When counseling a female client with a new diagnosis of genital herpes, which statement by the nurse is accurate?
- A. Have a Pap test done at least every 6 months.
- B. Avoid having vaginal intercourse for at least 6 months.
- C. If you take your medicine, you will not infect anyone else.
- D. Your infection provides immunity for any future children.
Correct Answer: D
Rationale: Genital herpes infection may confer some immunity to neonates via maternal antibodies, reducing severe neonatal herpes risk.
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The nurse in the gynecology clinic is assessing the 50-year-old client who has had four (4) children and is complaining of having lower abdominal pressure and fatigue along with some urinary incontinence. Which instruction should the nurse teach the client?
- A. Wear a peri-pad to keep from having an accident.
- B. Try not to laugh or sneeze unless at home.
- C. Discuss the pros and cons of a vaginal hysterectomy.
- D. Instruct to perform Kegel exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic floor muscles, reducing stress incontinence and pelvic pressure from multiparity. Peri-pads are palliative, avoiding laughter/sneezing is impractical, and hysterectomy is premature.
In the early stages of BPH, the nurse expects the physician to monitor the progression of disease with which diagnostic test?
- A. A semiannual prostate-specific antigen (PSA) test
- B. An annual cystoscopy
- C. A digital rectal examination
- D. A retrograde pyelogram
Correct Answer: C
Rationale: A digital rectal examination is a primary method to monitor BPH progression by assessing prostate size and consistency.
The nurse is teaching a class on Breast Health Awareness. Which are the American Cancer Society’s recommended guidelines for the performance of breast self-examination (BSE)? List in order of recommended performance.
- A. Visualize the breast from the front while standing before a mirror.
- B. Gently squeeze the nipple to express any fluid.
- C. Turn to each side and view each breast in the mirror.
- D. Palpate each breast in a circular motion while lying on the back.
- E. Palpate each breast in a circular motion while in the shower.
Correct Answer: A,C,D,E,B
Rationale: ACS BSE steps: 1) Front mirror visualization; 2) Side visualization; 3) Lying palpation; 4) Shower palpation; 5) Nipple check for discharge.
The nurse correctly informs the client that fibrocystic lesions may become larger and more tender at what time?
- A. The nurse has a normal cycle
- B. After sexual intercourse
- C. Nearer to beginning menopause
- D. Just before menstruation
Correct Answer: D
Rationale: Fibrocystic breast changes are hormone-dependent and typically worsen just before menstruation due to increased estrogen and progesterone levels, causing lesions to enlarge and become tender.
The client states that she examines her breasts in the shower and while lying down. The nurse recommends that the client should also inspect her breasts from which position?
- A. Bending from the waist
- B. Standing before a mirror
- C. Arching the back
- D. Leaning from side-to-side
Correct Answer: B
Rationale: Standing before a mirror allows the client to visually inspect both breasts for changes in size, shape, or skin texture, which is a key component of breast self-examination (BSE).
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