Nokea
Which of the following structures are located inferior to the prostate on either side of the membranous urethra within the deep muscles of the perineum?
- A. bulbourethral gland
- B. Seminal vesicles
- C. Ejaculatory ducts
- D. Urethral ducts
Correct Answer: A
Rationale: The correct answer is A: bulbourethral gland. These glands are located inferior to the prostate on either side of the membranous urethra within the deep muscles of the perineum. They secrete a clear mucus-like fluid that neutralizes acidic urine in the urethra.
The other choices are incorrect:
B: Seminal vesicles are located posterior to the bladder and contribute to seminal fluid production.
C: Ejaculatory ducts connect the vas deferens to the urethra and are not located in the deep muscles of the perineum.
D: Urethral ducts are not a specific anatomical structure and do not exist in this context.
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The nurse is assessing a client for reproductive health problems. What would be the priority assessments? (Select all that apply.)
- A. Bleeding
- B. Pain
- C. Sexual orientation
- D. Masses
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Bleeding is a priority assessment because it can indicate serious reproductive health issues such as ectopic pregnancy or cervical cancer. Pain and masses are important assessments, but bleeding takes precedence due to its potential urgency. Sexual orientation is not a priority assessment for reproductive health problems as it does not directly impact the client's immediate physical health.
The child's sex is determined by:
- A. the type of the spermatozoon that fecundates the ovule;
- B. the type of the fecundated ovule;
- C. the sex chromosome of the ovule;
- D. the sex chromosome of the spermatozoon
Correct Answer: D
Rationale: The correct answer is D because the sex of the child is determined by the sex chromosome carried by the spermatozoon that fertilizes the ovule. Sperm carries either an X or a Y chromosome, determining if the child will be male (XY) or female (XX). Choices A and B are incorrect because the type of spermatozoon or ovule does not solely determine the child's sex. Choice C is incorrect as well because the sex chromosome of the ovule alone does not determine the child's sex.
Which diagnostic study is recommended for high-risk clients in addition to mammography?
- A. Breast biopsy
- B. MRI
- C. Ultrasound
- D. CT scan
Correct Answer: B
Rationale: MRI is often recommended for high-risk clients as an additional diagnostic tool.
When developing the plan of care for a home health client who has been discharged after a radical prostatectomy, which activities will you delegate to the home health aide?
- A. Monitor the client for symptoms of urinary tract infection.
- B. Help the client to connect the catheter to the leg bag.
- C. Assess the client's incision for appropriate wound healing.
- D. Assist the client to ambulate for increasing distances.
Correct Answer: D
Rationale: Assisting with mobility is within the scope of practice for a home health aide.
Which patient does the nurse recognize as having the highest risk for ovarian cancer?
- A. A 24-year-old nulliparous woman who has a history of multiple sexual partners
- B. A 32-year-old woman who has had six live births and a history of human papilloma virus (HPV) infection
- C. A 55-year-old woman who reached menarche at age 12 and menopause at age 54
- D. A 64-year-old nulliparous woman who has taken hormone replacement therapy for 8 years
Correct Answer: D
Rationale: The correct answer is D because the patient is a 64-year-old nulliparous woman who has taken hormone replacement therapy for 8 years. Nulliparity (never giving birth) and prolonged use of hormone replacement therapy are both risk factors for ovarian cancer. Age is also a significant risk factor for ovarian cancer, with the highest incidence in women over 60.
Choice A is incorrect because although having multiple sexual partners may increase the risk of certain sexually transmitted infections, it is not a direct risk factor for ovarian cancer.
Choice B is incorrect because while HPV infection is associated with cervical cancer, it is not a known risk factor for ovarian cancer.
Choice C is incorrect because the age of menarche and menopause are not directly linked to an increased risk of ovarian cancer.
In summary, the correct answer, D, combines the highest risk factors for ovarian cancer, which are nulliparity, prolonged hormone replacement therapy, and older age.