Nokea
What should the nurse teach a man requesting testing for human papillomavirus (HPV)?
- A. There is currently no approved test to detect HPV in men.
- B. A viral culture of the penis and rectum is used to detect HPV in men.
- C. A Pap smear of the meatus of the penis is used to detect HPV in men.
- D. There is no need for a test because men do not become infected with HPV.
Correct Answer: A
Rationale: No approved HPV test exists for men.
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What procedure should a couple take if the man's penis becomes flaccid immediately after ejaculation?
- A. The woman should douche with white vinegar and water.
- B. The woman should consider taking a postcoital contraceptive.
- C. The man should hold the edges of the condom during its removal.
- D. The man should apply spermicide to the upper edges of the condom.
Correct Answer: C
Rationale: Holding the condom edges prevents semen leakage.
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
When planning a healthy diet with a pregnant patient, what should the nurse's first action be?
- A. Teach the patient about MyPlate.
- B. Review the patient's current dietary intake.
- C. Instruct the patient to limit the intake of fatty foods.
- D. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
Correct Answer: B
Rationale: The correct answer is B because reviewing the patient's current dietary intake is essential to assess their nutritional status and identify areas for improvement. This step helps the nurse understand the patient's eating habits, preferences, and potential deficiencies, laying the groundwork for personalized dietary recommendations. Option A is incorrect because teaching about MyPlate is premature without understanding the patient's current diet. Option C is incorrect as blanket advice to limit fatty foods may not be suitable for all pregnant patients. Option D is incorrect as cautioning about vitamins should come after assessing the patient's current intake to avoid unnecessary restrictions.
What is important for the nurse to provide a woman with bacterial vaginosis?
- A. The woman must be careful to observe for signs of preterm labor.
- B. The woman must advise her partner to seek therapy as soon as possible.
- C. A common side effect of the medicine is a copious vaginal discharge.
- D. A repeat culture should be taken two weeks after completing the therapy.
Correct Answer: A
Rationale: Bacterial vaginosis increases the risk of preterm labor in pregnant women.
A preterm neonate develops physiologic jaundice and phototherapy is ordered. The nurse understands that this therapy:
- A. Activates the liver to dispose the bilirubin
- B. Breaks down the unconjugated bilirubin in the skin to conjugated form permitting excretion
- C. Activates Vit. K to facilitate excretion of the bilirubin
- D. Dissolves the bilirubin and allows it to be excreted from the skin
Correct Answer: B
Rationale: Phototherapy converts bilirubin into a form that can be excreted.