Nokea
Which patient is most at risk for the infection of epididymitis?
- A. 17-year-old athlete who trains for several hours a day
- B. 22-year-old who has been exposed to mumps
- C. 45-year-old who was circumcised at the age of 10
- D. 50-year-old who has smoked for 30 years
Correct Answer: A
Rationale: Symptoms can occur after trauma to the genital area, after instrumentation of the urethra and cystoscopy, and after physical exertion or prolonged sexual activity.
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On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
- A. Offering carbonated beverages
- B. Encouraging ambulation at least four times per day
- C. Administering a 1000-mL soapsuds enema
- D. Applying an abdominal binder
Correct Answer: B
Rationale: Early ambulation is very helpful to return the bowel to normal function.
Which is the recommended age range for an annual option for a mammogram?
- A. 25 and 30 years
- B. 31 and 34 years
- C. 35 and 39 years
- D. 40 and 44 years
Correct Answer: D
Rationale: The American Cancer Society recommends that mammograms be an annual option for women starting between ages 40 and 44 years. Annual mammography for women ages 45-54 is recommended.
When should postmenopausal women be instructed to perform breast self-examination (BSE)?
- A. On the same date of their choice each month
- B. Every 3 months
- C. Every day, because they are at high risk for breast cancer
- D. Whenever they begin to take estrogen supplements
Correct Answer: A
Rationale: More than 90% of breast cancers are detected by the patient. BSE for postmenopausal women should be done on the same day of the month each month.
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have 'hot flashes.' Knowledge of which fact will guide the nurse's response?
- A. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot flashes.
- B. The patient is too young to have hot flashes associated with menopause.
- C. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
- D. The uterus and fallopian tubes were removed, and she will not experience 'hot flashes.'
Correct Answer: C
Rationale: A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce menopause and hot flashes may occur.
___ are the most benign tumors of the uterus and arise from the uterine muscle tissue.
Correct Answer: Fibroids
Rationale: Fibroids are benign tumors arising from the muscle tissue of the uterus.