Nokea
Which gynecologic symptom reported by a female client is most suggestive of trichomoniasis?
- A. A series of fluid-filled vesicles on the vagina
- B. Vaginal drainage that causes intense itching
- C. Vaginal drainage that resembles milk
- D. Tenderness and pressure in the lower abdomen
Correct Answer: B
Rationale: Trichomoniasis typically causes frothy, foul-smelling vaginal discharge with itching, distinguishing it from other infections.
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If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which outcome?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
The client diagnosed with ovarian cancer has had eight (8) courses of chemotherapy. Which laboratory data warrant immediate intervention by the nurse?
- A. Absolute neutrophil count of 3,500.
- B. Platelet count of 150 · 103.
- C. Red blood cell count of 5 · 106.
- D. Urinalysis report of 100 WBCs.
Correct Answer: D
Rationale: Urinalysis with 100 WBCs indicates a urinary tract infection, requiring immediate intervention in a chemotherapy patient at risk for sepsis. Other values are within normal ranges.
The client is diagnosed with metastatic prostate cancer to the bones. Which nursing intervention should the nurse implement?
- A. Prepare for a transurethral resection of the prostate.
- B. Keep the foot of the bed elevated at all times.
- C. Place the client on a scheduled bowel regimen.
- D. Discuss the client’s altered sexual functioning.
Correct Answer: C
Rationale: Bone metastasis increases constipation risk (e.g., from analgesics); a bowel regimen prevents complications. TURP is for obstruction, bed elevation is irrelevant, and sexual function is secondary.
The outpatient clinic nurse is working with clients diagnosed with sexually transmitted diseases (STD). Which long-term complication should the nurse discuss with the clients about STDs?
- A. Stress the need for clients to completely finish all antibiotics prescriptions.
- B. Inform the clients that, legally, many STIs must be reported to the health department.
- C. Sexually transmitted diseases can result in reproductive problems.
- D. Discuss the myth that acquired immunodeficiency syndrome is an STI.
Correct Answer: C
Rationale: STDs like chlamydia and gonorrhea can cause infertility or ectopic pregnancy, a critical long-term complication. Antibiotic completion, reporting, and AIDS myths are important but not complications.
When the nurse does a physical assessment of this client, which technique is best for determining the extent of the prolapse?
- A. Examine the perineum when the client rolls from side to side.
- B. Examine the perineum as the client stands and bears down.
- C. Examine the perineum with the client in a dorsal recumbent position.
- D. Examine the perineum with a lubricated speculum and flashlight.
Correct Answer: B
Rationale: Standing and bearing down makes a prolapsed uterus more visible, allowing accurate assessment of its extent.