Nokea
The nurse is caring for a young adult client who has been diagnosed with gonorrhea. Which statement reflects an understanding of the transmission of sexually transmitted diseases?
- A. Only lower socioeconomic income people are at risk for gonorrhea and syphilis.
- B. The longer a client waits to become sexually active, the greater the risk for an STD.
- C. Females can transmit infectious diseases more rapidly than males.
- D. If a client is diagnosed with an STD, the client should be evaluated for other STDs.
Correct Answer: D
Rationale: STD diagnosis warrants screening for co-infections (e.g., chlamydia, HIV) due to shared risk behaviors. Socioeconomic status, delayed sexual activity, and gender transmission rates are misconceptions.
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Which nursing diagnosis is most appropriate for the nurse to add to the client's care plan at this time?
- A. Risk for ineffective airway clearance
- B. Risk for imbalanced nutrition
- C. Ineffective coping
- D. Impaired verbal communication
Correct Answer: A
Rationale: General anesthesia and abdominal surgery increase the risk of respiratory complications, making ineffective airway clearance a priority diagnosis.
The client has an infected Bartholin’s cyst and the HCP has performed an incision and drainage (I&D) of the area. Which discharge instructions should the nurse teach the client?
- A. Complete all antibiotics as ordered.
- B. Report any drainage immediately.
- C. Keep all water away from the area.
- D. Lie prone as much as possible.
Correct Answer: A
Rationale: Completing antibiotics prevents recurrence of infection post-I&D. Drainage is expected, water avoidance is impractical, and prone positioning is unnecessary.
The client has had a total abdominal hysterectomy for cancer of the ovary. Which diet should the nurse discuss when providing discharge instructions?
- A. A low-residue diet without seeds.
- B. A low-sodium, low-fat diet with skim milk.
- C. A regular diet with fruits and vegetables.
- D. A full liquid-only diet with milkshake supplements.
Correct Answer: C
Rationale: A regular diet with fruits and vegetables supports recovery unless complications (e.g., ileus) are present. Low-residue or liquid diets are unnecessary, and low-sodium/low-fat is not specific.
Besides a mild analgesic such as ibuprofen (Motrin), which therapeutic interventions are most appropriate for the nurse to recommend? Select all that apply.
- A. Obtain a prescription for an oral contraceptive.
- B. Switch from menstrual pads to tampons.
- C. Use local applications of heat.
- D. Reduce physical activity.
- E. Massage the lower abdomen when experiencing pain.
- F. Lie prone while sleeping or napping.
Correct Answer: C,E
Rationale: Heat application relaxes uterine muscles, reducing cramps, and massaging the lower abdomen can alleviate pain. Oral contraceptives require a prescription, tampons don't relieve cramps, reducing activity is unnecessary, and lying prone may not help.
Besides assessing the dressing for signs of bleeding, which other postoperative nursing assessment is a priority after this surgical procedure?
- A. Checking the client's deep-breathing efforts
- B. Assessing the client's ability to achieve an erection
- C. Monitoring the volume of urine output
- D. Monitoring the infusion of I.V. antibiotics
Correct Answer: C
Rationale: Monitoring urine output is critical post-circumcision to ensure no urinary retention or complications from swelling.