Nokea
When the nurse administers the parenteral form of the antineoplastic drug, which nursing action is best for preventing accidental self-absorption of the drug?
- A. Use only prefilled syringes.
- B. Wear disposable examination gloves.
- C. Dilute the drug with saline solution.
- D. Mix the drug in a closed vial.
Correct Answer: B
Rationale: Wearing gloves prevents skin contact with antineoplastic drugs, reducing the risk of absorption and toxicity.
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If the client chooses to perform breast self-examination (BSE), which statement demonstrates the best understanding of when BSE should be performed?
- A. I will perform a BSE on a weekly basis.
- B. I will perform a BSE every 6 months.
- C. I will perform a BSE 1 week before my period begins.
- D. I will perform a BSE 3 to 7 days after my period ends.
Correct Answer: D
Rationale: BSE is best performed 3 to 7 days after the menstrual period ends when breasts are least likely to be tender or swollen, ensuring a more accurate examination.
The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a gynecology surgery floor. Which intervention cannot be delegated to the UAP?
- A. Empty the indwelling catheter on the three (3)-hour postoperative client.
- B. Assist the client who is two (2) days post-hysterectomy to the bathroom.
- C. Monitor the peri-pad count on a client diagnosed with fibroid tumors.
- D. Encourage the client who is refusing to get out of bed to walk in the hall.
Correct Answer: C
Rationale: Monitoring peri-pad count involves assessing bleeding, requiring nursing judgment. Emptying catheters, assisting to the bathroom, and encouraging ambulation are within UAP scope.
The postmenopausal client reveals it has been several years since her last gynecological examination and states, 'Oh, I don’t need exams anymore. I am beyond having children.' Which statement should be the nurse’s response?
- A. As long as you are not sexually active, you don’t have to worry.'
- B. You should be taking hormone replacement therapy now.'
- C. You are beyond bearing children. How does that make you feel?'
- D. There are situations other than pregnancy that should be checked.'
Correct Answer: D
Rationale: Postmenopausal women need gynecological exams to screen for cancers (e.g., endometrial, ovarian). Sexual activity is irrelevant, HRT is not mandatory, and feelings are secondary to health education.
The nurse discusses healthy sexual behaviors with the client. Which risk factor predisposes the client to acquiring a sexually transmitted infection?
- A. Experiencing early puberty
- B. Finding sex information on the Internet
- C. Having multiple sexual partners
- D. Receiving limited sex education
Correct Answer: C
Rationale: Multiple sexual partners increase exposure to STIs, significantly raising infection risk.
Which instruction is most appropriate if a Papanicolaou (Pap) smear will be obtained at the time of the pelvic examination?
- A. Avoid douching for several days before your appointment.
- B. Stop using any and all forms of contraception temporarily.
- C. Drink at least 1 quart of liquid an hour before your appointment.
- D. Avoid having sexual intercourse for a week before the test.
Correct Answer: A
Rationale: Douching can wash away cervical cells, leading to inaccurate Pap smear results, so it should be avoided for several days prior to the test.