Nokea
Vaginal fistulas are caused by an ulcerating process resulting from which cause?
- A. cancer.
- B. radiation.
- C. poor hygiene.
- D. multiple sexual partners.
- E. weakening of tissue from pregnancies.
- F. surgical interventions.
Correct Answer: A,B,E,F
Rationale: Vaginal fistulas are caused by an ulcerating process resulting from cancer, radiation, weakening of tissue by pregnancies, and surgical interventions.
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The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the 'elbow pull-in.' Which step is the first step of the exercise?
- A. Pull elbows forward until they touch.
- B. Lower and straighten the arms.
- C. Extend arms sideways to shoulder level.
- D. Bring elbows back and extend arms.
- E. Clasp hands behind neck.
Correct Answer: C
Rationale: The exercise requires that you bring the arms out at shoulder level, clasp hands behind head and bring elbows to touch, then bring elbows back and extend arms lower and straighten arms.
A male patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. When assisting with data collection from the patient, it is most important that the nurse gather information related which aspect of his history?
- A. recent urinary infections.
- B. episodes of prostatitis.
- C. contagious diseases like mumps.
- D. present and past sexual partners and notify them to get treatment.
Correct Answer: D
Rationale: The nurse should encourage notification of present and past sexual partners of the diagnosis and stress the need for them promptly to seek medical care.
A ___ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Correct Answer: biopsy
Rationale: Biopsies are procedures in which samples of tissue are taken for evaluation to confirm or locate a lesion.
Which is the recommended age range for an annual option for a mammogram?
- A. 25 and 30 years
- B. 31 and 34 years
- C. 35 and 39 years
- D. 40 and 44 years
Correct Answer: D
Rationale: The American Cancer Society recommends that mammograms be an annual option for women starting between ages 40 and 44 years. Annual mammography for women ages 45-54 is recommended.
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
- A. Don't worry, that is a normal reaction.'
- B. I'll report the findings immediately to the head nurse.'
- C. That is a symptom that resulted from your position on the operating table.'
- D. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.'
Correct Answer: D
Rationale: The Rubin insufflation test determines tubal patency. Carbon dioxide escapes into the abdominal cavity through the patent left fallopian tube.