Nokea
When should postmenopausal women be instructed to perform breast self-examination (BSE)?
- A. On the same date of their choice each month
- B. Every 3 months
- C. Every day, because they are at high risk for breast cancer
- D. Whenever they begin to take estrogen supplements
Correct Answer: A
Rationale: More than 90% of breast cancers are detected by the patient. BSE for postmenopausal women should be done on the same day of the month each month.
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The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?
- A. I should sleep on the side opposite my mastectomy.'
- B. I should keep my right arm supported in a sling when I am up and around until my incision is healed.'
- C. I can do whatever exercises and activities I want as long as I don't elevate my right hand above my head.'
- D. I should take aspirin before moving or exercising my arm to prevent pain during the exercises.'
Correct Answer: A
Rationale: The patient should be instructed to avoid sleeping on the involved arm.
An alternative remedy, ___, is used by men for the treatment of impotence.
Correct Answer: yohimbine
Rationale: Yohimbine is an alternative remedy for the treatment of male impotence.
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
- A. Don't worry, that is a normal reaction.'
- B. I'll report the findings immediately to the head nurse.'
- C. That is a symptom that resulted from your position on the operating table.'
- D. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.'
Correct Answer: D
Rationale: The Rubin insufflation test determines tubal patency. Carbon dioxide escapes into the abdominal cavity through the patent left fallopian tube.
When the veins in the scrotum become dilated, and the scrotum becomes enlarged and dilated, the condition is called a ___
Correct Answer: varicocele
Rationale: A varicocele is a condition in which the scrotum becomes enlarged and dilated, from obstructed vessels.
Which instruction will a nurse give a patient with genital herpes who does not have lesions at the present?
- A. Continued use of acyclovir will prevent reinfection by the virus.'
- B. Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present.'
- C. Acyclovir ointment should be applied to the lesions to increase comfort and speed healing.'
- D. Recurrent genital herpes is promoted by any sexual stimulation.'
Correct Answer: B
Rationale: Sexual transmission of HSV (genital herpes, a virus) has been documented even in the absence of clinical lesions, and the use of condoms should be encouraged. Acyclovir does not cure the disease but makes the attacks less virulent.