Nokea
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.
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A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole for 7 days. Which advice will the nurse give to the patient?
- A. Avoid alcohol while on metronidazole
- B. Be aware that her urine may turn blue and will stain clothing.
- C. Wear snug underwear during treatment.
- D. Be aware that she need not notify her sexual partners as trichomoniasis is not contagious.
Correct Answer: A
Rationale: Alcohol should be avoided as it can cause disorientation, cramps, and possibly convulsions.
The patient, age 52, is recovering from a modified radical mastectomy. For which reason will the nurse ensure postoperative elevation of the patient's arm after this procedure?
- A. To prevent vascular and lymph stasis, thus lymphedema.
- B. To prevent drainage accumulation at the incisional site.
- C. To prevent wound infection and dehiscence.
- D. To prevent pleural effusion and respiratory distress.
Correct Answer: A
Rationale: If the arm is not restricted by dressings, it may be elevated on a pillow with the hand and wrist higher than the elbow and the elbow higher than the shoulder joint. This will facilitate the flow of fluids through the lymph and venous routes and prevent lymphedema.
The patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
- A. If you have been free of symptoms for 2 weeks you are cured.'
- B. You should get a rapid plasma reagin (RPR) just to make sure.'
- C. No case is considered cured until you have had three consecutive negative cervical smears.'
- D. To confirm your cure, you should get a Venereal Disease Research Lab (VDRL).'
Correct Answer: C
Rationale: No case of gonorrhea is considered cured until you have had three consecutive negative cervical smears. The RPR and the VDRL are tests for syphilis.
A patient, age 36, is scheduled for a right modified radical mastectomy. She is withdrawn and does not initiate interaction with the nurse. Which activity is the most appropriate nursing action at this time?
- A. Carefully explain the postoperative activity restrictions.
- B. Show her a diagram of what the orchiectomy will accomplish.
- C. Assure her that she will have adequate future sexual functioning.
- D. Assess her concerns related to her diagnosis and treatment.
Correct Answer: D
Rationale: A common patient problem for a patient with a reproductive disorder is having concerns related to the diagnosis and treatment of breast cancer. It is beneficial to listen to the concerns about this treatment.
Why is a mammogram the most useful method of diagnosing breast cancer?
- A. It is the most reliable method of detecting breast cancer before it becomes palpable.
- B. It is inexpensive and covered by most medical insurance plans.
- C. It involves no radiation and takes only a few minutes.
- D. It involves no pain or discomfort and is readily available.
Correct Answer: A
Rationale: Mammography is radiography of the soft tissue of the breast to allow identification of various benign and neoplastic processes, especially those not palpable on physical examination.