Nokea
Which of these is not a function of estrogen?
- A. decreases adipose
- B. breast development
- C. increased skin blood vessels
- D. enlarges clitoris
Correct Answer: A
Rationale: Estrogen does not decrease adipose tissue; it actually promotes fat deposition in certain body areas. Breast development, increased skin blood vessels, and enlargement of the clitoris are all functions of estrogen. Adipose tissue regulation is influenced by other hormones like insulin and cortisol.
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When instructing a patient about the risk factors associated with breast cancer, which one of the following should be identified as a myth?
- A. Breast cancer often follows an injury to the breast
- B. The incidence of breast cancer increases with age
- C. Women whose mothers or sisters have had breast cancer are twice as likely to develop it
- D. A diet high in animal fat has been linked with an increased incidence of breast cancer
Correct Answer: A
Rationale: The idea that breast cancer often follows an injury to the breast is a myth; there is no evidence supporting this claim.
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding would be reported to the primary health care provider immediately?
- A. Mild cramping
- B. Slight chills and fever
- C. Spotting of blood
- D. Fatigue after anesthesia
Correct Answer: B
Rationale: The correct answer is B, slight chills and fever. This finding may indicate an infection, which can be a serious complication post-endometrial biopsy. Fever and chills can be signs of systemic infection, requiring immediate medical attention to prevent further complications. Mild cramping (A) is a common post-procedure symptom. Spotting of blood (C) is also normal after an endometrial biopsy. Fatigue (D) after anesthesia is expected and not an immediate concern unless severe or persistent.
A client diagnosed with a vaginal fistula is at risk for low self-esteem. Which of the following would be an appropriate recommendation for the client?
- A. Wear disposable, absorbent incontinence briefs
- B. Avoid the use of commercial deodorizers at home
- C. Abstain from sexual intercourse
- D. Avoid frequent douches
Correct Answer: A
Rationale: Disposable, absorbent incontinence briefs can help manage symptoms and improve comfort and confidence.
Mrs. Flower has had an uneventful recovery from a hysterectomy necessitated by a class III cervical lesion. Two days before going home, she stopped eating, complained of difficulty swallowing, and would not talk. Which of the following actions is most appropriate?
- A. Avoid mention of diet and ask her husband to bring in favored foods
- B. Recommend psychiatric consultation before discharge
- C. Monitor her intake and output as a nursing measure
- D. Arrange for the dietician to talk with her
Correct Answer: B
Rationale: Psychiatric consultation is appropriate to address potential psychological issues affecting recovery.
Wolffian duct is also known as ____________.
- A. Mesonephric duct
- B. Ejaculatory duct
- C. Major sublingual duct
- D. Cystic duct
Correct Answer: A
Rationale: The correct answer is A: Mesonephric duct. The Wolffian duct is also known as the mesonephric duct because it develops in the embryo to form the male reproductive system. It gives rise to various structures such as the epididymis, vas deferens, and seminal vesicles. The other choices are incorrect because the ejaculatory duct is formed by the union of the vas deferens and seminal vesicle, the major sublingual duct is associated with saliva production, and the cystic duct is part of the biliary system and not related to the male reproductive system.