Nokea
Which of the following statements relating to oestrogen are incorrect
- A. Oestrogen has a positive feedback effect on the hypothalamus
- B. Oestrogen stimulates retention of fluid
- C. Oestrogen stimulates growth of ovaries and follicles
- D. Oestrogen stimulates female body configuration
Correct Answer: A
Rationale: The correct answer is A because oestrogen actually has a negative feedback effect on the hypothalamus. When oestrogen levels rise, it signals the hypothalamus to stop producing gonadotropin-releasing hormone (GnRH), which in turn decreases follicle-stimulating hormone (FSH) and luteinizing hormone (LH) production. This negative feedback loop helps regulate the menstrual cycle. Choices B, C, and D are correct statements about oestrogen. Oestrogen does stimulate retention of fluid, growth of ovaries and follicles, and the development of female body characteristics.
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Frank is a 24 year old man who presents with multiple vesicles and burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most likely?
- A. Primary syphilis
- B. Herpes simplex
- C. Chancroid
- D. Gonorrhea
Correct Answer: B
Rationale: The correct answer is B: Herpes simplex. This is because the presentation of multiple vesicles, burning erosions on the penis shaft, and inguinal adenopathy is classic for genital herpes. Primary syphilis (A) presents with a painless chancre, chancroid (C) with painful ulcers, and gonorrhea (D) with urethral discharge or dysuria. Genital herpes is a viral infection caused by HSV-1 or HSV-2 and typically presents with vesicles, erosions, and adenopathy in the affected area.
A client has been diagnosed with thrombophlebitis. The nurse needs to closely monitor the client for detecting, managing, and minimizing the risk for thrombophlebitis development. Which of the following nursing actions will help a nurse minimize the occurrence of thrombophlebitis in the client?
- A. Give warm sitz baths after sutures have been removed
- B. Apply an air or egg crate mattress to the bed
- C. Administer prescribed analgesics liberally
- D. Assess for and report calf pain or calf tenderness
Correct Answer: D
Rationale: Calf pain or tenderness can be indicative of deep vein thrombosis, a complication of thrombophlebitis.
Congenital opening of the male urethra on the undersurface of the penis is called:
- A. Hypospadia
- B. Phimosis
- C. Epispadia
- D. Herpes
Correct Answer: A
Rationale: Step-by-step rationale:
1. Hypospadias is the congenital opening of the male urethra on the undersurface of the penis.
2. This condition results from incomplete closure of the urethral folds during fetal development.
3. Phimosis is the inability to retract the foreskin over the glans penis.
4. Epispadias is the congenital opening of the male urethra on the upper surface of the penis.
5. Herpes is a viral infection causing painful sores, but not related to the location of the urethral opening.
Summary: Hypospadias is correct as it matches the description of the condition, while the other choices describe different conditions not related to the location of the urethral opening.
A nurse is taking a health history of a male patient with a possible diagnosis of erectile dysfunction. Which of the following statements made by the patient would the nurse recognize as risk factors for erectile dysfunction?
- A. I have had type 1 diabetes mellitus since I was 8 years old.
- B. I frequently have urinary tract infections.
- C. I am taking medications to control my blood pressure.
- D. I have an enlarged prostate gland.
Correct Answer: A
Rationale: The correct answer is A because type 1 diabetes mellitus is a well-known risk factor for erectile dysfunction due to its impact on blood flow and nerve function. Diabetes can damage blood vessels and nerves that are essential for achieving and maintaining an erection. This patient's long history of type 1 diabetes increases the likelihood of developing erectile dysfunction.
Choices B, C, and D are incorrect because urinary tract infections, blood pressure medications, and an enlarged prostate gland are not directly associated with erectile dysfunction. Urinary tract infections typically do not affect erectile function, blood pressure medications may have erectile dysfunction as a side effect but are not a direct risk factor, and an enlarged prostate gland is more related to urinary symptoms rather than erectile dysfunction.
The medical term expressing surgical fixation of the breast(s) is __________
- A. mammoplasty
- B. Mastopexy
- C. hysteropexy
- D. vaginoplasty
Correct Answer: A
Rationale: The correct answer is A: mammoplasty. "Mammo-" refers to the breast, and "-plasty" indicates surgical repair or reconstruction. This term specifically denotes surgical fixation of the breast(s).
B: Mastopexy refers to a breast lift, not fixation.
C: Hysteropexy involves fixing the uterus, not the breast.
D: Vaginoplasty refers to surgical reconstruction of the vagina, not the breast.