Nokea
Which instruction is appropriate to include when providing the client with oral contraceptive teaching?
- A. Take oral contraceptives at the same time each day.
- B. Take oral contraceptives on an empty stomach.
- C. Take oral contraceptives on the first day of menses.
- D. Take oral contraceptives in the morning with food.
Correct Answer: A
Rationale: Taking oral contraceptives at the same time daily ensures consistent hormone levels, maximizing efficacy.
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If the client experiences all of the following signs and symptoms after the laparoscopy, which one can the nurse attribute directly to the endoscopic procedure?
- A. Nausea and vomiting
- B. Shoulder discomfort
- C. Urinary frequency
- D. Leg cramps
Correct Answer: B
Rationale: Shoulder discomfort is a common post-laparoscopy symptom due to residual carbon dioxide gas irritating the diaphragm.
Which could be a complication of cryotherapy surgery for cancer of the prostate?
- A. The urethra could become scarred and cause retention.
- B. The client could have ejaculation difficulties and be impotent.
- C. Bone marrow suppression could occur from the chemotherapy.
- D. Chronic vomiting and diarrhea causing electrolyte imbalance could occur.
Correct Answer: A
Rationale: Cryotherapy can scar the urethra, leading to urinary retention. Ejaculation issues are possible but less specific, and bone marrow suppression or GI issues are chemotherapy-related, not cryotherapy.
Which nursing task could be delegated to the unlicensed assistive personnel (UAP) for the client who had a total vaginal hysterectomy?
- A. Observe the color and amount of drainage on the client's perineal pad.
- B. Maintain a current intake and output for the client each shift.
- C. Provide the client with a plan of pharmacological pain management.
- D. Prepare the client for her discharge scheduled for the next day.
Correct Answer: B
Rationale: Maintaining intake and output is within UAP scope, involving measurement and recording. Observing drainage requires assessment, pain management involves nursing judgment, and discharge preparation includes teaching, all inappropriate for delegation.
If this client is typical of others with this condition, she will most likely report to the nurse that she experiences urinary incontinence during which time?
- A. When sitting
- B. As she walks
- C. During sleep
- D. Upon sneezing
Correct Answer: D
Rationale: A cystocele causes stress incontinence, with urine leakage during activities that increase abdominal pressure, such as sneezing.
If the nurse must handle the radioactive implant, which action provides the best protection for the nurse?
- A. Putting on sterile vinyl gloves
- B. Washing hands before putting on vinyl gloves
- C. Using long-handled forceps to handle the implant
- D. Enclosing the implant in a glass jar
Correct Answer: C
Rationale: Using long-handled forceps minimizes direct exposure to the radioactive implant, reducing the nurse's radiation risk.