Nokea
What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy?
- A. Expect to be fully recovered in 4 to 6 weeks.
- B. Expect no changes in her hormone levels.
- C. Expect surgical menopause.
- D. Take tub baths to aid in healing.
Correct Answer: B
Rationale: Unless the ovaries were also removed, hormonal levels should not change. The woman should expect vaginal discharge for 4 to 6 weeks. Full recovery varies from woman to woman, depending on risk factors and individual healing.
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Which statement regarding human trafficking is correct?
- A. Human trafficking is a multibillion-dollar business that primarily exists in the United States.
- B. Victims often experience the Stockholm syndrome.
- C. Vast majority of the victims are young boys and girls.
- D. Human trafficking primarily refers to commercial sex work.
Correct Answer: B
Rationale: The Stockholm syndrome is a common response where the victim develops feelings for their captor. Victims of trafficking can be forced into sex work, labor, or organ donation.
What type of mastectomy removes the entire breast but leaves the chest wall intact?
- A. total simple mastectomy
- B. modified radical mastectomy
- C. skin-sparing mastectomy
- D. nipple-sparing mastectomy
Correct Answer: A
Rationale: A total simple mastectomy is a type of mastectomy that removes the entire breast, including the breast tissue, nipple, and areola, but it leaves the chest wall muscles intact. In this procedure, the lymph nodes under the arm (axillary lymph nodes) are not typically removed. The total simple mastectomy is usually performed when the breast cancer is small and localized, and there is no evidence of spread to the surrounding lymph nodes or chest wall. This surgery is considered less extensive than other types of mastectomies, such as modified radical mastectomy, skin-sparing mastectomy, or nipple-sparing mastectomy, which involve different levels of tissue removal.
Which statement related to the condition of endometriosis is most accurate?
- A. Endometriosis is characterized by the presence and growth of endometrial tissue inside the uterus
- B. It is found more often in African-American women than in Caucasian or Asian women
- C. Endometriosis may worsen with repeated cycles or remain asymptomatic and disappear after menopause
- D. It is unlikely to affect sexual intercourse or fertility
Correct Answer: C
Rationale: Endometriosis is the growth of endometrial tissue outside the uterus and may cause symptoms such as painful intercourse and infertility. It can worsen with repeated cycles or remain asymptomatic.
A woman is 16 weeks pregnant and has elected to terminate her pregnancy. Which is the most common technique used for the termination of a pregnancy in the second trimester?
- A. Dilation and evacuation (D&E)
- B. Methotrexate administration
- C. Prostaglandin administration
- D. Vacuum aspiration
Correct Answer: A
Rationale: Dilation and evacuation (D&E) is the most common method used for termination in the second trimester, typically performed between 13 and 16 weeks.
A nurse is caring for a patient who was diagnosed with urethritis. What does the nurse identify as a possible cause?
- A. Neisseria gonorrhoeae
- B. Escherichia coli
- C. pregnancy
- D. spermicides
Correct Answer: A
Rationale: Urethritis is inflammation of the urethra usually caused by an infection. Neisseria gonorrhoeae, commonly known as gonorrhea, is a sexually transmitted bacterium known to cause urethritis. It is a common cause of urethritis in sexually active individuals. Escherichia coli is associated with urinary tract infections but not typically urethritis. Pregnancy is not a cause of urethritis. Spermicides can potentially irritate the urethra but are not a common cause of urethritis.