Nokea
Which of the following is a reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy?
- A. The adverse effects of mastectomy are immediate.
- B. The wound of the surgery is highly contagious and the client should exercise isolation precautions immediately after the procedure.
- C. Most clients are not hospitalized long
- D. The suicidal tendencies in women undergoing a mastectomy are high.
Correct Answer: C
Rationale: Short hospital stays are common, necessitating early discharge planning.
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While working on the surgical unit, you are assigned to care for a client who has just returned to the surgical unit after a TURP. You assess the client and obtain these data. Which finding will require the most immediate action?
- A. Client's blood pressure reading is 153/88.
- B. Client's catheter is draining bright red blood.
- C. Client is not wearing anti-embolism hose.
- D. Client is complaining of abdominal cramping.
Correct Answer: B
Rationale: Bright red blood in the catheter may indicate hemorrhage, requiring immediate attention.
A 30-year-old woman is breast-feeding her infant. During suckling, which of the following hormonal responses is expected?
- A. Increased secretion of antidiuretic hormone (ADH) from the supraoptic nuclei
- B. Increased secretion of ADH from the paraventricular nuclei
- C. Increased secretion of oxytocin from the paraventricular nuclei
- D. Decreased secretion of neurophysin
Correct Answer: C
Rationale: The correct answer is C: Increased secretion of oxytocin from the paraventricular nuclei. During breast-feeding, oxytocin is released from the paraventricular nuclei in response to suckling. Oxytocin stimulates the contraction of myoepithelial cells around the alveoli and ducts in the breast, facilitating milk ejection. This response helps in the release of milk for the infant's feeding.
Rationale:
- Choice A is incorrect because ADH is not directly related to breast-feeding.
- Choice B is incorrect because ADH is not primarily released from the paraventricular nuclei in response to breast-feeding.
- Choice D is incorrect as neurophysin is not directly involved in the hormonal response during breast-feeding.
Two days before the onset of menstruation, secretions of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) reach their lowest levels. What is the cause of this low level of secretion?
- A. The anterior pituitary gland becomes unresponsive to the stimulatory effect of gonadotropin-releasing hormone (GnRH)
- B. Estrogen from the developing follicles exerts a feedback inhibition on the hypothalamus
- C. The rise in body temperature inhibits hypothalamic release of GnRH
- D. Secretion of estrogen, progesterone, and inhibin by the corpus luteum suppresses hypothalamic secretion of GnRH and pituitary secretion of FSH
Correct Answer: D
Rationale: The correct answer is D because two days before menstruation, the corpus luteum secretes estrogen, progesterone, and inhibin, which collectively suppress the hypothalamus's secretion of GnRH and the pituitary gland's secretion of FSH and LH. This hormonal feedback loop helps prepare the body for menstruation.
A: The anterior pituitary gland becoming unresponsive to GnRH does not explain the low FSH and LH levels.
B: Estrogen from developing follicles typically exerts a positive feedback on the hypothalamus, not inhibitory feedback.
C: The rise in body temperature does not directly impact FSH and LH levels; it is more related to ovulation.
A male client, living in an underdeveloped country, is diagnosed with chlamydia, acquired through an ophthalmic infection by autoinoculation. Which of the following are the symptoms experienced by the client?
- A. Testicular pain
- B. Anal infection
- C. Granulation of the cornea and blindness
- D. Sore throat with an infected pharynx
Correct Answer: C
Rationale: Chlamydial eye infections can lead to serious complications like granulation and blindness if untreated.
The ejaculatory duct is the union of the vas deferens and _____.
- A. seminal vesicle
- B. prostate
- C. ampulla
- D. urethra
Correct Answer: A
Rationale: The correct answer is A: seminal vesicle. The ejaculatory duct is formed by the union of the vas deferens and the seminal vesicle. The seminal vesicle contributes seminal fluid that mixes with sperm from the vas deferens to form semen. The prostate gland surrounds the ejaculatory duct but does not directly join it. The ampulla is an enlarged portion of the vas deferens but does not directly connect to the ejaculatory duct. The urethra is the tube that carries urine and semen out of the body but is not part of the ejaculatory duct. Therefore, the correct answer is A because the seminal vesicle directly joins with the vas deferens to form the ejaculatory duct.