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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At the level of the testicle, the straight tubules:
- A. are located inside the lobules;
- B. continue the convoluted seminiferous tubules;
- C. open in the rete testis;
- D. open in the epididymal duct;
Correct Answer: C
Rationale: The correct answer is C because the straight tubules open into the rete testis, which is a network of tubules located at the hilum of the testis. This is where sperm produced in the seminiferous tubules are collected and transported to the epididymis for maturation. The other choices are incorrect because A is not accurate as straight tubules are not located inside the lobules, B is incorrect as straight tubules are a separate structure from the convoluted seminiferous tubules, and D is inaccurate as straight tubules do not open directly into the epididymal duct.
The ovule that can be fecundated contains:
- A. 22 somatic chromosomes;
- B. 23 autosomes;
- C. a sex chromosome: X or Y;
- D. 11 pairs of somatic chromosomes;
Correct Answer: B
Rationale: The correct answer is B: 23 autosomes. The ovule contains half the number of chromosomes as the typical somatic cell, which is 46 in humans. This is because during meiosis, the number of chromosomes is reduced by half to ensure the correct chromosome number in the offspring. Therefore, the ovule contains 23 chromosomes, which are autosomes (non-sex chromosomes). Choices A, C, and D are incorrect because the ovule does not contain the same number of somatic chromosomes, a sex chromosome, or 11 pairs of somatic chromosomes.
Which condition in men is termed as Nongonococcal urethritis?
- A. Chlamydia
- B. Gonorrhea
- C. Herpes
- D. Syphilis
Correct Answer: A
Rationale: The correct answer is A: Chlamydia. Nongonococcal urethritis is primarily caused by Chlamydia trachomatis, a common sexually transmitted infection. Chlamydia is a major cause of urethritis in men. Gonorrhea (choice B) is another sexually transmitted infection but is not classified as nongonococcal urethritis. Herpes (choice C) and Syphilis (choice D) are caused by different pathogens and present with distinct symptoms, not typically associated with urethritis. Therefore, Chlamydia is the correct choice for Nongonococcal urethritis.
Cowper's gland is another name for:
- A. Prostate gland
- B. Testes
- C. Bulbourethral glands
- D. Preputial glands
Correct Answer: C
Rationale: The correct answer is C: Bulbourethral glands. Cowper's gland is another name for the bulbourethral glands, which are responsible for producing a lubricating fluid that helps neutralize acidity in the urethra before ejaculation. The prostate gland (A) is responsible for producing seminal fluid, the testes (B) are responsible for producing sperm, and the preputial glands (D) are glands found in the foreskin of the penis. Therefore, the bulbourethral glands (C) are the correct answer because they align with the function and location of Cowper's gland.
You obtain all of these assessment data about your client with continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). Which information indicates the most immediate need for nursing intervention?
- A. The client states he feels a continuous urge to void.
- B. The catheter drainage is light pink with occasional clots.
- C. The catheter is pulled taut and taped to the client's thigh.
- D. The client complains of painful bladder spasms.
Correct Answer: D
Rationale: Painful bladder spasms can indicate complications such as clot formation or obstruction, requiring immediate attention.