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When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurses most appropriate action or response is to:
- A. Ask the patient if he would like someone else to examine him.
- B. Continue with the examination as though nothing has happened
- C. reassure the patient that it is normal
- D. Stop the examination, leave the room while stating that the examination will resume at a later tim
Correct Answer: C
Rationale: The correct answer is C: reassure the patient that it is normal. An erection during a genital examination is a normal physiological response and not under the patient's control. By reassuring the patient, the nurse helps alleviate any potential embarrassment or anxiety. Asking for someone else (A) may further embarrass the patient. Continuing as if nothing happened (B) may ignore the patient's emotional well-being. Stopping the examination and leaving (D) without explanation can create confusion and discomfort.
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Dipstick testing of an older adult patients urine indicates the presence of protein. Which of the following statements is true of this assessment finding?
- A. This finding needs to be considered in light of other forms of testing.
- B. This finding is a risk factor for urinary incontinenc
- D. This finding is likely the result of an ag
Correct Answer: A
Rationale: Rationale:
1. Protein in urine can indicate renal issues, so further testing like urine protein/creatinine ratio is needed.
2. Proteinuria doesn't directly relate to urinary incontinence.
3. The finding is not related to age or gender, ruling out options B and D.
4. Option A is correct as it emphasizes the need for additional testing to confirm the presence and significance of protein in urine.
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for _______ cancer.
- A. Uterine.
- B. Cervical.
- C. Ovarian.
- D. Endometrial.
Correct Answer: B
Rationale: The correct answer is B: Cervical cancer. HPV is a known risk factor for cervical cancer as certain strains of the virus can lead to changes in cervical cells that may progress to cancer. Regular examinations, such as Pap smears, can help detect any abnormalities early on and prevent the development of cervical cancer.
Choice A: Uterine cancer is not directly linked to HPV.
Choice C: Ovarian cancer is not commonly associated with HPV.
Choice D: Endometrial cancer is not directly caused by HPV.
Regular screenings for cervical cancer are crucial for women with HPV to monitor any changes and take necessary preventive measures.
The microscopic functional unit of the kidney Urinary bladder Urethra Putting it all together 19 Explain, in your own words, whether the following substances would normally be expected to be present
- B. Protein
- C. Glucose
- D. Some people may need to undergo kidney dialysis. Explain, in your own words, how this intervention is
Correct Answer: B
Rationale: The correct answer is B: Protein. In the urine, the presence of protein can indicate kidney damage or malfunction. Normally, the kidneys filter out waste products, toxins, and excess substances, but proteins are too large to pass through healthy kidney filters. If protein is found in the urine, it suggests a problem with the kidney's filtration system. This can be a sign of conditions like kidney disease or diabetes.
Rationale for why the other choices are incorrect:
A: Urinary bladder and urethra are not typically associated with the presence of substances like protein in urine.
C: Glucose in the urine may indicate diabetes or other health issues, but it is not the most common substance to be tested for in routine urinalysis.
D: Kidney dialysis is a treatment for kidney failure, not a substance present in urine.
An accessory glandular structure for the male genital organs is the:
- A. Testis. NURSINGT
- B. COM
- C. Scrotum.
- D. Prostat
Correct Answer: D
Rationale: The correct answer is D: Prostate. The prostate is an accessory glandular structure for the male genital organs as it produces and secretes fluid that is a component of semen. The testis (A) is the primary male reproductive organ responsible for producing sperm. The scrotum (C) is the external sac that houses the testes. Choice B does not seem to be a valid option.
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?
- A. “A good time to examine your testicles is just before you take a shower.â€
- B. “If you notice an enlarged testicle or a painless lump, call your health care provider.â€
- C. “The testicle is egg shaped and movable. It feels firm and has a lumpy consistency.â€
- D. “Perform a testicular examination at least once a week to detect the early stages of testicular cancer.â€
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of seeking medical advice if any abnormalities are detected during the self-examination. This statement encourages prompt action and follow-up with a healthcare provider, which is crucial for early detection and treatment of testicular cancer.
Incorrect options:
A: Timing of the examination is not as critical as the action to take if abnormalities are found.
C: Describing the testicle's shape and texture is not the primary focus of a testicular self-examination.
D: Performing the examination once a week is excessive and not recommended by medical guidelines.