Nokea
When the client asks where the laparoscope will be inserted, the nurse correctly identifies which structure?
- A. Abdomen
- B. Vagina
- C. Uterine cervix
- D. Uterine fundus
Correct Answer: A
Rationale: For endometriosis, a laparoscope is inserted through a small abdominal incision to visualize and remove ectopic tissue.
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If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which outcome?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
The nurse is working in a health clinic. Which disease is required to be reported to the public health department?
- A. Pelvic inflammatory disease.
- B. Epididymitis.
- C. Syphilis.
- D. Ectopic pregnancy.
Correct Answer: C
Rationale: Syphilis is a reportable STD to track and control spread, per public health regulations. PID, epididymitis, and ectopic pregnancy are not typically reportable.
The nurse is teaching men about early detection of prostate cancer according to the American Cancer Society (ACS) guidelines. Which should the nurse teach the clients?
- A. Beginning at age 39 a Digital Rectal Examination (DRE) followed by a prostate-specific antigen (PSA).
- B. Beginning at age 45 a rectal sonogram and, if positive, followed by a Digital Rectal Examination (DRE).
- C. Beginning at age 50 a prostate-specific antigen (PSA) followed by a Digital Rectal Examination (DRE).
- D. Beginning at age 60 a Prostate-Specific Antigen (PSA) followed, if positive, by a prostate biopsy.
Correct Answer: C
Rationale: ACS recommends PSA and DRE starting at age 50 for average-risk men. Earlier screening, sonograms, or biopsies are not standard unless indicated.
Which question is most important for the nurse to ask the client with a cystocele who is scheduled to have a pessary inserted?
- A. Do you know if you are allergic to latex?'
- B. When did you start having incontinence?'
- C. When was your last bowel movement?'
- D. Are you experiencing any pelvic pressure?'
Correct Answer: A
Rationale: Latex allergies are critical to assess before pessary insertion, as many pessaries are latex-based, risking anaphylaxis. Incontinence history, bowel movements, and pelvic pressure are relevant but secondary to safety.
Today, the physician orders that the client's catheter can be removed. Which action is most important for the nurse to perform first?
- A. Clean the client's labia with soap and water.
- B. Measure the urine in the drainage bag.
- C. Remove the fluid from the balloon.
- D. Disconnect the client's catheter and drainage bag.
Correct Answer: C
Rationale: Deflating the balloon is essential to safely remove the catheter without causing trauma to the urethra.