Nokea
The nurse is preparing an educational presentation for women in the community. Which primary nursing intervention should the nurse discuss regarding the development of ovarian cancer?
- A. Instruct the clients not to use talcum powder on the perineum.
- B. Encourage the clients to consume diets with a high-fat content.
- C. Teach the women to have a lower pelvic sonogram yearly.
- D. Discuss the need to be aware of the family history of cancer.
Correct Answer: D
Rationale: Family history awareness is key for ovarian cancer risk assessment, guiding screening or genetic testing. Talc use is controversial, high-fat diets are not recommended, and yearly sonograms are not standard.
You may also like to solve these questions
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: Unattended medical records are a breach of confidentiality under HIPAA. Shredding the papers ensures secure disposal, and notifying the office manager addresses the violation. Tossing in the trash or stacking neatly does not protect confidentiality, and housekeeping or identifying the culprit are not immediate priorities.
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.
The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which instructions should the nurse teach to achieve the first two (2) specimens?
- A. Collect the first 15 mL in one jar and then the next 50 mL in another.
- B. Collect three (3) early-morning, clean voided urine specimens.
- C. Collect the specimens after the HCP massages the prostate.
- D. Collect a routine urine specimen for analysis.
Correct Answer: A
Rationale: Urethral (first 15 mL) and bladder (midstream 50 mL) urine are collected sequentially to differentiate infection sites. Early-morning specimens, post-prostate massage, or routine urine are incorrect.
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.
The nurse is instructing a two (2)-week postpartum client who has red, tender breasts after trying to breastfeed the infant. Which should the nurse teach the client?
- A. Be sure the baby empties each breast when feeding.
- B. Apply warm, moist pack to the breasts for comfort.
- C. Apply rubbing alcohol to the breast to treat the infection.
- D. The baby must be given formula because the mother cannot breastfeed.
Correct Answer: B
Rationale: Warm, moist packs relieve engorgement and mastitis discomfort, promoting milk flow. Emptying breasts prevents engorgement but is not the focus, alcohol is harmful, and formula is unnecessary.