Nokea
The nurse is caring for a client with epididymitis secondary to a chlamydia infection. Which discharge instruction should the nurse discuss?
- A. The sexual partner must be prescribed antibiotics.
- B. Delay sexual intercourse for a minimum of three (3) months.
- C. Expect the urine to have white clumps for one (1) to two (2) months.
- D. Drainage from the scrotum is fine as long as there is no fever.
Correct Answer: A
Rationale: Chlamydia-related epididymitis requires partner treatment to prevent reinfection. Prolonged abstinence, white clumps in urine, and scrotal drainage are not expected.
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If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which outcome?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
The office manager schedules a mandatory staff meeting for all nursing personnel. As the nurse enters the room, several documents containing the client's name, medical records number, mammogram results, and diagnosis are found unattended on the table. Which nursing actions are appropriate in this situation? Select all that apply.
- A. Notify housekeeping to come and dispose of the papers.
- B. Toss the papers in the trash.
- C. Put the papers into the shredder bin.
- D. Try to determine who left the papers unattended.
- E. State the papers neatly, placing them off to the side.
- F. Notify the office manager of the breach in confidentiality.
Correct Answer: C,F
Rationale: Shredding the papers ensures secure disposal of protected health information (PHI), and notifying the office manager addresses the confidentiality breach, as required by HIPAA regulations.
The client diagnosed with uterine cancer is complaining of lower back pain and unilateral leg edema. Which statement best explains the scientific rationale for these signs/symptoms?
- A. This is expected pain for this type of cancer.
- B. This means the cancer has spread to other areas of the pelvis.
- C. The pain is a result of the treatment of uterine cancer.
- D. Radiation treatment always causes some type of pain in the region.
Correct Answer: B
Rationale: Lower back pain and leg edema suggest pelvic lymph node involvement or metastasis, indicating cancer spread. Expected pain is vague, and treatment or radiation is less likely the cause.
After C. albicans is identified as the causative organism, the nurse would expect the physician to prescribe which treatment?
- A. A nonprescription antifungal medication
- B. A prescription oral penicillin
- C. A prescription broad-spectrum antibiotic
- D. A vaginal douche with a vinegar solution
Correct Answer: A
Rationale: Candida albicans causes yeast infections, which are typically treated with nonprescription antifungal medications like miconazole or clotrimazole.
Which information should the nurse include in the discharge teaching for the client recovering from an abdominal hysterectomy?
- A. The client should report any vaginal bleeding or cramping to the surgeon.
- B. The client should start a vigorous exercise routine to restore her muscle tone.
- C. The client should continue sitting in the bedside chair at least six (6) hours daily.
- D. The client should soak in a warm tub bath each night for one (1) hour.
Correct Answer: A
Rationale: Reporting vaginal bleeding or cramping is critical, as these may indicate complications like hemorrhage or infection. Vigorous exercise is contraindicated, prolonged sitting is unnecessary, and tub baths risk infection.