Nokea
Vaginal candidacies are suspected in a young woman who complains of severe vaginal itching. Which of the following nursing actions should be performed first when assisting in the collection of a vaginal smear for microscopic examination?
- A. Inspect the external genitalia
- B. Don gloves
- C. Wash hands
- D. Label the specimen
Correct Answer: B
Rationale: Donning gloves is the first step to ensure hygiene and prevent contamination during specimen collection.
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Infertility could develop when the sperm cells display _____.
- A. a count of 120 million per ml semen
- B. increased acrosomal activity
- C. normal morphology
- D. a count of less than 20 million per ml semen
Correct Answer: D
Rationale: The correct answer is D because a low sperm count (less than 20 million per ml semen) can lead to infertility as it decreases the chances of successful fertilization. A high sperm count (choice A) is actually beneficial for fertility. Increased acrosomal activity (choice B) can enhance fertilization potential. Normal morphology (choice C) refers to the shape and size of sperm, which is important for fertility but not the primary factor in infertility due to low sperm count. Overall, a low sperm count is the most significant factor in infertility.
Which assessment technique does a nurse use to assess the inguinal region and femoral area of a male patient as he is standing and straining?
- A. Palpates the femoral artery
- B. Palpates the inguinal lymph nodes
- C. Observes for a bulge through the inguinal region
- D. Observes for discoloration of the inguinal ring
Correct Answer: C
Rationale: The correct answer is C because when a nurse assesses the inguinal region and femoral area of a male patient standing and straining, they are checking for hernias. By observing for a bulge through the inguinal region, the nurse can identify any potential hernias, such as inguinal hernias. Palpating the femoral artery (choice A) is not relevant to assessing hernias. Palpating the inguinal lymph nodes (choice B) is not appropriate for assessing hernias in this scenario. Observing for discoloration of the inguinal ring (choice D) is not a typical sign of hernias. Therefore, choice C is the most appropriate assessment technique in this situation.
While giving a history, the patient reports having herpes genitalis. Based on this information, which finding does the nurse anticipate during the assessment?
- A. Small vesicles on the genitalia
- B. Single, firm, painless, open sore
- C. Pain when palpating the cervix
- D. Malodorous greenish-yellow vaginal discharge
Correct Answer: A
Rationale: The correct answer is A: Small vesicles on the genitalia. Genital herpes typically presents with small vesicles on the genitalia. These vesicles are usually painful and may be accompanied by itching or burning sensations. The presence of vesicles is a hallmark sign of genital herpes.
Summary:
B: Single, firm, painless, open sore is more characteristic of syphilis, not genital herpes.
C: Pain when palpating the cervix is not a typical finding in genital herpes.
D: Malodorous greenish-yellow vaginal discharge is more indicative of a bacterial infection like trichomoniasis, not genital herpes.
A nurse is called to the playground near her house in relation to an adolescent who experienced intense pain in his testicle after riding his bike. The nurse suspects which of the following problems has occurred?
- A. Torsion of the spermatic cord
- B. Cryptorchidism
- C. Phimosis
- D. Spermatocele
Correct Answer: A
Rationale: Testicular torsion presents with sudden, severe pain and requires immediate medical attention.
In order for male differentiation to occur during embryonic development, testosterone must be secreted from the testes. What stimulates the secretion of testosterone during embryonic development?
- A. Luteinizing hormone from the maternal pituitary gland
- B. Human chorionic gonadotropin
- C. Inhibin from the corpus luteum
- D. Gonadotropin-releasing hormone from the embryo’s hypothalamus
Correct Answer: B
Rationale: The correct answer is B: Human chorionic gonadotropin (hCG) stimulates the secretion of testosterone during embryonic development. hCG is produced by the developing embryo and acts on the Leydig cells in the testes to trigger the production of testosterone. This hormone plays a crucial role in male differentiation by promoting the development of male reproductive organs.
A: Luteinizing hormone (LH) from the maternal pituitary gland is not involved in the early stages of male differentiation in the embryo. LH is typically involved in the regulation of testosterone production postnatally.
C: Inhibin from the corpus luteum is not involved in the stimulation of testosterone secretion during embryonic development. Inhibin is mainly involved in the negative feedback regulation of FSH secretion.
D: Gonadotropin-releasing hormone (GnRH) from the embryo's hypothalamus is not responsible for directly stimulating testosterone secretion during embryonic development. GnRH regulates the secretion