Nokea
The male client complains of mucus-like drainage from the rectum accompanied by rectal pain and diarrhea. Which interview question should the nurse ask the client?
- A. Do you have difficulty trying to urinate?'
- B. Have you had rectal sexual intercourse?'
- C. Do you eat a high-fiber diet and drink lots of fluids?'
- D. Does the diarrhea alternate with constipation?'
Correct Answer: B
Rationale: Rectal intercourse is a risk for proctitis or STDs causing mucus, pain, and diarrhea. Urination, diet, and diarrhea patterns are less specific.
You may also like to solve these questions
The client diagnosed with cancer of the prostate has been placed on luteinizing hormone-releasing hormone (LHRH) agonist therapy. Which statement indicates the client understands the treatment?
- A. I will be able to function sexually as always.'
- B. I may have hot flashes while taking this drug.'
- C. This medication will cure the prostate cancer.'
- D. There are no side effects with this medication.'
Correct Answer: B
Rationale: LHRH agonists cause hot flashes due to hormonal suppression. Sexual dysfunction is common, cure is not guaranteed, and side effects are expected.
The licensed practical nurse (LPN) realizes that the nursing assistant requires further instruction when observing which activities after the client's hysterectomy? Select all that apply.
- A. Frequently offering the client a variety of oral fluids
- B. Helping the client ambulate in the hall
- C. Raising the knee gatch on the hospital bed
- D. Reporting to the physician that the client's dressing is loose
- E. Changing the client's perineal pad without using gloves
Correct Answer: C,E
Rationale: Raising the knee gatch can impair circulation, and changing pads without gloves risks infection. Other actions are appropriate post-hysterectomy care.
An elderly woman is diagnosed with pelvic relaxation disorder secondary to age-related changes. Which medication should the nurse expect to administer?
- A. Estrogen, a hormone.
- B. Cervidil, a cervical ripening agent.
- C. Progesterone, a hormone.
- D. Pitocin, an oxytocic agent.
Correct Answer: A
Rationale: Estrogen strengthens pelvic tissues in postmenopausal women with pelvic relaxation. Cervidil and Pitocin are for labor, and progesterone is less effective for this condition.
When the office nurse gives the client instructions on how to prepare for the mammogram, which of the following statements offers accurate information? Select all that apply.
- A. I will perform a BSE 3 to 7 days after my period ends.
- B. Do not wear any underarm deodorant the day of the test.
- C. Wipe each breast with an antiseptic pad before the test.
- D. Do not wear constricting clothing to the test.
- E. Avoid wearing body powder the day of the test.
- F. Refrain from applying lotion to the breasts or axillae.
Correct Answer: B,E,F
Rationale: Deodorants, powders, and lotions can interfere with mammogram imaging by creating artifacts, so avoiding these on the day of the test is critical. Constricting clothing is not a concern, and antiseptic wipes are not required.
If the client tells the nurse that she would prefer to postpone the mastectomy until the biopsy has been more thoroughly examined, which is the most appropriate initial nursing action?
- A. Explain that most biopsies are accurate.
- B. Advocate for her choice of treatment.
- C. Discourage her from opposing the physician.
- D. Recommend that she seek a second opinion.
Correct Answer: B
Rationale: Advocating for the client's preferences supports patient autonomy and ensures her concerns are addressed, aligning with patient-centered care principles.