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Which of the following instructions would a nurse give a client undergoing treatment for an HSV-2 infection?
- A. Have an annual Papanicolaou smear to detect cervical cancer.
- B. Have an annual mammogram to detect breast cancer.
- C. Increase the frequency of breast self-examination for early detection of any breast disorders.
- D. Undergo an HIV detection test every six months.
Correct Answer: A
Rationale: Regular Pap smears are important for detecting cervical changes related to HSV-2.
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Patella is a
- A. Irregular bone
- B. Short bone
- C. Sesamoid bone
- D. Flat bone
Correct Answer: C
Rationale: The patella is a sesamoid bone located within the tendon of the quadriceps femoris muscle. Sesamoid bones are small, round bones embedded within tendons, providing protection and improving the mechanical advantage of the muscle. It is not irregular (A), short (B), or flat (D) as it does not fit the structural characteristics of those bone types. Therefore, the correct answer is C.
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.
Circular movement around an axis is known as ___________________.
- A. Dorsiflexion
- B. Rotation
- C. Extension
- D. Pronation
Correct Answer: B
Rationale: The correct answer is B: Rotation. Circular movement around an axis is described as rotation. This movement involves turning or spinning around a fixed point. Dorsiflexion (A) is the movement of bringing the top of the foot towards the shin. Extension (C) refers to straightening or increasing the angle of a joint. Pronation (D) is the inward rotation of the forearm or foot. Rotation (B) specifically signifies movement around an axis, making it the most appropriate choice for circular movement.
When does a nurse use transillumination of the scrotum?
- A. When the patient has tortuosity of the veins along the spermatic cord
- B. When the patient has an indirect hernia
- C. When there is a mass or fluid in the epididymis
- D. When there is twisting of the testicle and spermatic cord
Correct Answer: C
Rationale: Transillumination of the scrotum is used when there is a mass or fluid in the epididymis. Transillumination helps to differentiate between solid masses and fluid-filled structures. It is not used for tortuosity of veins (A), indirect hernia (B), or twisting of the testicle and spermatic cord (D). Vein tortuosity is diagnosed through physical examination, hernias are detected through palpation, and testicular torsion is confirmed through Doppler ultrasound.
A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse’s best response to the patient’s concern?
- A. “Interest in sex frequently decreases as men get older.”
- B. “Many men need additional sexual stimulation with aging.”
- C. “Erectile dysfunction is a common problem with older men.”
- D. “Tell me more about how your sexual response has change
Correct Answer: B
Rationale: The correct answer is B: "Many men need additional sexual stimulation with aging." With aging, physiological changes can affect sexual response. Additional stimulation may be required due to lower hormone levels and decreased sensitivity. This response acknowledges the patient's concern and provides a factual explanation.
Incorrect answers:
A: "Interest in sex frequently decreases as men get older." - While libido may decrease with age, it doesn't directly address the patient's concern about sexual response.
C: "Erectile dysfunction is a common problem with older men." - Erectile dysfunction is only one aspect of sexual response and may not be the main issue for the patient.
D: "Tell me more about how your sexual response has changed." - While this shows empathy, it doesn't provide information or address the potential need for additional stimulation.