Nokea
The nurse is caring for a client who is eight (8) hours postoperative unilateral orchiectomy for cancer of the testes. Which intervention should the nurse implement?
- A. Provide an athletic supporter before ambulating.
- B. Encourage the client to delay use of pain medications.
- C. Place the client on a clear liquid diet for the first 48 hours.
- D. Monitor the PT/INR levels and have vitamin K ready.
Correct Answer: A
Rationale: An athletic supporter reduces scrotal swelling and discomfort during ambulation post-orchiectomy. Delaying pain medication, clear liquids, and PT/INR monitoring are inappropriate.
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The postmenopausal client reveals it has been several years since her last gynecological examination and states, 'Oh, I don’t need exams anymore. I am beyond having children.' Which statement should be the nurse’s response?
- A. As long as you are not sexually active, you don’t have to worry.'
- B. You should be taking hormone replacement therapy now.'
- C. You are beyond bearing children. How does that make you feel?'
- D. There are situations other than pregnancy that should be checked.'
Correct Answer: D
Rationale: Postmenopausal women need gynecological exams to screen for cancers (e.g., endometrial, ovarian). Sexual activity is irrelevant, HRT is not mandatory, and feelings are secondary to health education.
The nurse discusses healthy sexual behaviors with the client. Which risk factor predisposes the client to acquiring a sexually transmitted infection?
- A. Experiencing early puberty
- B. Finding sex information on the Internet
- C. Having multiple sexual partners
- D. Receiving limited sex education
Correct Answer: C
Rationale: Multiple sexual partners increase exposure to STIs, significantly raising infection risk.
Which action by the nurse is most appropriate?
- A. Allow the client's partner to stay in the examination room.
- B. Ask the client's friend to remain in the waiting room.
- C. Ask the physician to make the decision in this situation.
- D. Suggest that the friend wait outside the examination room door.
Correct Answer: A
Rationale: Allowing the client's partner to stay respects the client's preference and provides emotional support, as long as the client consents and privacy is maintained.
Which information given by the nurse is most appropriate to provide to the client?
- A. Take the medication until the symptoms clear.
- B. Refill the prescription if symptoms persist.
- C. Take the medication for the full amount of time.
- D. Treatment of the infection is likely to be lifelong.
Correct Answer: C
Rationale: Completing the full course of doxycycline ensures eradication of Chlamydia, preventing recurrence or resistance.
The nurse is preparing the client for an insertion of a pessary. Which information should the nurse teach the client?
- A. The pessary does not need to be changed.
- B. The client should clean the pessary routinely.
- C. The pessary must be inserted in surgery.
- D. Estrogen cream is necessary for effective use of a pessary.
Correct Answer: B
Rationale: Clients should clean the pessary routinely (per HCP guidance) to prevent infection. Pessaries need periodic replacement, are inserted in an office setting, and estrogen cream is optional for some.