Nokea
Which of the following nursing interventions are advised for clients with prostate cancer to avoid an infection related to the home-care of a Foley catheter?
- A. Boil the leg bag regularly in a solution of hot water and vinegar for 15 minutes during the cleaning.
- B. Disinfect several inches of the catheter with alcohol or any other antiseptic agent before the insertion.
- C. Clean the leg bag by using soap and water and then rinse it with a 1:7 solution of vinegar and water.
- D. Open the connections between the leg bag and the catheter only once in 15 days to reduce the risks of microbial entry.
Correct Answer: C
Rationale: Proper cleaning and maintenance of the catheter equipment are crucial to preventing infections.
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The female Bartholin glands correspond to the male _____.
- A. prostate
- B. Cowper's
- C. seminal vesicle
- D. glans
Correct Answer: B
Rationale: The female Bartholin glands are homologous to the male Cowper's glands. Both glands secrete fluid to lubricate the reproductive tract during sexual arousal. The prostate gland (choice A) is not the correct answer as it is a different structure that produces seminal fluid. The seminal vesicles (choice C) secrete a significant portion of the seminal fluid but are not the male counterpart to the Bartholin glands. The glans (choice D) refers to the tip of the penis and is not the correct counterpart to the Bartholin glands. Therefore, the correct answer is B, Cowper's glands.
Which glands produce a thick, yellowish secretion that nourishes and activates sperm?
- A. Bulbourethral glands
- B. Prostate
- C. Seminal vesicles
- D. Ejaculatory duct
Correct Answer: C
Rationale: The correct answer is C: Seminal vesicles. Seminal vesicles produce a thick, yellowish secretion that provides nutrients and activates sperm. This secretion, along with sperm from the testes, forms semen. Bulbourethral glands produce a clear, viscous fluid that lubricates the urethra during sexual arousal (not yellowish). The prostate gland secretes a milky fluid that neutralizes acidic vaginal secretions. The ejaculatory duct is a passageway for semen to travel from the vas deferens to the urethra and does not produce any secretions. Therefore, the seminal vesicles are the correct answer as they specifically produce the described yellowish secretion that nourishes and activates sperm.
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.
Which of the following is a surgical procedure in which a pendulous breast is lifted and fixed to the chest wall?
- A. Mastostomy
- B. Mastectomy
- C. Mastopexy
- D. Mesopexy
Correct Answer: C
Rationale: The correct answer is C: Mastopexy. This surgical procedure involves lifting and fixing a pendulous breast to the chest wall to achieve a more youthful and firmer appearance. It does not involve removal of breast tissue like in mastectomy (B) or creation of a new breast mound like in mastostomy (A). Mesopexy (D) is not a recognized surgical procedure for breast lifting.
The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should
- A. not have sexual intercourse the day before the Pap test.
- B. shower, but not take a tub bath, before the examination.
- C. avoid douching for at least 24 hours before the examination.
- D. schedule to have the Pap test just after her menstrual period
Correct Answer: C
Rationale: The correct answer is C. Douching can alter the vaginal pH and flora, affecting the accuracy of Pap test results. By avoiding douching for at least 24 hours before the exam, the patient ensures more accurate results.
A: Not having sexual intercourse the day before the Pap test is not necessary for test accuracy.
B: Showering is recommended for hygiene but taking a tub bath does not impact the test.
D: Scheduling the test just after the menstrual period may be more comfortable for the patient, but it does not affect the accuracy of the test.