Nokea
The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test?
- A. Self-administer an enema prior to arrival.
- B. Take a low-dose sedative prior to arrival.
- C. Avoid fluids after midnight.
- D. Empty the bladder prior to the exam.
Correct Answer: A
Rationale: The client will need to have an enema to remove stool from the rectum so that the ultrasound can penetrate through the tissues to visualize structures of the prostate. Typically, a sedative is not needed as the client uses normal relaxation techniques. Urine status is not the focus of the exam requiring that fluids be withheld. For the client's comfort, the nurse may encourage emptying the bladder before the exam.
You may also like to solve these questions
The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self-examinations at home. The nurse is most correct to respond stating which of the following?
- A. Mammograms are just better.
- B. Mammograms can detect cysts or tumors too small to palpate.
- C. Mammograms provide a baseline that shows changes in breast tissue.
- D. Mammograms provide a reassurance that the breast is free of cancer.
Correct Answer: B
Rationale: During community instruction, it is most important to relay facts in a clear, factual, and nonjudgmental way. Stating the need for mammograms to detect small cysts or tumors is clear and factual. Stating that mammograms are 'better' is vague and provides no better understanding. Although a mammogram does provide a baseline and reassurance of breast health, the most clear and factual reason why the mammogram is completed is its ability to detect cancerous tumors at an early stage.
The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?
- A. 1 week after completion of the client's menstrual cycle
- B. 2 weeks before the onset of the client's menstrual cycle
- C. 3 weeks after the onset of the client's menstrual cycle
- D. 2 weeks after the cessation of the client's menstrual cycle
Correct Answer: A
Rationale: Because the client is premenopausal, the nurse would recommend scheduling the cervical biopsy for 1 week after the end of a menstrual period, when the cervix is least vascular. Scheduling the test for any other time would be inappropriate.
The nurse is preparing a client for a pelvic examination. Which nursing question is essential for the nurse to ask?
- A. Are you sexually active?
- B. Do you have any sexually transmitted diseases?
- C. Would you like to have assistance to get in position for the exam?
- D. Would you like to void at this time?
Correct Answer: D
Rationale: Prior to a pelvic examination, the nurse offers the client the use of the restroom to void. It is most important for the client to empty the bladder so that the physician can feel pelvic structures more clearly and for the comfort of the client. Asking client history questions is completed at the beginning of the appointment. It is important to offer assistance to those who may need help in assuming the lithotomy position.
The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client?
- A. Avoid riding on motorcycles
- B. Wear loose fitting underwear instead of tight ones.
- C. Take a general multivitamin.
- D. Increase sexual intercourse to every day.
Correct Answer: B
Rationale: Wearing loose fitting underwear allows the scrotum to pull the testes closer to the body to maintain proper temperature for sperm production or allow the testes to be farther from the body. Because the testes cannot produce viable sperm when temperatures are at or above body temperature, their location within the scrotal sac ensures optimal conditions. There is no evidence that the client cannot ride motorcycles. Taking a general multivitamin is encouraged for overall health. Daily sexual intercourse is not encouraged because it is most important to have sufficient sperm present during a female's ovulation period.
The nurse is instructing clients at a prenatal class. Which term does the nurse state as the medical name of what is removed during this procedure?
- A. The prepuce
- B. The glans
- C. The shaft
- D. The corpora cavernosa
Correct Answer: A
Rationale: The prepuce or foreskin is removed during circumcision. The prepuce covers the glans. The shaft is tubular and composed of erectile tissue. The corpora cavernosa is a column of erectile tissue.