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Which nursing instruction is best to provide to the client with chlamydia to prevent a recurrence of the infection?
- A. Shower or bathe after intercourse.
- B. Wash your hands well using an antiseptic soap.
- C. Encourage your sexual partners to be tested and treated.
- D. Make sure you receive adequate nutrition and fluid intake.
Correct Answer: C
Rationale: Partner testing and treatment prevent reinfection, addressing the primary source of chlamydia transmission.
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The male client complains of mucus-like drainage from the rectum accompanied by rectal pain and diarrhea. Which interview question should the nurse ask the client?
- A. Do you have difficulty trying to urinate?'
- B. Have you had rectal sexual intercourse?'
- C. Do you eat a high-fiber diet and drink lots of fluids?'
- D. Does the diarrhea alternate with constipation?'
Correct Answer: B
Rationale: Rectal intercourse is a risk for proctitis or STDs causing mucus, pain, and diarrhea. Urination, diet, and diarrhea patterns are less specific.
The nurse is caring for a client diagnosed with uterine cancer who has been receiving systemic therapy for six (6) months. Which intervention should the nurse implement first?
- A. Determine which antineoplastic medication the client has received.
- B. Ask the client if she has had any problems with mouth ulcers at home.
- C. Administer the biologic response modifier filgrastim (Neupogen).
- D. Encourage the client to discuss feelings about having cancer.
Correct Answer: B
Rationale: Mouth ulcers are a common chemotherapy side effect, requiring immediate assessment to manage pain and infection risk. Medication history, filgrastim administration, and emotional support are secondary.
The nurse is preparing the care plan for a 45-year-old client who has had a radical prostatectomy. Which psychosocial and physiological problem should be included in the plan?
- A. Altered coping.
- B. High risk for hemorrhage.
- C. Sexual impotence.
- D. Risk for electrolyte imbalance.
Correct Answer: C
Rationale: Sexual impotence is a common issue post-radical prostatectomy due to nerve damage, impacting psychosocial and physiological well-being. Coping, hemorrhage, and electrolyte imbalance are less specific.
The client has been diagnosed with cancer of the breast. Which referral is most important for the nurse to make?
- A. The hospital social worker.
- B. CanSurmount.
- C. Reach to Recovery.
- D. I CanCope.
Correct Answer: C
Rationale: Reach to Recovery provides peer support from breast cancer survivors, addressing emotional and practical needs post-diagnosis. Social workers, CanSurmount, and I CanCope are valuable but less specific to breast cancer support.
The nurse is assessing a male client for symptoms of gonorrhea. Which data support the diagnosis?
- A. Presence of a chancre sore on the penis.
- B. No symptoms.
- C. A CD4 count of less than 200.
- D. Pain in the testes and scrotal edema.
Correct Answer: B
Rationale: Gonorrhea in males can be asymptomatic, especially early. Chancre sores indicate syphilis, low CD4 is HIV-related, and testicular pain/edema suggest epididymitis, not gonorrhea.