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Which action by the nurse is most appropriate?
- A. Allow the client's partner to stay in the examination room.
- B. Ask the client's friend to remain in the waiting room.
- C. Ask the physician to make the decision in this situation.
- D. Suggest that the friend wait outside the examination room door.
Correct Answer: A
Rationale: Allowing the client's partner to stay respects the client's preference and provides emotional support, as long as the client consents and privacy is maintained.
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The 45-year-old male client has had a circumcision secondary to phimosis. Which intervention should the nurse include in the plan of care?
- A. Teach how to care for the glans to prevent recurrence of the phimosis.
- B. Assess for pain on a scale of one (1) to 10.
- C. Perform wet-to-dry dressing changes daily.
- D. Instruct the client to perform a monthly penis check for cancer.
Correct Answer: B
Rationale: Pain assessment is critical post-circumcision to manage discomfort. Glans care prevents infection but not phimosis recurrence, wet-to-dry dressings are unnecessary, and cancer checks are not standard.
The client is diagnosed with vulvar cancer. Which are the most common symptoms of cancer of the vulva?
- A. Red, painful lesions.
- B. Vulvar itching.
- C. Thin, white vulvar skin.
- D. Vaginal dryness.
Correct Answer: B
Rationale: Vulvar itching is the most common symptom of vulvar cancer, often persistent. Red lesions, thin skin, and dryness are less specific or associated with other conditions.
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.
When a client with a transurethral resection of the prostate (TURP) complains of bladder discomfort and a feeling of urgency to void, which nursing action is best to take first?
- A. Check that the urinary drainage catheter is patent.
- B. Administer a prescribed analgesic as soon as possible.
- C. Change the client to semi-Fowler's position.
- D. Get the client out of bed to ambulate for a while.
Correct Answer: A
Rationale: Ensuring catheter patency addresses the most likely cause of discomfort (blockage or clots) and prevents complications like bladder distension.
The client has undergone a bilateral orchiectomy for cancer of the prostate. Which intervention should the nurse implement?
- A. Support the scrotal sac with a towel and apply ice.
- B. Administer testosterone replacement hormone orally.
- C. Encourage the client to place sperm in a sperm bank.
- D. Have the client talk to another man with ejaculation dysfunction.
Correct Answer: A
Rationale: Supporting the scrotum and applying ice reduce swelling and pain post-orchiectomy. Testosterone is contraindicated, sperm banking is preoperative, and ejaculation discussions are secondary.