Nokea
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.
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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 in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
- A. Wear a peri-pad to keep from having an accident.
- B. Try not to laugh or sneeze unless at home.
- C. Discuss the pros and cons of a vaginal hysterectomy.
- D. Instruct to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
Which instruction is appropriate to include when providing the client with oral contraceptive teaching?
- A. Take oral contraceptives at the same time each day.
- B. Take oral contraceptives on an empty stomach.
- C. Take oral contraceptives on the first day of menses.
- D. Take oral contraceptives in the morning with food.
Correct Answer: A
Rationale: Taking oral contraceptives at the same time daily ensures consistent hormone levels, maximizing efficacy.
The nurse is assessing a client with rule-out testicular cancer. Which assessment data support the client having testicular cancer?
- A. The client complains of pain when urinating.
- B. There is a chancre sore on the shaft of the penis.
- C. The client complains of heaviness in the scrotum.
- D. There is a red, raised rash on the testes.
Correct Answer: C
Rationale: Heaviness in the scrotum is a classic symptom of testicular cancer due to tumor mass. Dysuria, chancre sores, and rashes are unrelated or indicative of other conditions (e.g., STDs).
Which instruction is best when teaching the client about inserting vaginal medication?
- A. Place the applicator just inside the vaginal opening.
- B. Insert the applicator while sitting on the toilet.
- C. Instill the medication just before retiring for sleep.
- D. Put on disposable latex gloves before applying the drug.
Correct Answer: C
Rationale: Instilling vaginal medication before sleep allows the medication to remain in the vagina longer, increasing its effectiveness.