Nokea
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.
- A. Baby oil is an acceptable lubricant.
- B. Ensure a tight fit of the condom.
- C. Only use latex condoms.
- D. Place the condom on an erect penis.
- E. Store the condoms in a cool dry place.
- G. C,D,E
Correct Answer: Latex condoms are effective against STIs and pregnancy, unlike natural skin condoms. Condoms should be applied on an erect penis to prevent slippage, and stored in a cool, dry place to avoid damage. Baby oil degrades latex, and a tight fit increases breakage risk.
Rationale:
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A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would identify which finding is associated with the client's condition.
- A. Upper back pain
- B. Chronic pelvic pain
- C. Amenorrhea
- D. Diarrhea
- G. B
Correct Answer: Uterine fibroids cause chronic pelvic pain due to pressure on nerves and organs. Back pain, amenorrhea, and diarrhea are not typical symptoms.
Rationale:
A client is diagnosed with an enterocele. The nurse interprets this condition as:
- A. Protrusion of the posterior bladder wall downward through the anterior vaginal wall
- B. Bulging of the small intestine through the posterior vaginal wall
- C. Descent of the uterus through the pelvic floor into the vagina
- D. Sagging of the rectum with pressure exerted against the posterior vaginal wall
- G. B
Correct Answer: Enterocele involves the small intestine bulging into the vagina due to weakened pelvic support. Other options describe cystocele, uterine prolapse, and rectocele.
Rationale:
While obtaining a health history from a male adolescent during a well check-up, the nurse assesses his sexual behavior and risk for sexually transmitted infections. Based on the information, the nurse plans to teach the adolescent about using a condom. What statement would the nurse include in the teaching plan?
- A. Store your condoms in your wallet so they are ready for use.
- B. Use petroleum jelly with a latex condom for extra lubrication.
- C. Put the condom on before engaging in any genital contact.
- D. You can reuse a condom if it's within 3 hours.
- G. C
Correct Answer: Applying a condom before genital contact prevents STI and pregnancy transmission. Wallets damage condoms, petroleum jelly weakens latex, and reusing condoms increases infection risk.
Rationale:
A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?
- A. If your sexual partner has no symptoms, no medication is needed.
- B. This infection is treated with one dose of azithromycin.
- C. You need to return in 6 months for retesting.
- D. You have to avoid sexual relations for 3 days.
- G. B
Correct Answer: Chlamydia is treated with a single dose of azithromycin. Partners need treatment regardless of symptoms, retesting is only needed in specific cases, and sexual activity should be avoided until treatment is complete, which may take longer than 3 days.
Rationale:
A nurse is caring for a client who is one day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?
- A. Refusing to look at the dressing or surgical incision
- B. Asking questions about the information on her postoperative care pamphlet
- C. Performing arm exercises once or twice a day
- D. Asking for pain medication every 3 hours
- G. A
Correct Answer: Refusing to look at the incision may indicate denial or body image issues. Asking questions, exercising, and requesting pain relief suggest positive coping.
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