Nokea
The nurse is working in a health clinic. Which disease is required to be reported to the public health department?
- A. Pelvic inflammatory disease.
- B. Epididymitis.
- C. Syphilis.
- D. Ectopic pregnancy.
Correct Answer: C
Rationale: Syphilis is a reportable STD to track and control spread, per public health regulations. PID, epididymitis, and ectopic pregnancy are not typically reportable.
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Which gynecologic symptom reported by a female client is most suggestive of trichomoniasis?
- A. A series of fluid-filled vesicles on the vagina
- B. Vaginal drainage that causes intense itching
- C. Vaginal drainage that resembles milk
- D. Tenderness and pressure in the lower abdomen
Correct Answer: B
Rationale: Trichomoniasis typically causes frothy, foul-smelling vaginal discharge with itching, distinguishing it from other infections.
The nurse is caring for a client diagnosed with uterine cancer who has received afterload intracavitary radiation. Which precaution should the nurse implement?
- A. Wear rubber gloves to protect the nurse from all exposure.
- B. Allow any visitor the client wishes to see.
- C. Minimize the amount of time spent with the client.
- D. Encourage the client to ambulate in the hallway.
Correct Answer: C
Rationale: Minimizing time with the client reduces radiation exposure during intracavitary brachytherapy. Gloves are insufficient, visitors are limited, and ambulation increases exposure risk.
When the nurse does a physical assessment of this client, which technique is best for determining the extent of the prolapse?
- A. Examine the perineum when the client rolls from side to side.
- B. Examine the perineum as the client stands and bears down.
- C. Examine the perineum with the client in a dorsal recumbent position.
- D. Examine the perineum with a lubricated speculum and flashlight.
Correct Answer: B
Rationale: Standing and bearing down makes a prolapsed uterus more visible, allowing accurate assessment of its extent.
When collecting a specimen from the client who may have gonorrhea, which nursing action is correct?
- A. Wearing latex gloves
- B. Using a disinfectant
- C. Asking the client to provide the specimen
- D. Refrigerating the specimen immediately
Correct Answer: A
Rationale: Wearing latex gloves protects the nurse from exposure to infectious material during specimen collection.
What special instruction concerning the technique for taking vital signs is most important when assigning this task to a nursing assistant?
- A. Count the client's respirations while he is resting.
- B. Assess the client's pulse at the radial site.
- C. Take the client's blood pressure with an electronic machine.
- D. Avoid taking a rectal temperature.
Correct Answer: D
Rationale: Avoiding rectal temperature measurement prevents trauma or infection in a client with a suprapubic prostatectomy and catheters.