Nokea
The nurse in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
- A. Wear a peri-pad to keep from having an accident.
- B. Try not to laugh or sneeze unless at home.
- C. Discuss the pros and cons of a vaginal hysterectomy.
- D. Instruct to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
You may also like to solve these questions
The nurse is discussing pelvic floor exercises with a client. Which information should the nurse teach?
- A. Perform the exercises four (4) times per day.
- B. The exercises will prevent stress incontinence.
- C. Contract the perineal muscles and hold for 10 seconds.
- D. Contract the abdominal and buttock muscles to increase strength.
Correct Answer: C
Rationale: Kegel exercises involve contracting perineal muscles for 10 seconds to strengthen the pelvic floor. Frequency varies, they reduce but don’t prevent incontinence, and abdominal/buttock contraction is incorrect.
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.
The nurse is assessing a client with rule-out testicular cancer. Which assessment data support the client having testicular cancer?
- A. The client complains of pain when urinating.
- B. There is a chancre sore on the shaft of the penis.
- C. The client complains of heaviness in the scrotum.
- D. There is a red, raised rash on the testes.
Correct Answer: C
Rationale: Heaviness in the scrotum is a classic symptom of testicular cancer due to tumor mass. Dysuria, chancre sores, and rashes are unrelated or indicative of other conditions (e.g., STDs).
If this client is typical of others with this condition, she will most likely report to the nurse that she experiences urinary incontinence during which time?
- A. When sitting
- B. As she walks
- C. During sleep
- D. Upon sneezing
Correct Answer: D
Rationale: A cystocele causes stress incontinence, with urine leakage during activities that increase abdominal pressure, such as sneezing.
The client in the gynecology clinic asks the nurse, 'What are the risk factors for developing cancer of the cervix?' Which statement is the nurse's best response?
- A. The earlier the age of sexual activity and the more partners, the greater the risk.'
- B. Eating fast foods high in fat and taking birth control pills are risk factors.'
- C. A Chlamydia trachomatis infection can cause cancer of the cervix.'
- D. Having yearly Pap smears will protect you from developing cancer.'
Correct Answer: A
Rationale: Early sexual activity and multiple partners increase HPV exposure, the primary risk for cervical cancer. Diet and birth control are not direct risks, Chlamydia is secondary, and Pap smears detect, not prevent, cancer.