The seminal vesicle:
- A. is located above the prostate;
- B. is a pair organ;
- C. is located medially from the deferent ducts;
- D. has endocrine role, generating the seminal fluid;
Correct Answer: B
Rationale: The correct answer is B because the seminal vesicle is indeed a pair organ, meaning there are two of them in the male reproductive system. They are located posterior to the urinary bladder and are responsible for producing and secreting a significant portion of the seminal fluid.
Choice A is incorrect because the seminal vesicles are located behind the bladder, not above the prostate. Choice C is incorrect as the seminal vesicles are located laterally, not medially from the deferent ducts. Choice D is incorrect because the seminal vesicle is not an endocrine organ; it has an exocrine function in producing seminal fluid.
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A client with stage IV ovarian cancer and recurrent ascites is admitted to the medical unit for a paracentesis. Which nursing actions included in the plan of care will you delegate to an LPN who has worked on the medical unit for several years?
- A. Obtain a paracentesis tray from the central supply area.
- B. Complete the short-stay client admission form.
- C. Take vital signs every 15 minutes after the procedure.
- D. Provide discharge instructions after the procedure.
Correct Answer: C
Rationale: Taking vital signs is within the scope of practice for an LPN.
Which of the following nursing interventions are advised for clients with prostate cancer to avoid an infection related to the home-care of a Foley catheter?
- A. Boil the leg bag regularly in a solution of hot water and vinegar for 15 minutes during the cleaning.
- B. Disinfect several inches of the catheter with alcohol or any other antiseptic agent before the insertion.
- C. Clean the leg bag by using soap and water and then rinse it with a 1:7 solution of vinegar and water.
- D. Open the connections between the leg bag and the catheter only once in 15 days to reduce the risks of microbial entry.
Correct Answer: C
Rationale: Proper cleaning and maintenance of the catheter equipment are crucial to preventing infections.
The female Bartholin glands correspond to the male _____.
- A. prostate
- B. Cowper's
- C. seminal vesicle
- D. glans
Correct Answer: B
Rationale: The female Bartholin glands are homologous to the male Cowper's glands. Both glands secrete fluid to lubricate the reproductive tract during sexual arousal. The prostate gland (choice A) is not the correct answer as it is a different structure that produces seminal fluid. The seminal vesicles (choice C) secrete a significant portion of the seminal fluid but are not the male counterpart to the Bartholin glands. The glans (choice D) refers to the tip of the penis and is not the correct counterpart to the Bartholin glands. Therefore, the correct answer is B, Cowper's glands.
The primary spermatocytes:
- A. are formed by spermatogonia mitosis;
- B. have a complete number of chromosomes;
- C. generate secondary spermatocytes;
- D. are diploid cells;
Correct Answer: D
Rationale: The correct answer is D because primary spermatocytes are diploid cells, containing a complete set of chromosomes (46 in humans). They are formed by spermatogonia through a process called meiosis. During meiosis, the primary spermatocytes undergo two divisions to generate haploid secondary spermatocytes with half the number of chromosomes. Choices A and C are incorrect because primary spermatocytes are formed by spermatogonia undergoing meiosis, not mitosis, and they generate secondary spermatocytes, not the other way around. Choice B is incorrect because primary spermatocytes are diploid, not haploid.
You are caring for a 21-year-old client who had a left orchiectomy for testicular cancer on the previous day. Which nursing activities associated with his care will be best to delegate to a new LPN you are orienting to the surgical unit?
- A. Answer the client's questions about the use of chemotherapy and radiation for testicular cancer.
- B. Administer narcotic analgesic medications to the client for pain.
- C. Teach the client how to perform testicular self-examination on the remaining testicle.
- D. Assess the client's knowledge level about the use of sperm banking.
Correct Answer: B
Rationale: Administering medications is within the scope of practice for an LPN.