Bone marrow suppression could occur from the chemotherapy.
- D. Chronic vomiting and diarrhea causing electrolyte imbalance could occur.
Correct Answer: A
Rationale: Cryotherapy can scar the urethra, leading to urinary retention. Ejaculation issues are possible but less specific, and bone marrow suppression or GI issues are chemotherapy-related, not cryotherapy.
The nurse correctly places the client in which position when the physician is ready to perform the pelvic examination?
- A. Sims' position
- B. Trendelenburg's position
- C. Fowler's position
- D. Lithotomy position
Correct Answer: D
Rationale: The lithotomy position, with the client's legs in stirrups, provides optimal access for the physician to perform a pelvic examination.