Nokea
Which health practice is most appropriate for the nurse to teach this client?
- A. Take showers rather than tub baths if possible.
- B. Wipe away from the vagina after a bowel movement.
- C. The client's sexual experience with members of both sexes
- D. Avoid having sexual intercourse more than once a week.
Correct Answer: B
Rationale: Wiping away from the vagina prevents fecal bacteria from entering the vaginal area, reducing the risk of infections like candidiasis.
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The nurse is admitting a client diagnosed with Stage Ia cancer of the cervix to an outpatient surgery center for a conization. Which data would the client most likely report?
- A. Diffuse watery discharge.
- B. No symptoms.
- C. Dyspareunia.
- D. Intense itching.
Correct Answer: B
Rationale: Stage Ia cervical cancer is often asymptomatic, detected via Pap smear or biopsy. Watery discharge, dyspareunia, and itching are more associated with advanced stages or infections.
The nurse correctly teaches a couple that immediately after a vasectomy, it is best to continue using an alternative birth control method for which time period?
- A. 1 month
- B. 6 weeks
- C. 12 weeks
- D. 6 months
Correct Answer: C
Rationale: Sperm may remain in the vas deferens for up to 12 weeks post-vasectomy, requiring alternative contraception until azoospermia is confirmed.
When obtaining a sexual history from this client, which question is most important for the nurse to ask?
- A. Have you ever had a painless sore on your penis?
- B. Does any sex partner have similar symptoms?
- C. At what age did you first have sexual intercourse?
- D. When did you last have sexual intercourse?
Correct Answer: B
Rationale: Asking about partner symptoms helps identify potential sources of infection and guides contact tracing, critical for STI management.
Which staff nurse is best suited to care for a client with a radioactive implant?
- A. A male nurse with oncology nursing experience
- B. A female nurse who has had a hysterectomy
- C. A male nurse whose mother died of cancer
Correct Answer: A
Rationale: Oncology experience equips the nurse to safely manage a client with a radioactive implant, regardless of gender or personal history.
The nurse in the gynecology clinic is assessing a 14-year-old client who reports being sexually active. Which information should the nurse teach the client? Select all that apply.
- A. Inform the client that the nurse must tell the parents of her being sexually active.
- B. Teach the client about possible birth control options.
- C. Instruct the client regarding sexually transmitted disease.
- D. Demonstrate how a condom is applied correctly.
- E. Tell the client the importance of finishing all antibiotics.
- F. Discuss the importance of attending parenting classes.
Correct Answer: B,C,D
Rationale: Teaching birth control, STD prevention, and condom use empowers the sexually active teen. Parental notification depends on jurisdiction, antibiotics are irrelevant without infection, and parenting classes are premature.