Nokea
When carrying out this intervention, which action is most appropriate?
- A. Apply ice to the site in a sealed plastic bag.
- B. Place a covered ice pack to the scrotum.
- C. Position the client on a hypothermia blanket.
- D. Seat the client on an ice-filled ring.
Correct Answer: B
Rationale: A covered ice pack reduces swelling and pain in the scrotum safely and effectively post-hydrocele aspiration.
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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.
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.
The nurse is preparing an educational presentation for women in the community. Which primary nursing intervention should the nurse discuss regarding the development of ovarian cancer?
- A. Instruct the clients not to use talcum powder on the perineum.
- B. Encourage the clients to consume diets with a high-fat content.
- C. Teach the women to have a lower pelvic sonogram yearly.
- D. Discuss the need to be aware of the family history of cancer.
Correct Answer: D
Rationale: Family history awareness is key for ovarian cancer risk assessment, guiding screening or genetic testing. Talc use is controversial, high-fat diets are not recommended, and yearly sonograms are not standard.
The nurse is preparing the client for an insertion of a pessary. Which information should the nurse teach the client?
- A. The pessary does not need to be changed.
- B. The client should clean the pessary routinely.
- C. The pessary must be inserted in surgery.
- D. Estrogen cream is necessary for effective use of a pessary.
Correct Answer: B
Rationale: Clients should clean the pessary routinely (per HCP guidance) to prevent infection. Pessaries need periodic replacement, are inserted in an office setting, and estrogen cream is optional for some.
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.