Nokea
The nurse enters the room of a 24-year-old client diagnosed with testicular cancer. The fiancée of the client asks the nurse, 'Will we be able to have children?' Which is the nurse’s best response?
- A. Your fiancée will be able to father children like always.'
- B. You will have to adopt children because he will be sterile.'
- C. You and he should consider sperm banking prior to treatment.'
- D. Have you discussed this with your fiancée? I can’t discuss this with you.'
Correct Answer: C
Rationale: Sperm banking is recommended before testicular cancer treatment (e.g., orchiectomy, chemotherapy) to preserve fertility. Normal fertility is unlikely, sterility is not guaranteed, and discussing with the fiancée avoids privacy issues but is less proactive.
You may also like to solve these questions
The nurse is discharging a client diagnosed with pelvic inflammatory disease (PID). Which statement by the client indicates an understanding of the discharge instructions?
- A. I should expect pelvic pain after intercourse.'
- B. I need to douche every day to prevent PID.'
- C. I will have a vaginal examination every two (2) years.'
- D. My partner should use a condom if he is infectious.'
Correct Answer: D
Rationale: Condom use by an infectious partner prevents PID reinfection. Pain post-intercourse is abnormal, douching increases PID risk, and exams every 2 years are insufficient.
To facilitate obtaining truthful information regarding this client's sexual history, which attitude is most important for the nurse to convey?
- A. Authoritative
- B. Nonjudgmental
- C. Encouraging
- D. Optimistic
Correct Answer: B
Rationale: A nonjudgmental attitude fosters trust, encouraging the client to provide honest sexual history information without fear of stigma.
The client who is four (4) months pregnant finds a lump in her breast and the biopsy is positive for Stage II cancer of the breast. Which treatment should the nurse anticipate the HCP recommending to the client?
- A. A lumpectomy to be performed after the baby is born.
- B. A modified radical mastectomy.
- C. Radiation therapy to the chest wall only.
- D. Chemotherapy only until the baby is born.
Correct Answer: D
Rationale: In pregnancy, chemotherapy is often used for Stage II breast cancer after the first trimester to control disease while minimizing fetal risk. Lumpectomy or mastectomy is delayed until after delivery, and radiation is avoided during pregnancy.
The nurse is teaching a class on Breast Health Awareness. Which are the American Cancer Society’s recommended guidelines for the performance of breast self-examination (BSE)? List in order of recommended performance.
- A. Visualize the breast from the front while standing before a mirror.
- B. Gently squeeze the nipple to express any fluid.
- C. Turn to each side and view each breast in the mirror.
- D. Palpate each breast in a circular motion while lying on the back.
- E. Palpate each breast in a circular motion while in the shower.
Correct Answer: A,C,D,E,B
Rationale: ACS BSE steps: 1) Front mirror visualization; 2) Side visualization; 3) Lying palpation; 4) Shower palpation; 5) Nipple check for discharge.
The nurse is planning the care of a client diagnosed with pelvic inflammatory disease secondary to an STD. Which collaborative diagnosis is appropriate for this client?
- A. Risk for infertility.
- B. Knowledge deficit.
- C. Fluid volume deficit.
- D. Noncompliance.
Correct Answer: A
Rationale: PID from STDs increases infertility risk due to scarring. Knowledge deficit, fluid volume deficit, and noncompliance are less specific without evidence.