Nokea
The postmenopausal client reveals it has been several years since her last gynecological examination and states, 'Oh, I don’t need exams anymore. I am beyond having children.' Which statement should be the nurse’s response?
- A. As long as you are not sexually active, you don’t have to worry.'
- B. You should be taking hormone replacement therapy now.'
- C. You are beyond bearing children. How does that make you feel?'
- D. There are situations other than pregnancy that should be checked.'
Correct Answer: D
Rationale: Postmenopausal women need gynecological exams to screen for cancers (e.g., endometrial, ovarian). Sexual activity is irrelevant, HRT is not mandatory, and feelings are secondary to health education.
You may also like to solve these questions
Which intervention for applying antiembolism stockings is most appropriate to include in the client's care plan?
- A. Have the client wear the stockings continuously, but remove and reapply them at least twice a day.
- B. Have the client wear the stockings continuously during the day hours, and remove them at night.
- C. Have the client wear the stockings only when getting up to ambulate.
- D. Have the client wear the stockings only while in bed.
Correct Answer: A
Rationale: Removing and reapplying stockings twice daily ensures skin inspection and hygiene while maintaining continuous compression to prevent thrombosis.
If the lump has the following characteristics when the nurse palpates the breast tissue, which one is most suggestive that the lump may be a common?
- A. The lump can be easily moved about.
- B. The lump is about 1/2" (1 cm).
- C. The lump is irregularly shaped.
- D. The lump is near the areola.
Correct Answer: C
Rationale: Irregularly shaped lumps are more suggestive of malignancy, as benign lumps are typically smooth and mobile. Size, mobility, and location near the areola are less specific indicators.
The client has undergone a bilateral orchiectomy for cancer of the prostate. Which intervention should the nurse implement?
- A. Support the scrotal sac with a towel and apply ice.
- B. Administer testosterone replacement hormone orally.
- C. Encourage the client to place sperm in a sperm bank.
- D. Have the client talk to another man with ejaculation dysfunction.
Correct Answer: A
Rationale: Supporting the scrotum and applying ice reduce swelling and pain post-orchiectomy. Testosterone is contraindicated, sperm banking is preoperative, and ejaculation discussions are secondary.
The client diagnosed with cancer of the prostate tells the nurse, 'I caused this by being promiscuous when I was young and now I have to pay for my sins.' Which statement is the nurse’s most therapeutic response?
- A. Why would you think prostate cancer is caused by sex?'
- B. You feel guilty about some of your actions when you were young?'
- C. Well, there is nothing you can do about that behavior now.'
- D. Have you told the HCP and been checked for an AIDS infection?'
Correct Answer: B
Rationale: Reflecting the client’s guilt validates emotions and encourages discussion, a therapeutic approach. Questioning causation, dismissing behavior, or suggesting AIDS testing is less supportive.
The client diagnosed with cancer of the testes calls and tells the nurse he is having low back pain that does not go away with acetaminophen, a nonnarcotic analgesic. Which action should the nurse implement?
- A. Ask the client to come in to see the HCP for an examination.
- B. Tell the client to use a nonsteroidal anti-inflammatory drug instead.
- C. Inform the client this means the cancer has metastasized.
- D. Encourage the client to perform lower back-strengthening exercises.
Correct Answer: A
Rationale: Low back pain in testicular cancer may indicate metastasis (e.g., to retroperitoneal nodes); HCP evaluation is urgent. NSAIDs, assuming metastasis, or exercises are inappropriate without assessment.