Nokea
Which finding from the nurse’s physical assessment of a 42-yr-old male patient should be reported to the health care provider?
- A. One testis hangs lower than the other.
- B. Genital hair distribution is diamond shaped
- C. Clear discharge is present at the penile meatus.
- D. Inguinal lymph nodes are nonpalpable bilaterally.
Correct Answer: D
Rationale: The correct answer is D because palpable inguinal lymph nodes could indicate an underlying infection or malignancy, requiring further evaluation by the healthcare provider. This finding is concerning and needs attention.
A: One testis hanging lower than the other is a normal variation and does not typically require reporting.
B: Genital hair distribution being diamond-shaped is a common pattern and is not an abnormal finding that necessitates reporting.
C: Clear discharge at the penile meatus could be normal or due to benign conditions such as urethral irritation, so it may not require immediate reporting unless other concerning symptoms are present.
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A client has been advised to use a pessary to provide support to the uterus. The nurse educates the client about pessary management and the precautions related to its use. In which of the following situations should the client report to the physician?
- A. Regarding a Pap test of the client
- B. Regarding the maintenance of a pessary
- C. When a white or yellow discharge from the vagina develops
- D. Regarding a culture and sensitivity test of vagina
Correct Answer: C
Rationale: Abnormal discharge can indicate infection or other complications requiring medical attention.
Complications of salpingitis include:
- A. Pyosalpinx
- B. Peritonitis
- C. Endometriosis
- D. Infertility
Correct Answer: A
Rationale: The correct answer is A: Pyosalpinx. Salpingitis is inflammation of the fallopian tubes, which can lead to the accumulation of pus within the tube, known as pyosalpinx. This is a common complication of salpingitis due to the infection causing the tubes to become blocked and filled with pus. Peritonitis (B) is inflammation of the peritoneum, not directly related to salpingitis. Endometriosis (C) is a separate condition where endometrial tissue grows outside the uterus. Infertility (D) can be a complication of salpingitis, but pyosalpinx is a more direct and immediate consequence.
Bones that form the roof and the upper part of the sides of the cranium
- A. Frontal bone
- B. Temporal bone
- C. Parietal bone
- D. Occipital bone
Correct Answer: C
Rationale: The correct answer is C: Parietal bone. The parietal bone forms the roof and upper part of the sides of the cranium. It articulates with other bones, such as the frontal, temporal, and occipital bones, to create the structure of the skull. The frontal bone (A) forms the forehead, the temporal bone (B) is located on the sides of the skull, and the occipital bone (D) forms the back and base of the skull. Therefore, the parietal bone is the only bone among the choices that specifically fits the description of forming the roof and upper part of the sides of the cranium.
Process of giving birth is termed as
- A. Lactation
- B. Gestation
- C. Micturition
- D. parturition
Correct Answer: D
Rationale: The correct answer is D: parturition. Parturition refers to the process of giving birth. It involves the series of events that lead to the expulsion of the fetus from the mother's womb. Lactation (choice A) is the production of milk by the mammary glands after birth. Gestation (choice B) is the period of development of the fetus in the womb. Micturition (choice C) is the process of urination and is not related to childbirth. Therefore, the term that specifically describes the process of giving birth is parturition.
___________is an organelle that helps the sperm to penetrate the ovum.
- A. Acrosome
- B. Zona pellucida
- C. Megalis
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A: Acrosome. The acrosome is an organelle in the head of the sperm that contains enzymes which help the sperm penetrate the outer layer of the ovum during fertilization. It plays a crucial role in the fertilization process.
Explanation of other choices:
B: Zona pellucida is the outer membrane of the ovum that the sperm needs to penetrate, not an organelle within the sperm itself.
C: Megalis is not a relevant organelle involved in fertilization.
D: None of the above is incorrect as the acrosome is the specific organelle that aids in sperm penetration of the ovum.