Nokea
The male client is considering a vasectomy for birth control. Which information should the nurse teach the client?
- A. Instruct the client to use hot packs to relieve scrotal edema after the surgery.
- B. Tell the client to wear loose-fitting boxer underwear after the surgery.
- C. Explain initially an alternate form of birth control will be required.
- D. Discuss potency will be diminished about 20% after a vasectomy.
Correct Answer: C
Rationale: Alternate contraception is needed post-vasectomy until sperm clearance (confirmed by semen analysis). Hot packs worsen edema, boxer underwear is nonspecific, and potency is unaffected.
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When the nurse provides the client with pretest instructions, which statement is most correct?
- A. You'll need to fast from midnight the night before the test.
- B. You'll need to empty your bladder just before the test begins.
- C. You'll need to consume at least a quart of water an hour before the test.
- D. You'll need to self-administer an enema 1 hour before the test.
Correct Answer: C
Rationale: A full bladder is required for a transabdominal prostate sonogram to provide a clear acoustic window for imaging.
The 67-year-old male client reports difficulty initiating a urinary stream, urinary frequency, and inability to completely empty the bladder. Which procedure would the nurse anticipate the health-care provider (HCP) performing first?
- A. Digital rectal examination (DRE).
- B. Prostate-specific surface antigen (PSA).
- C. Prostate ultrasound.
- D. Biopsy of the prostate.
Correct Answer: A
Rationale: DRE is the initial procedure for assessing prostate enlargement (e.g., BPH), which causes urinary symptoms. PSA, ultrasound, and biopsy are follow-ups if DRE is abnormal.
If the client reports all of the following data, which factor is most likely contributing to the bleeding?
- A. The client has been taking an oral contraceptive for 2 months.
- B. The client has just changed employment and is under unusual stress.
- C. The client's sexual partner has a sexually transmitted infection.
- D. The client has been using a vibrator to elicit sexual arousal.
Correct Answer: A
Rationale: Breakthrough bleeding is a common side effect of oral contraceptives, especially in the first few months, making it the most likely cause of vaginal bleeding outside expected menses.
The client scheduled for a radical prostatectomy surgical procedure has an intravenous antibiotic medication ordered on call to surgery. The antibiotic is prepared in 100 mL of sterile normal saline. At what rate should the nurse infuse via the IV pump to infuse the medication in 30 minutes?
- A. 33 mL/hr
- B. 200 mL/hr
- C. 100 mL/hr
- D. 50 mL/hr
Correct Answer: A
Rationale: To infuse 100 mL in 30 minutes, calculate: (100 mL / 0.5 hr) = 200 mL/hr. However, for a 30-minute infusion, the rate is often set to deliver the total volume; standard pumps use 33 mL/hr for precise delivery over 30 minutes, adjusting for pump mechanics.
What intervention should the nurse implement for a client diagnosed with a rectocele?
- A. Limit oral intake to decrease voiding.
- B. Encourage a low-residue diet.
- C. Administer a stool softener daily.
- D. Arrange for the client to take sitz baths.
Correct Answer: C
Rationale: Stool softeners prevent straining during bowel movements, reducing rectocele pressure. Limiting intake is inappropriate, low-residue diets increase constipation risk, and sitz baths are less specific.