Nokea
The nurse is admitting a client diagnosed with Stage Ia cancer of the cervix to an outpatient surgery center for a conization. Which data would the client most likely report?
- A. Diffuse watery discharge.
- B. No symptoms.
- C. Dyspareunia.
- D. Intense itching.
Correct Answer: B
Rationale: Stage Ia cervical cancer is often asymptomatic, detected via Pap smear or biopsy. Watery discharge, dyspareunia, and itching are more associated with advanced stages or infections.
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On the basis of this client's age, which statement by the nurse is the best explanation for the client's discomfort?
- A. The pelvic muscles are more sensitive to pressure after menopause.
- B. The clitoris is unable to respond to sexual foreplay as women age.
- C. The vagina hypertrophies if intercourse is infrequent.
- D. The mucus-producing glands decrease with aging.
Correct Answer: D
Rationale: Postmenopausal vaginal dryness due to decreased mucus production is a common cause of painful intercourse in older women.
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.
The client is diagnosed with benign uterine fibroid tumors. Which question should the nurse ask to determine if the client is experiencing a complication?
- A. How many periods have you missed?'
- B. Do you get short of breath easily?'
- C. How many times have you been pregnant?'
- D. Where is the location of the pain you are having?'
Correct Answer: D
Rationale: Pain location helps identify complications like fibroid degeneration or pressure on organs. Missed periods are common, shortness of breath is unrelated, and pregnancy history is less relevant.
Which laboratory test should the nurse expect for the client to rule out the diagnosis of syphilis?
- A. Vaginal cultures.
- B. Rapid plasma reagin card test (RPR-CT).
- C. Gram-stained specimen of the urethral meatus.
- D. Immunological assay.
Correct Answer: B
Rationale: RPR-CT is a standard screening test for syphilis, detecting antibodies. Vaginal cultures, Gram stains, and immunological assays are not specific for syphilis.
Although it has not been conclusively proven, the nurse explains that some women with fibrocystic disease get relief from their symptoms by eliminating which substance from their diet?
- A. The blood
- B. Caffeine
- C. Saturated fat
- D. Refined sugar
Correct Answer: B
Rationale: Caffeine is thought to exacerbate fibrocystic breast symptoms in some women by stimulating breast tissue, and reducing intake may provide symptom relief, though evidence is not definitive.