Nokea
The nurse is assisting the health care provider in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical ___
Correct Answer: conization
Rationale: Conization of the cervix is indicated when eroded or infected tissue is to be removed or when there is a need for confirmation of cervical cancer. A cone-shaped section is removed when the mass is confined to the epithelial tissue.
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A male patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. When assisting with data collection from the patient, it is most important that the nurse gather information related which aspect of his history?
- A. recent urinary infections.
- B. episodes of prostatitis.
- C. contagious diseases like mumps.
- D. present and past sexual partners and notify them to get treatment.
Correct Answer: D
Rationale: The nurse should encourage notification of present and past sexual partners of the diagnosis and stress the need for them promptly to seek medical care.
The patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
- A. If you have been free of symptoms for 2 weeks you are cured.'
- B. You should get a rapid plasma reagin (RPR) just to make sure.'
- C. No case is considered cured until you have had three consecutive negative cervical smears.'
- D. To confirm your cure, you should get a Venereal Disease Research Lab (VDRL).'
Correct Answer: C
Rationale: No case of gonorrhea is considered cured until you have had three consecutive negative cervical smears. The RPR and the VDRL are tests for syphilis.
Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.
A ___ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Correct Answer: biopsy
Rationale: Biopsies are procedures in which samples of tissue are taken for evaluation to confirm or locate a lesion.
The young woman comes to the free clinic for the complaint of stomach cramps. During the examination, the nurse recommends that she be tested for chlamydia. The woman says 'I don't need any test...I don't have any symptoms for a sexual infection...I just came for irregular bleeding.' Which response is most informative?
- A. Well, if you get more symptoms come back for testing.'
- B. The health care provider may have to order medicine for syphilis and chlamydia. You probably have that too. You need to be tested today!'
- C. Testing is not mandatory...I probably wouldn't bother either since you have no symptoms.'
- D. The irregular bleeding may be part of a chlamydia infection.'
Correct Answer: D
Rationale: Chlamydia frequently displays no signs or symptoms in women. Some patients do have symptoms of vaginal pruritis, burning, dull pelvic pain, low-grade fever, vaginal discharge or irregular bleeding.