Nokea
The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-examination should the nurse include?
- A. Perform the examination in a cool room under a fan.
- B. Any lump should be examined by an HCP as soon as possible.
- C. Discuss having a second person confirm a negative result.
- D. The procedure will cause mild discomfort if done correctly.
Correct Answer: B
Rationale: Any lump detected during testicular self-examination requires prompt HCP evaluation to rule out cancer. Cool rooms, second-person confirmation, and discomfort are not recommended.
You may also like to solve these questions
Which question is most important to ask to ensure valid analysis of the vaginal specimen?
- A. How did you last have sexual intercourse?
- B. How old were you when you had your first pregnancy?
- C. What was the date of your last menstrual period?
- D. Have you ever used oral contraceptives?
Correct Answer: C
Rationale: The date of the last menstrual period is critical to interpret vaginal specimen results, as the menstrual cycle phase affects cervical and vaginal cell characteristics.
The nurse is caring for a client with epididymitis secondary to a chlamydia infection. Which discharge instruction should the nurse discuss?
- A. The sexual partner must be prescribed antibiotics.
- B. Delay sexual intercourse for a minimum of three (3) months.
- C. Expect the urine to have white clumps for one (1) to two (2) months.
- D. Drainage from the scrotum is fine as long as there is no fever.
Correct Answer: A
Rationale: Chlamydia-related epididymitis requires partner treatment to prevent reinfection. Prolonged abstinence, white clumps in urine, and scrotal drainage are not expected.
The nurse is instructing a group of workers at an industrial plant regarding the transmission of sexually transmitted diseases (STDs). Which information should be included in the presentation?
- A. The same behaviors causing one STD could lead to another.
- B. Once clients have had an STD, they develop immunity to it.
- C. An infection with syphilis protects the client from being infected with HIV.
- D. Herpes simplex 1 is a totally different disease from herpes simplex 2.
Correct Answer: A
Rationale: Behaviors like unprotected sex increase risk for multiple STDs. STDs do not confer immunity, syphilis increases HIV risk, and HSV-1/HSV-2 are related viruses.
The client is diagnosed with metastatic prostate cancer to the bones. Which nursing intervention should the nurse implement?
- A. Prepare for a transurethral resection of the prostate.
- B. Keep the foot of the bed elevated at all times.
- C. Place the client on a scheduled bowel regimen.
- D. Discuss the client’s altered sexual functioning.
Correct Answer: C
Rationale: Bone metastasis increases constipation risk (e.g., from analgesics); a bowel regimen prevents complications. TURP is for obstruction, bed elevation is irrelevant, and sexual function is secondary.
The occupational health nurse is preparing a class regarding sexually transmitted diseases (STDs) for employees at a manufacturing plant. Which high-risk behavior information should be included in the class information?
- A. Engaging in oral or anal sex decreases the risk of getting an STD.
- B. Using a sterile needle guarantees the client will not get an STD.
- C. The more sexual partners, the greater the chance of developing an STD.
- D. If a condom is used, the client will not get a sexually transmitted disease.
Correct Answer: C
Rationale: Multiple sexual partners increase STD risk due to greater exposure. Oral/anal sex carries risk, sterile needles prevent bloodborne STDs but not others, and condoms reduce but don’t eliminate risk.