Nokea
When a client with a transurethral resection of the prostate (TURP) complains of bladder discomfort and a feeling of urgency to void, which nursing action is best to take first?
- A. Check that the urinary drainage catheter is patent.
- B. Administer a prescribed analgesic as soon as possible.
- C. Change the client to semi-Fowler's position.
- D. Get the client out of bed to ambulate for a while.
Correct Answer: A
Rationale: Ensuring catheter patency addresses the most likely cause of discomfort (blockage or clots) and prevents complications like bladder distension.
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The client has undergone a bilateral orchiectomy for cancer of the prostate. Which intervention should the nurse implement?
- A. Support the scrotal sac with a towel and apply ice.
- B. Administer testosterone replacement hormone orally.
- C. Encourage the client to place sperm in a sperm bank.
- D. Have the client talk to another man with ejaculation dysfunction.
Correct Answer: A
Rationale: Supporting the scrotum and applying ice reduce swelling and pain post-orchiectomy. Testosterone is contraindicated, sperm banking is preoperative, and ejaculation discussions are secondary.
The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be taught to the client?
- A. The client will develop antibodies to protect against a future infection.
- B. This infection will not have any long-term effects for the client.
- C. Both the client and the sexual partner must be treated simultaneously.
- D. Once the infection subsides, the pain will go away and not be a problem.
Correct Answer: C
Rationale: Chlamydia-related PID requires simultaneous treatment of the client and partner to prevent reinfection. Antibodies do not confer immunity, PID can cause infertility, and pain may persist.
When assigning a nursing assistant to this client's care, which instruction for disposing of soiled drainage pads is correct?
- A. Flush all perineal pads down the toilet.
- B. Put the pads in biohazard waste bags.
- C. Place the pads in biohazard waste bags.
- D. Enclose the soiled pads in a clean paper bag.
Correct Answer: B
Rationale: Soiled pads from pelvic inflammatory disease may contain infectious material, requiring disposal in biohazard waste bags to prevent contamination.
The postmenopausal client reveals it has been several years since her last gynecological examination and states, 'Oh, I don’t need exams anymore. I am beyond having children.' Which statement should be the nurse’s response?
- A. As long as you are not sexually active, you don’t have to worry.'
- B. You should be taking hormone replacement therapy now.'
- C. You are beyond bearing children. How does that make you feel?'
- D. There are situations other than pregnancy that should be checked.'
Correct Answer: D
Rationale: Postmenopausal women need gynecological exams to screen for cancers (e.g., endometrial, ovarian). Sexual activity is irrelevant, HRT is not mandatory, and feelings are secondary to health education.
Which information given by the nurse is most appropriate to provide to the client?
- A. Take the medication until the symptoms clear.
- B. Refill the prescription if symptoms persist.
- C. Take the medication for the full amount of time.
- D. Treatment of the infection is likely to be lifelong.
Correct Answer: C
Rationale: Completing the full course of doxycycline ensures eradication of Chlamydia, preventing recurrence or resistance.