Nokea
When does a nurse use transillumination of the scrotum?
- A. When the patient has tortuosity of the veins along the spermatic cord
- B. When the patient has an indirect hernia
- C. When there is a mass or fluid in the epididymis
- D. When there is twisting of the testicle and spermatic cord
Correct Answer: C
Rationale: Transillumination of the scrotum is used when there is a mass or fluid in the epididymis. Transillumination helps to differentiate between solid masses and fluid-filled structures. It is not used for tortuosity of veins (A), indirect hernia (B), or twisting of the testicle and spermatic cord (D). Vein tortuosity is diagnosed through physical examination, hernias are detected through palpation, and testicular torsion is confirmed through Doppler ultrasound.
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The opening to the uterus:
- A. Vagina
- B. Ovary
- C. Cervix
- D. hypermenorrhoea
Correct Answer: C
Rationale: The correct answer is C: Cervix. The cervix is the opening to the uterus, allowing passage of sperm into the uterus and menstrual blood out of the uterus. The vagina (A) is the canal leading from the cervix to the outside of the body. The ovary (B) is responsible for producing eggs and hormones but is not the opening to the uterus. Hypermenorrhoea (D) refers to excessive menstrual bleeding and is not related to the opening to the uterus.
Which of the following instructions would a nurse give a client undergoing treatment for an HSV-2 infection?
- A. Have an annual Papanicolaou smear to detect cervical cancer.
- B. Have an annual mammogram to detect breast cancer.
- C. Increase the frequency of breast self-examination for early detection of any breast disorders.
- D. Undergo an HIV detection test every six months.
Correct Answer: A
Rationale: Regular Pap smears are important for detecting cervical changes related to HSV-2.
A 67-year-old man who was admitted for a transurethral resection and fulguration of a stage A bladder tumor is ready for discharge. In his discharge teaching plan the nurse should reinforce the importance of his physician for
- A. periodic cystoscopies
- B. headaches
- C. routine urinalysis
- D. increased daily urinary output
Correct Answer: A
Rationale: Periodic cystoscopies are important to monitor for recurrence of bladder tumors.
The accessory glands of the male reproductive system are:
- A. corpus spongiosum;
- B. corpus cavernosum;
- C. penis;
- D. seminal vesicles;
Correct Answer: D
Rationale: The correct answer is D: seminal vesicles. Seminal vesicles are accessory glands that produce a significant portion of the fluid that makes up semen. They contribute nutrients and substances that support sperm viability and motility. Choices A, B, and C are incorrect as they are structures of the penis involved in erection and urination, not accessory glands of the male reproductive system.
The initiation of puberty and menses in a female, involves increased levels of _____.
- A. FSH
- B. LH
- C. estrogen
- D. progesterone
Correct Answer: C
Rationale: The correct answer is C: estrogen. During puberty in females, the hypothalamus signals the pituitary gland to release hormones, leading to increased estrogen levels. Estrogen plays a key role in the development of secondary sexual characteristics and the onset of menstruation. FSH and LH are also involved in the menstrual cycle but do not directly initiate puberty. Progesterone is mainly involved in the menstrual cycle's later stages, not the initiation of puberty.