Nokea
The nurse is teaching a class to older women concerning cancer of the uterus. Which situation is a risk factor for developing endometrial cancer?
- A. Age 40 years or younger.
- B. Perimenopausal bleeding.
- C. Progesterone given with estrogen.
- D. Truncal obesity.
Correct Answer: D
Rationale: Truncal obesity increases estrogen levels, a major risk for endometrial cancer. Young age, perimenopausal bleeding, and progesterone with estrogen are not primary risks.
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When the office nurse gives the client instructions on how to prepare for the mammogram, which of the following statements offers accurate information? Select all that apply.
- A. I will perform a BSE 3 to 7 days after my period ends.
- B. Do not wear any underarm deodorant the day of the test.
- C. Wipe each breast with an antiseptic pad before the test.
- D. Do not wear constricting clothing to the test.
- E. Avoid wearing body powder the day of the test.
- F. Refrain from applying lotion to the breasts or axillae.
Correct Answer: B,E,F
Rationale: Deodorants, powders, and lotions can interfere with mammogram imaging by creating artifacts, so avoiding these on the day of the test is critical. Constricting clothing is not a concern, and antiseptic wipes are not required.
The nurse is admitting a client diagnosed with trichomoniasis. Which assessment data support this diagnosis?
- A. Odorless, white, curdlike vaginal discharge.
- B. Strawberry spots on the vaginal surface and itching.
- C. Scant white vaginal discharge and dyspareunia.
- D. Purulent discharge from the endocervix and pelvic pain.
Correct Answer: B
Rationale: Trichomoniasis causes strawberry spots (petechiae) on the vagina and itching due to inflammation. Curdlike discharge is candidiasis, scant discharge/dyspareunia is nonspecific, and purulent discharge suggests PID.
Which specific complication should the nurse assess for in the client with a uterine prolapse recovering from an anterior and posterior repair?
- A. Orthostatic hypotension.
- B. Atelectasis.
- C. Allen sign.
- D. Deep vein thrombosis.
Correct Answer: D
Rationale: Deep vein thrombosis is a significant risk post-pelvic surgery due to immobility and venous stasis. Orthostatic hypotension is unrelated, atelectasis is a respiratory risk, and Allen sign pertains to arterial occlusion.
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a genitourinary floor. Which nursing task can be delegated to the UAP?
- A. Increase the drip rate on the Murphy drip irrigation set.
- B. Check the suprapubic catheter insertion site for infection.
- C. Encourage the two (2)-hour postoperative client to turn and cough.
- D. Document the amount of red drainage in the catheter.
Correct Answer: C
Rationale: Encouraging turning and coughing is within UAP scope to prevent respiratory complications. Adjusting irrigation, checking for infection, and documenting drainage require nursing judgment.
Before the client leaves the office, on which topic should the nurse provide teaching?
- A. The qualifications of the person who did the tattoos and piercings
- B. Whether the client is practicing safe, protected sex
- C. The client's sexual experiences with members of both sexes
- D. The names of all of the client's sexual partners
Correct Answer: B
Rationale: Tattoos and piercings increase infection risk, so teaching about safe sex practices is critical to prevent sexually transmitted infections and maintain reproductive health.