Nokea
The nurse is teaching the client diagnosed with uterine prolapse. Which information should the nurse include in the discussion?
- A. Increase fluids and daily exercise to prevent constipation.
- B. Explain there is only one acceptable treatment for uterine prolapse.
- C. Instruct the client to visually check the uterine prolapse daily.
- D. Discuss limiting coughing and lifting heavy objects.
Correct Answer: D
Rationale: Limiting coughing and heavy lifting reduces pelvic pressure, preventing prolapse worsening. Fluids and exercise aid bowel health but are secondary, multiple treatments exist, and daily visual checks are unnecessary.
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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.
When the nurse provides the client with pretest instructions, which statement is most correct?
- A. You'll need to fast from midnight the night before the test.
- B. You'll need to empty your bladder just before the test begins.
- C. You'll need to consume at least a quart of water an hour before the test.
- D. You'll need to self-administer an enema 1 hour before the test.
Correct Answer: C
Rationale: A full bladder is required for a transabdominal prostate sonogram to provide a clear acoustic window for imaging.
Which client has the highest risk for developing cancer of the testicles?
- A. The client diagnosed with epididymitis.
- B. The client born with cryptorchidism.
- C. The client with an enlarged prostate.
- D. The client diagnosed with hypospadias.
Correct Answer: B
Rationale: Cryptorchidism (undescended testis) significantly increases testicular cancer risk due to abnormal testicular development. Epididymitis, enlarged prostate, and hypospadias are not strong risk factors.
Which should the nurse teach the client regarding Breast Health Awareness (BHA) according to the American Cancer Society (ACS). Select all that apply.
- A. Women at high risk should talk to the HCP about when to have a mammogram.
- B. Beginning at age 45, to have a yearly mammogram.
- C. To perform a breast self-examination (BSE) bimonthly.
- D. To get a sonogram of the breasts semiannually.
- E. To have Magnetic Resonance Imaging of the breasts every five (5) years.
Correct Answer: A,B
Rationale: ACS recommends high-risk women discuss mammogram timing with HCP and yearly mammograms from age 45. Bimonthly BSE, semiannual sonograms, and MRI every 5 years are not standard.
The 67-year-old male client reports difficulty initiating a urinary stream, urinary frequency, and inability to completely empty the bladder. Which procedure would the nurse anticipate the health-care provider (HCP) performing first?
- A. Digital rectal examination (DRE).
- B. Prostate-specific surface antigen (PSA).
- C. Prostate ultrasound.
- D. Biopsy of the prostate.
Correct Answer: A
Rationale: DRE is the initial procedure for assessing prostate enlargement (e.g., BPH), which causes urinary symptoms. PSA, ultrasound, and biopsy are follow-ups if DRE is abnormal.