Nokea
The male client presents to the public health clinic complaining of joint pain and malaise. On assessment, the nurse notes a rash on the trunk, palms of the hands, and soles of the feet. Which action should the nurse implement next?
- A. Determine if the client has had a chancre sore within the last two (2) months.
- B. Ask the client how many sexual partners he has had in the past year.
- C. Refer the client to a dermatologist for a diagnostic work-up.
- D. Have the client provide a clean voided midstream urine specimen.
Correct Answer: A
Rationale: Joint pain, malaise, and a rash on palms/soles suggest secondary syphilis; confirming a prior chancre sore supports this diagnosis. Partner history, dermatology referral, and urine tests are less urgent.
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The nurse correctly teaches a couple that immediately after a vasectomy, it is best to continue using an alternative birth control method for which time period?
- A. 1 month
- B. 6 weeks
- C. 12 weeks
- D. 6 months
Correct Answer: C
Rationale: Sperm may remain in the vas deferens for up to 12 weeks post-vasectomy, requiring alternative contraception until azoospermia is confirmed.
The nurse is assessing the client diagnosed with a rectocele. Which signs and symptoms should the nurse expect? Select all that apply.
- A. Rectal pressure.
- B. Flatus.
- C. Fecal incontinence.
- D. Constipation.
- E. Urinary frequency.
Correct Answer: A,B,C,D
Rationale: Rectocele causes rectal pressure, flatus, fecal incontinence, and constipation due to posterior vaginal wall protrusion. Urinary frequency is more associated with cystocele.
Which health practice is most appropriate for the nurse to teach this client?
- A. Take showers rather than tub baths if possible.
- B. Wipe away from the vagina after a bowel movement.
- C. The client's sexual experience with members of both sexes
- D. Avoid having sexual intercourse more than once a week.
Correct Answer: B
Rationale: Wiping away from the vagina prevents fecal bacteria from entering the vaginal area, reducing the risk of infections like candidiasis.
The nurse writes a client problem of 'anxiety related to potential sexual dysfunction' for a client diagnosed with cancer of the prostate. Which intervention should the nurse implement?
- A. Tell the client to discuss his fears with the HCP.
- B. Talk to the wife about the client’s concerns.
- C. Inform the client sexual functioning will not be altered.
- D. Provide a private area for the client to discuss his concerns.
Correct Answer: D
Rationale: A private area facilitates open discussion of sexual dysfunction fears, reducing anxiety. HCP referral, spousal discussion, or false reassurance are less therapeutic.
Which breast palpation technique is most correct?
- A. Examine the breast while using the heel of the hand.
- B. Examine the breast while using the index finger only.
- C. Examine the breast while using the index finger and thumb.
- D. Examine the breast while using the pads of the fingertips.
Correct Answer: D
Rationale: Using the pads of the fingertips allows for better sensitivity to detect lumps or changes in breast tissue during palpation, making it the most effective technique for BSE.