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What guidance should the nurse provide to a man who smokes two packs a day and is concerned about infertility?
- A. Your sperm count seems to be okay in the first semen analysis.'
- B. Only marijuana cigarettes affect sperm count.'
- C. Although smoking has no effect on sperm count, it can give you lung cancer.'
- D. Smoking can reduce the quality of your sperm.'
Correct Answer: D
Rationale: Cigarette smoking can affect sperm quality, including abnormal sperm, decreased count, and chromosomal damage.
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The nurse provides education to a client about to undergo external radiation therapy. Which statement by the client reassures the nurse that the teaching has been effective?
- A. I am using ointment to keep my skin from drying out.
- B. I wash the irradiated area with deodorant soap.
- C. My diet is high in protein, and I drink at least 2000 ml of fluid a day.
- D. I wash off the markings for the radiation site after each treatment.
Correct Answer: C
Rationale: To maintain good nutrition, the woman should eat high-protein meals or use protein supplements and should have a high daily fluid intake of 2 to 3 L. The woman is counseled about good skin care and taught to avoid soaps, ointments, cosmetics, and deodorants because these may contain metals that would alter the radiation dose she receives.
Maternity nurses can enhance communication among health care providers by using the SBAR technique. The acronym SBAR stands for what?
- A. Situation, background, assessment, recommendation
- B. Situation, baseline, assessment, recommendation
- C. Subjective, background, analysis, recommendation
- D. Subjective, background, analysis, review
Correct Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, which is a communication technique for providing important information.
What is the primary theme of the feminist perspective regarding violence against women?
- A. Role of testosterone as the underlying cause of men's violent behavior
- B. Basic human instinctual drive toward aggression
- C. Male dominance and coercive control over women
- D. Cultural norm of violence in Western society
Correct Answer: C
Rationale: The contemporary social view of violence is derived from the feminist theory. With the primary theme of male dominance and coercive control, this view enhances an understanding of all forms of violence against women.
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
- A. Cystocele
- B. Uterine prolapse
- C. Rectocele
- D. Stress urinary incontinence
Correct Answer: B
Rationale: A fitted pessary may be inserted into the vagina to support the uterus and hold it in the correct position. Usually a pessary is used for only a short time and is not used for the client with a cystocele. A rectocele cannot be corrected.
Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?
- A. Perineum
- B. Bony pelvis
- C. Vaginal vestibule
- D. Fourchette
Correct Answer: B
Rationale: The bony pelvis provides protection and support for the growing fetus during pregnancy.