Nokea
The nurse monitors a client who has gone through an endoscopic examination. Following a culdoscopy, what does a nurse need to observe for in this client?
- A. The nurse observes the client for any discomfort in the shoulders.
- B. The nurse observes the client for the signs of internal bleeding and the symptoms of shock.
- C. The nurse observes the client for changes in skin color and for any rise in body temperature.
- D. The nurse observes the quantity and frequency of urinary output.
Correct Answer: A
Rationale: Discomfort in the shoulders is a common side effect after culdoscopy due to gas insufflation.
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Complications of salpingitis include:
- A. Pyosalpinx
- B. Peritonitis
- C. Endometriosis
- D. Infertility
Correct Answer: A
Rationale: The correct answer is A: Pyosalpinx. Salpingitis is inflammation of the fallopian tubes, which can lead to the accumulation of pus within the tube, known as pyosalpinx. This is a common complication of salpingitis due to the infection causing the tubes to become blocked and filled with pus. Peritonitis (B) is inflammation of the peritoneum, not directly related to salpingitis. Endometriosis (C) is a separate condition where endometrial tissue grows outside the uterus. Infertility (D) can be a complication of salpingitis, but pyosalpinx is a more direct and immediate consequence.
Milky-colored fluids secreted from the
- A. epididymis prostate ________.
- B. bulbo-urethral glands
- C. nourish sperm
- D. prostate
Correct Answer: B
Rationale: The correct answer is B: bulbo-urethral glands. These glands secrete a milky-colored fluid called pre-ejaculate or Cowper's fluid, which lubricates the urethra and neutralizes any acidic urine residue to protect sperm. The other choices are incorrect because the epididymis (A) stores and matures sperm, the prostate (D) secretes a milky fluid that nourishes and protects sperm, and option C is incomplete.
The sperm cells:
- A. become mobile in the seminal fluid;
- B. are microscopic cells;
- C. are stored in the crotum;
- D. are of three different kinds;
Correct Answer: A
Rationale: Step-by-step rationale for choice A being correct:
1. Sperm cells need to be mobile to reach the egg for fertilization.
2. Seminal fluid provides the environment for sperm motility.
3. Sperm cells acquire motility in the seminal fluid due to specific nutrients and ions present.
Summary of why other choices are incorrect:
- Choice B: Being microscopic is a general characteristic of sperm cells but not specific to their mobility.
- Choice C: Sperm cells are stored in the epididymis, not the "crotum."
- Choice D: Sperm cells are all of the same kind, not three different kinds.
When does a nurse use transillumination of the scrotum?
- A. When the patient has tortuosity of the veins along the spermatic cord
- B. When the patient has an indirect hernia
- C. When there is a mass or fluid in the epididymis
- D. When there is twisting of the testicle and spermatic cord
Correct Answer: C
Rationale: Transillumination of the scrotum is used when there is a mass or fluid in the epididymis. Transillumination helps to differentiate between solid masses and fluid-filled structures. It is not used for tortuosity of veins (A), indirect hernia (B), or twisting of the testicle and spermatic cord (D). Vein tortuosity is diagnosed through physical examination, hernias are detected through palpation, and testicular torsion is confirmed through Doppler ultrasound.
___________is an organelle that helps the sperm to penetrate the ovum.
- A. Acrosome
- B. Zona pellucida
- C. Megalis
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A: Acrosome. The acrosome is an organelle in the head of the sperm that contains enzymes which help the sperm penetrate the outer layer of the ovum during fertilization. It plays a crucial role in the fertilization process.
Explanation of other choices:
B: Zona pellucida is the outer membrane of the ovum that the sperm needs to penetrate, not an organelle within the sperm itself.
C: Megalis is not a relevant organelle involved in fertilization.
D: None of the above is incorrect as the acrosome is the specific organelle that aids in sperm penetration of the ovum.