Nokea
Which patients meet the criteria for Chlamydia screening?
- A. A 40-year-old woman who is sexually active and uses barrier protection consistently
- B. A 15-year-old female woman who is sexually active with one partner
- C. A 22-year-old woman who is sexually active and uses barrier protection inconsistently
- D. A 23-year-old woman who has had four sexual partners in the last 3 months
Correct Answer: C
Rationale: The correct answer is C because the 22-year-old woman who is sexually active and uses barrier protection inconsistently is at higher risk for Chlamydia infection. Inconsistent use of barrier protection increases the likelihood of exposure to the infection. The other choices (A, B, D) do not specifically mention increased risk factors for Chlamydia. Choice A mentions consistent barrier protection, which lowers the risk. Choice B mentions having one partner, which may reduce the risk compared to multiple partners. Choice D mentions having multiple partners, which increases the risk, but it does not mention current risky behavior like inconsistent barrier protection.
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After a radical prostatectomy, a client is to be discharged with a retention catheter. He has prescriptions for hydrocodone/acetaminophen 5 mg/500 mg (Vicodin) and sulfamethoxazole-trimethoprim (Septra). Which nursing action included in the client discharge plan is best to delegate to an experienced LPN working with you?
- A. Reinforce the need to check his temperature daily.
- B. Demonstrate how to clean around his urinary meatus.
- C. Document a discharge assessment in the client's chart.
- D. Instruct the client about the need to use stool softeners.
Correct Answer: A
Rationale: Reinforcing health teaching is appropriate to delegate to an LPN.
The menstrual cycle is triggered each month by
- A. the release of blood from the uterus
- B. the buildup of the lining of the uterus
- C. hormones
- D. sexual intercourse
Correct Answer: C
Rationale: The correct answer is C: hormones. Hormones, specifically estrogen and progesterone, control the menstrual cycle by regulating the release of an egg from the ovary, thickening the uterine lining, and preparing the body for pregnancy or menstruation. Hormonal fluctuations throughout the cycle signal the body to shed the uterine lining if fertilization does not occur. Choices A and B are incorrect as they describe events during the menstrual cycle rather than the trigger itself. Choice D, sexual intercourse, does not directly trigger the menstrual cycle but may lead to conception, which is one of the outcomes of the menstrual cycle.
Which of the following cells could be fertilized?
- A. Polar body
- B. Primary oocyte
- C. Secondary oocyte
- D. Oogonium
Correct Answer: C
Rationale: The correct answer is C: Secondary oocyte. After meiosis I, the primary oocyte forms a secondary oocyte. The secondary oocyte is the cell that can be fertilized by a sperm to form a zygote. Polar bodies are products of oogenesis that do not participate in fertilization. Oogonium is a primordial germ cell in the ovary that undergoes mitosis to form primary oocytes. Therefore, the secondary oocyte is the only viable option for fertilization among the choices provided.
The nurse observes that the urinary meatus is located on the undersurface of the penis. How does the nurse document this finding?
- A. Balanitis
- B. Phimosis
- C. Epispadias
- D. Hypospadias
Correct Answer: D
Rationale: The correct answer is D: Hypospadias. In hypospadias, the urinary meatus is located on the undersurface of the penis. This condition occurs due to abnormal development of the urethral opening. To document this finding, the nurse should use accurate terminology.
A: Balanitis is inflammation of the glans penis and is not related to the location of the urinary meatus.
B: Phimosis is the inability to retract the foreskin over the glans penis and is not related to the location of the urinary meatus.
C: Epispadias is a rare condition where the urinary meatus is located on the upper side of the penis, opposite to hypospadias.
The clusters of specific glands that cycle are known as ________. produce milk when a woman is
- A. the menstrual phase lactating are called _______.
- B. the secretory phase
- C. lactiferous ducts
- D. menses
Correct Answer: B
Rationale: The correct answer is B: the secretory phase. During the secretory phase of the menstrual cycle, the glands in the breast tissue prepare for potential milk production. This phase occurs after ovulation when the body is getting ready for a possible pregnancy. The other choices are incorrect because:
A: the menstrual phase refers to the shedding of the uterine lining, not the breast glands.
C: lactiferous ducts are the tubes that carry milk from the glands to the nipple, not the clusters of glands themselves.
D: menses refers to the menstrual bleeding period, not the phase in which the breast glands are active for milk production.