Nokea
Which situation does the diagnosis of secondary infertility refer to?
- A. Has never conceived.
- B. Is infertile because of repeated infection.
- C. Has conceived but is now unable to do so.
- D. Is over the age of 38.
Correct Answer: C
Rationale: Secondary infertility refers to a woman who has conceived in the past and now is unable to do so.
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Select the intervention that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy.
- A. Vaccinations
- B. Taking of blood pressure or samples
- C. Insertion of IV line
- D. Physical therapy on uninvolved arm
- E. Wear watch and jewelry on involved arm
- F. Carry purse on involved arm or shoulder
Correct Answer: A,B,C
Rationale: Patients should be taught not to have any procedures involving the arm on the affected side-BP readings, injections, intravenous infusion of fluids, or the drawing of blood, which may cause edema or infection-and to guard against infections from burns, needle pricks (sewing), and gardening injuries.
Which condition would prevent the use of a vaginal hysterectomy?
- A. A woman with more than four pregnancies
- B. Large uterine fibroids
- C. Menorrhagia for over 6 months
- D. Women over the age of 50
Correct Answer: B
Rationale: In the case of large uterine fibroids, a vaginal hysterectomy is not an option.
An alternative remedy, ___, is used by men for the treatment of impotence.
Correct Answer: yohimbine
Rationale: Yohimbine is an alternative remedy for the treatment of male impotence.
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
- A. Don't worry, that is a normal reaction.'
- B. I'll report the findings immediately to the head nurse.'
- C. That is a symptom that resulted from your position on the operating table.'
- D. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.'
Correct Answer: D
Rationale: The Rubin insufflation test determines tubal patency. Carbon dioxide escapes into the abdominal cavity through the patent left fallopian tube.
Which instruction will a nurse give a patient with genital herpes who does not have lesions at the present?
- A. Continued use of acyclovir will prevent reinfection by the virus.'
- B. Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present.'
- C. Acyclovir ointment should be applied to the lesions to increase comfort and speed healing.'
- D. Recurrent genital herpes is promoted by any sexual stimulation.'
Correct Answer: B
Rationale: Sexual transmission of HSV (genital herpes, a virus) has been documented even in the absence of clinical lesions, and the use of condoms should be encouraged. Acyclovir does not cure the disease but makes the attacks less virulent.