Nokea
When developing the plan of care for a home health client who has been discharged after a radical prostatectomy, which activities will you delegate to the home health aide?
- A. Monitor the client for symptoms of urinary tract infection.
- B. Help the client to connect the catheter to the leg bag.
- C. Assess the client's incision for appropriate wound healing.
- D. Assist the client to ambulate for increasing distances.
Correct Answer: D
Rationale: Assisting with mobility is within the scope of practice for a home health aide.
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Regarding histology of mammary gland
- A. Lactiferous duct is mainly lined by simple cuboidal epithelium
- B. Nipple is lubricated by sebaceous gland
- C. Terminal ductules are seen in lactating mammary gland
- D. Interlobular stroma increase in pregnancy
Correct Answer: B
Rationale: Correct Answer: B - Nipple is lubricated by sebaceous gland
Rationale:
1. Sebaceous glands produce sebum, which lubricates the skin.
2. The nipple is a part of the skin, and sebaceous glands present in the areola secrete sebum to lubricate the nipple.
3. This lubrication helps protect the nipple during breastfeeding.
Summary of other choices:
A: Lactiferous duct is mainly lined by simple cuboidal epithelium - Incorrect. The lactiferous duct is lined by stratified cuboidal and columnar epithelium.
C: Terminal ductules are seen in lactating mammary gland - Incorrect. Terminal ductules are present in non-lactating mammary glands.
D: Interlobular stroma increase in pregnancy - Incorrect. Interlobular stroma does not significantly increase in pregnancy; rather, the alveoli and ducts enlarge during this period.
The testicle secrets the following hormones:
- A. androgenic;
- B. progesterone;
- C. testosterone;
- D. progesterone
Correct Answer: C
Rationale: Step 1: The testicles are primarily responsible for producing male sex hormones.
Step 2: Testosterone is the main male sex hormone secreted by the testes.
Step 3: Testosterone is an androgenic hormone responsible for male characteristics.
Step 4: Progesterone is a female sex hormone, not primarily secreted by the testicles.
Step 5: Therefore, the correct answer is C (testosterone).
The external genitalia of the female are collectively called the
- A. labia
- B. vulva
- C. clitoris
- D. mons pubis
Correct Answer: B
Rationale: The correct answer is B: vulva. The vulva includes all external female genital structures, such as the labia, clitoris, and mons pubis. The term "vulva" is the most inclusive and accurate choice, encompassing all components of the external female genitalia. The other options, A, C, and D, refer to specific parts of the vulva, making them incorrect in this context. The labia are the outer and inner folds surrounding the vaginal opening, the clitoris is a highly sensitive organ involved in sexual pleasure, and the mons pubis is the fatty tissue overlying the pubic bone.
The patient was taken to the operating room where an
- A. Open
- B. Open deduction
- C. Deduction
- D. Reduction
Correct Answer: D
Rationale: The correct answer is D: Reduction. In medical terminology, reduction refers to the process of restoring a dislocated or fractured bone to its normal position. In this context, the patient was likely taken to the operating room for a reduction procedure to realign the affected bone.
A: Open - Incorrect because it does not specify the specific procedure being performed.
B: Open deduction - Incorrect because "deduction" is not a term commonly used in medical procedures and does not make sense in this context.
C: Deduction - Incorrect for the same reasons as B, as deduction is not a relevant medical term in this scenario.
The convoluted seminiferous tubules:
- A. are located in the lobules of the male gonad;
- B. continue with the deferent duct;
- C. there are three tubules for each testicular lobule;
- D. continue with the straight tubules;
Correct Answer: A
Rationale: The correct answer is A because the convoluted seminiferous tubules are indeed located in the lobules of the male gonad, which is the testis. These tubules are where spermatogenesis occurs, the process of sperm production. Option B is incorrect as the convoluted tubules do not continue with the deferent duct, but they connect to the straight tubules. Option C is incorrect because there are numerous convoluted seminiferous tubules within each testicular lobule, not just three. Option D is incorrect as the convoluted tubules do not continue with the straight tubules directly; they lead to the rete testis before connecting to the straight tubules.