Nokea
The nurse is caring for a client newly diagnosed with Stage IV ovarian cancer. What is the scientific rationale for detecting the tumors at this stage?
- A. The client’s ovaries lie deep within the pelvis and early symptoms are vague.
- B. The client has regular gynecological examinations and this helps with detection.
- C. The client had a history of dysmenorrhea and benign ovarian cysts.
- D. The client had a family history of breast cancer and was being checked regularly.
Correct Answer: A
Rationale: Ovarian cancer is often diagnosed at Stage IV due to vague early symptoms and deep pelvic location, delaying detection. Regular exams, dysmenorrhea, or breast cancer history do not ensure early detection.
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The client is diagnosed with early cancer of the prostate. Which assessment data would the client report?
- A. Urinary urgency and frequency.
- B. Retrograde ejaculation during intercourse.
- C. Low back and hip pain.
- D. No problems have been noticed.
Correct Answer: D
Rationale: Early prostate cancer is often asymptomatic, detected via PSA or DRE. Urinary symptoms, retrograde ejaculation, and pain are associated with advanced stages.
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.
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 nurse is discharging a client diagnosed with pelvic inflammatory disease (PID). Which statement by the client indicates an understanding of the discharge instructions?
- A. I should expect pelvic pain after intercourse.'
- B. I need to douche every day to prevent PID.'
- C. I will have a vaginal examination every two (2) years.'
- D. My partner should use a condom if he is infectious.'
Correct Answer: D
Rationale: Condom use by an infectious partner prevents PID reinfection. Pain post-intercourse is abnormal, douching increases PID risk, and exams every 2 years are insufficient.
The client diagnosed with gestational diabetes delivered a 10-pound 5-ounce infant. Which is priority for the nursery nurse to monitor?
- A. Failure to latch on to the breast during feeding.
- B. Jaundice and clay-colored stools.
- C. Parchment-like skin and lack of lanugo.
- D. Low blood glucose readings.
Correct Answer: D
Rationale: Macrosomic infants from gestational diabetes are at risk for hypoglycemia; monitoring blood glucose is priority. Latching issues, jaundice, and skin changes are secondary.