Nokea
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.
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The client who has had a mastectomy tells the nurse, 'My husband will leave me now since I am not a whole woman anymore.' Which response by the nurse is most therapeutic?
- A. You're afraid your husband will not find you sexually appealing?'
- B. Your husband should be grateful you will be able to live and be with him.'
- C. Maybe your husband would like to attend a support group for spouses.'
- D. You don't know that is true. You need to give him a chance.'
Correct Answer: A
Rationale: Reflecting the client’s fear validates her emotions and encourages discussion, a therapeutic approach. Gratitude dismisses feelings, support groups are premature, and reassurance without exploration is less effective.
The 45-year-old male client has had a circumcision secondary to phimosis. Which intervention should the nurse include in the plan of care?
- A. Teach how to care for the glans to prevent recurrence of the phimosis.
- B. Assess for pain on a scale of one (1) to 10.
- C. Perform wet-to-dry dressing changes daily.
- D. Instruct the client to perform a monthly penis check for cancer.
Correct Answer: B
Rationale: Pain assessment is critical post-circumcision to manage discomfort. Glans care prevents infection but not phimosis recurrence, wet-to-dry dressings are unnecessary, and cancer checks are not standard.
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.
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.
The nurse is preparing an educational presentation for women in the community. Which primary nursing intervention should the nurse discuss regarding the development of ovarian cancer?
- A. Instruct the clients not to use talcum powder on the perineum.
- B. Encourage the clients to consume diets with a high-fat content.
- C. Teach the women to have a lower pelvic sonogram yearly.
- D. Discuss the need to be aware of the family history of cancer.
Correct Answer: D
Rationale: Family history awareness is key for ovarian cancer risk assessment, guiding screening or genetic testing. Talc use is controversial, high-fat diets are not recommended, and yearly sonograms are not standard.