Nokea
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).
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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.
In the early stages of BPH, the nurse expects the physician to monitor the progression of disease with which diagnostic test?
- A. A semiannual prostate-specific antigen (PSA) test
- B. An annual cystoscopy
- C. A digital rectal examination
- D. A retrograde pyelogram
Correct Answer: C
Rationale: A digital rectal examination is a primary method to monitor BPH progression by assessing prostate size and consistency.
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.
Which nursing action is most appropriate to carry out the medical order?
- A. Catheterize the client as soon as possible.
- B. Catheterize the client after her next voiding.
- C. Connect the catheter to gravity drainage.
- D. Use a small-gauge catheter to drain the bladder.
Correct Answer: B
Rationale: Catheterizing after the next voiding allows measurement of residual urine, assessing bladder function accurately.
The female client diagnosed with human papillomavirus (HPV) asks the nurse, 'What other problems can HPV lead to?' Which statement is the most appropriate response by the nurse?
- A. HPV is transmitted during sexual intercourse.'
- B. HPV infection can cause cancer of the cervix.'
- C. It has been known to lead to ovarian problems.'
- D. Regular Pap smears can help prevent problems.'
Correct Answer: B
Rationale: HPV is a major cause of cervical cancer, a critical complication to highlight. Transmission mode is irrelevant, ovarian issues are unrelated, and Pap smears detect, not prevent, issues.