Nokea
The nurse is discussing pelvic floor exercises with a client. Which information should the nurse teach?
- A. Perform the exercises four (4) times per day.
- B. The exercises will prevent stress incontinence.
- C. Contract the perineal muscles and hold for 10 seconds.
- D. Contract the abdominal and buttock muscles to increase strength.
Correct Answer: C
Rationale: Kegel exercises involve contracting perineal muscles for 10 seconds to strengthen the pelvic floor. Frequency varies, they reduce but don’t prevent incontinence, and abdominal/buttock contraction is incorrect.
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A nurse has been asked to teach ovulation and menstruation to a class of secondary school students. Place the events listed below in the order in which they occur in the menstrual cycle after menstrual flow ends. Use all the options.
- A. Ovum is released.
- B. Progesterone decreases.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- E. Endometrium is shed.
- F. Corpus luteum forms.
Correct Answer: C,D,A,F,B,E
Rationale: After menstruation, the sequence is: endometrium thickens (follicular phase), ovarian follicle matures, ovum is released (ovulation), corpus luteum forms, progesterone decreases (if no pregnancy), and endometrium is shed (next menstruation).
The nurse is planning the care of a client diagnosed with pelvic inflammatory disease secondary to an STD. Which collaborative diagnosis is appropriate for this client?
- A. Risk for infertility.
- B. Knowledge deficit.
- C. Fluid volume deficit.
- D. Noncompliance.
Correct Answer: A
Rationale: PID from STDs increases infertility risk due to scarring. Knowledge deficit, fluid volume deficit, and noncompliance are less specific without evidence.
The client states that she examines her breasts in the shower and while lying down. The nurse recommends that the client should also inspect her breasts from which position?
- A. Bending from the waist
- B. Standing before a mirror
- C. Arching the back
- D. Leaning from side-to-side
Correct Answer: B
Rationale: Standing before a mirror allows the client to visually inspect both breasts for changes in size, shape, or skin texture, which is a key component of breast self-examination (BSE).
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).
The client diagnosed with endometriosis experiences pain rated a '5' on a 1-to-10 pain scale during her menses. Which intervention should the nurse teach the client?
- A. Teach the client to take a stool softener when taking morphine, a narcotic.
- B. Instruct the client to soak in a tepid bath for 30 to 45 minutes when the pain occurs.
- C. Explain the need to take the nonsteroidal anti-inflammatory drugs with food.
- D. Discuss the possibility of a hysterectomy to help relieve the pain.
Correct Answer: C
Rationale: NSAIDs are first-line for endometriosis pain, taken with food to prevent GI upset. Morphine is excessive, tepid baths are less effective, and hysterectomy is a last resort.