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 nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. African American women have the BRCA 1 and BRCA 2 gene.
- B. American white women respond better to breast cancer treatment.
- C. Breast cancer is more advanced in African American women when found.
- D. More Hispanic women smoke, which increases their risk.
- G. C
Correct Answer: African American women are often diagnosed with more advanced breast cancer due to disparities in screening and access, a key fact for awareness.
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 assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation?
- A. Bleeding between menses
- B. Bleeding after intercourse
- C. Metrorrhagia
- D. Vaginal discharge
- G. C
Correct Answer: Metrorrhagia (irregular uterine bleeding) is a hallmark of endometrial polyps due to their disruption of the endometrium. Other symptoms are less specific.
Rationale:
A laboratory technician arrives to draw blood for a complete blood count (CBC) for a client who had a right-sided mastectomy 8 hours ago. The client has an intravenous line with fluid infusing in her left antecubital space. To obtain the blood specimen, the technician places a tourniquet on the client's right arm. Which action by the nurse would be most appropriate?
- A. Call the surgeon to perform a femoral puncture.
- B. Assist in holding the client's arm still.
- C. Tell the technician to obtain the blood sample from the client's left arm.
- D. Suggest a finger stick be done on one of the client's left fingers.
- G. C
Correct Answer: Using the left arm avoids risks like lymphedema in the surgical arm. Femoral puncture is invasive, assisting with the right arm is harmful, and finger sticks are inadequate for CBC.
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