Nokea
The nurse is assessing a male client for symptoms of gonorrhea. Which data support the diagnosis?
- A. Presence of a chancre sore on the penis.
- B. No symptoms.
- C. A CD4 count of less than 200.
- D. Pain in the testes and scrotal edema.
Correct Answer: B
Rationale: Gonorrhea in males can be asymptomatic, especially early. Chancre sores indicate syphilis, low CD4 is HIV-related, and testicular pain/edema suggest epididymitis, not gonorrhea.
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The client has been diagnosed with cancer of the breast. Which referral is most important for the nurse to make?
- A. The hospital social worker.
- B. CanSurmount.
- C. Reach to Recovery.
- D. I CanCope.
Correct Answer: C
Rationale: Reach to Recovery provides peer support from breast cancer survivors, addressing emotional and practical needs post-diagnosis. Social workers, CanSurmount, and I CanCope are valuable but less specific to breast cancer support.
Which nursing instruction is best to provide to the client with chlamydia to prevent a recurrence of the infection?
- A. Shower or bathe after intercourse.
- B. Wash your hands well using an antiseptic soap.
- C. Encourage your sexual partners to be tested and treated.
- D. Make sure you receive adequate nutrition and fluid intake.
Correct Answer: C
Rationale: Partner testing and treatment prevent reinfection, addressing the primary source of chlamydia transmission.
The client has had a total abdominal hysterectomy for cancer of the uterus. Which discharge instruction should the nurse teach?
- A. The client should take HRT every day to prevent bone loss.
- B. The client should practice pelvic rest until seen by the HCP.
- C. The client can drive a car as soon as she is discharged from the hospital.
- D. The client should expect some bleeding after this procedure.
Correct Answer: B
Rationale: Pelvic rest (no intercourse, tampons) prevents complications post-hysterectomy until HCP clearance. HRT is individualized, driving is restricted initially, and bleeding is abnormal.
The nurse writes a problem of 'anticipatory grieving' for a client diagnosed with ovarian cancer. Which nursing intervention is priority for this client?
- A. Request the HCP to order an antidepressant medication.
- B. Refer the client to a CanSurmount volunteer for counseling.
- C. Encourage the client to verbalize feelings about having cancer.
- D. Give the client an advance directive form to fill out.
Correct Answer: C
Rationale: Encouraging verbalization of feelings addresses anticipatory grieving, promoting emotional coping. Antidepressants are premature, CanSurmount is supportive but secondary, and advance directives are unrelated to grieving.
An elderly woman is diagnosed with pelvic relaxation disorder secondary to age-related changes. Which medication should the nurse expect to administer?
- A. Estrogen, a hormone.
- B. Cervidil, a cervical ripening agent.
- C. Progesterone, a hormone.
- D. Pitocin, an oxytocic agent.
Correct Answer: A
Rationale: Estrogen strengthens pelvic tissues in postmenopausal women with pelvic relaxation. Cervidil and Pitocin are for labor, and progesterone is less effective for this condition.