Nokea
When assessing a client with cervical cancer who had a total abdominal hysterectomy yesterday, you obtain the following data. Which information has the most immediate implications for planning the client's care?
- A. Fine crackles are audible at the lung bases.
- B. Client's right calf is swollen and tender.
- C. Client is using the PCA every 15 minutes.
- D. Urine in the collection bag is amber and clear.
Correct Answer: B
Rationale: Swelling and tenderness in the calf suggest deep vein thrombosis, a serious complication requiring immediate attention.
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A 72-year-old woman is being assessed by the nurse for an annual physical. Which finding is of concern to the nurse?
- A. Thinning of pubic hair
- B. Increased size of the uterus
- C. Decreased size of the clitoris
- D. Loss of tone of the pelvic ligaments
Correct Answer: B
Rationale: The correct answer is B: Increased size of the uterus. In a 72-year-old woman, an increased size of the uterus can indicate potential issues such as fibroids or endometrial hyperplasia, which may require further investigation. Thinning of pubic hair (A) is a common age-related change. Decreased size of the clitoris (C) and loss of tone of the pelvic ligaments (D) can also occur with aging but are not typically concerning findings during a routine physical exam in this age group.
Reversal of sterilization procedures in males is done by which of the following procedures?
- A. Orchiopexy
- B. Vasectomy
- C. Vasovasostomy
- D. Bilateral orchiectomy
Correct Answer: C
Rationale: The correct answer is C: Vasovasostomy. This procedure involves reconnecting the vas deferens to reverse a vasectomy, allowing sperm to be present in the ejaculate again. Orchiopexy (A) is the surgical fixation of a testicle in the scrotum and is not related to reversing sterilization. Vasectomy (B) is the sterilization procedure itself, not the reversal. Bilateral orchiectomy (D) is the surgical removal of both testicles and is a permanent sterilization method, not a reversal procedure. Therefore, the correct choice is C as it directly addresses the reversal of male sterilization.
Where is the majority of progesterone produced?
- A. Graafian follicle
- B. corpus luteum
- C. secondary follicle
- D. adrenal cortex
Correct Answer: B
Rationale: The correct answer is B: corpus luteum. Progesterone is primarily produced by the corpus luteum, which forms from the ruptured ovarian follicle after ovulation. The corpus luteum secretes progesterone to prepare the uterus for potential implantation of a fertilized egg. The Graafian follicle (choice A) is a mature ovarian follicle that contains the egg, but it does not produce progesterone. The secondary follicle (choice C) is an immature ovarian follicle and does not produce progesterone. The adrenal cortex (choice D) is responsible for producing other hormones like cortisol and aldosterone, not progesterone.
Hair like process on the sperm cell that makes it motile or moveable is
- A. Cilia
- B. Flagella
- C. Pseudopodia
- D. Dendritic processes
Correct Answer: B
Rationale: The correct answer is B: Flagella. Flagella are whip-like structures that provide motility to sperm cells. They enable the sperm cell to move towards the egg for fertilization. Cilia (choice A) are shorter hair-like structures involved in movement but are not found on sperm cells. Pseudopodia (choice C) are temporary projections used for cell movement in some organisms, not sperm cells. Dendritic processes (choice D) refer to branching extensions of nerve cells, not involved in sperm motility. Therefore, flagella is the most appropriate choice for the hair-like process on the sperm cell that makes it motile.
A nurse goes to a high school to teach students about reducing the risk of sexually transmitted infections. Which of the following is the best answer for providing information on the prevention of STIs?
- A. Have monogamous sex with an infected partner.
- B. Abstain from sexual activities.
- C. Wash any areas where there has been indirect contact with semen or vaginal mucus.
- D. Avoid protected sex until you and sexual partners have completed treatment.
Correct Answer: B
Rationale: Abstinence is the most effective way to prevent STIs.