Nokea
The nurse correlates which patient complaint with suspected enlargement of the prostate gland?
- A. Constipation
- B. Change in bowel patterns
- C. Weak urine stream
- D. Increased mucus in urine
Correct Answer: C
Rationale: The correct answer is C: Weak urine stream. Enlargement of the prostate gland can compress the urethra, leading to difficulty in urination and a weak urine stream. Constipation (A), change in bowel patterns (B), and increased mucus in urine (D) are not typically associated with prostate enlargement. This highlights the importance of understanding the anatomical and physiological implications of prostate enlargement on urinary function.
You may also like to solve these questions
Where do sperm cells attain fertilization competence and motility?
- A. rete testis
- B. epididymis
- C. vas deferens
- D. seminiferous tubule
Correct Answer: B
Rationale: The correct answer is B: epididymis. Sperm cells attain fertilization competence and motility in the epididymis. Here's the rationale:
1. Sperm cells are produced in the seminiferous tubules of the testes.
2. They then move to the epididymis for maturation, where they gain motility and the ability to fertilize an egg.
3. The epididymis provides the ideal environment for sperm to undergo final maturation processes.
4. The rete testis is a network of tubules where sperm are transported from the seminiferous tubules, not where they gain fertilization competence.
5. The vas deferens is a duct that carries sperm from the epididymis to the urethra, not where sperm attain fertilization competence.
You are working in the PACU caring for a 32-year-old client who has just arrived after having a dilation and curettage (D&C) to evaluate infertility. Which assessment data are of most concern?
- A. Blood pressure 162/90.
- B. Perineal pad saturated after first 30 minutes.
- C. O2 saturation 91%-95%.
- D. Sharp, continuous, level 8/10 abdominal pain.
Correct Answer: B
Rationale: Heavy bleeding could indicate hemorrhage, necessitating immediate intervention.
The nurse recognizes which patient has the highest risk of endometrial cancer?
- A. A 24-year-old woman with menarche at age 9
- B. A 30-year-old woman who started menstruating at age 19
- C. A 42-year-old woman who reached menopause at age 40
- D. A 64-year-old woman who had irregular, heavy menstrual cycles
Correct Answer: A
Rationale: The correct answer is A because early menarche (age 9) and late menopause increase the lifetime exposure of estrogen, a known risk factor for endometrial cancer. Choice B has a later menarche age, reducing estrogen exposure. Choice C's early menopause decreases estrogen exposure. Choice D's irregular cycles may indicate hormonal imbalances but don't directly relate to increased estrogen exposure.
The testicular lobules:
- A. are delineated by connective septa separated from the tunica albuginea;
- B. are separated by interstitial tissue;
- C. are made up of 2-3 convoluted seminiferous tubules;
- D. spermatogenesis occurs at their levels;
Correct Answer: C
Rationale: The correct answer is C because testicular lobules are indeed made up of 2-3 convoluted seminiferous tubules where spermatogenesis occurs. This process of sperm production takes place within the seminiferous tubules, making option C the most accurate description of the testicular lobules.
A is incorrect because the testicular lobules are not delineated by connective septa separated from the tunica albuginea. B is also incorrect as interstitial tissue is found between the lobules, not separating each individual lobule. D is incorrect as spermatogenesis specifically occurs within the seminiferous tubules, not at the level of the testicular lobules.
What is the first structure to receive the oocyte?
- A. fimbriae
- B. uterine tube
- C. infundibulum
- D. uterus
Correct Answer: A
Rationale: The correct answer is A: fimbriae. Fimbriae are finger-like projections at the end of the fallopian tube that capture the released oocyte from the ovary during ovulation. The fimbriae create a gentle sweeping motion to guide the oocyte into the uterine tube for fertilization. The other choices are incorrect because the oocyte needs to be captured by the fimbriae before entering the uterine tube, infundibulum, or uterus. The fimbriae are the initial structure responsible for receiving the oocyte, making choice A the correct answer.