Nokea
Which statement indicates further instruction is needed for the client with a cystocele?
- A. I need to have a sonogram to diagnose this problem.'
- B. I need to practice Kegel exercises to help strengthen my muscles.'
- C. I lose my urine when I sneeze because of my cystocele.'
- D. I can never have sexual intercourse again.'
Correct Answer: D
Rationale: Cystocele does not preclude sexual intercourse; this statement indicates a misconception needing correction. Sonograms aid diagnosis, Kegels are appropriate, and stress incontinence is a symptom.
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If the lump has the following characteristics when the nurse palpates the breast tissue, which one is most suggestive that the lump may be a common?
- A. The lump can be easily moved about.
- B. The lump is about 1/2" (1 cm).
- C. The lump is irregularly shaped.
- D. The lump is near the areola.
Correct Answer: C
Rationale: Irregularly shaped lumps are more suggestive of malignancy, as benign lumps are typically smooth and mobile. Size, mobility, and location near the areola are less specific indicators.
Which instruction is most appropriate if a Papanicolaou (Pap) smear will be obtained at the time of the pelvic examination?
- A. Avoid douching for several days before your appointment.
- B. Stop using any and all forms of contraception temporarily.
- C. Drink at least 1 quart of liquid an hour before your appointment.
- D. Avoid having sexual intercourse for a week before the test.
Correct Answer: A
Rationale: Douching can wash away cervical cells, leading to inaccurate Pap smear results, so it should be avoided for several days prior to the test.
The HCP orders cultures of the urethral urine, bladder urine, and prostatic fluid. Which instructions should the nurse teach to achieve the first two (2) specimens?
- A. Collect the first 15 mL in one jar and then the next 50 mL in another.
- B. Collect three (3) early-morning, clean voided urine specimens.
- C. Collect the specimens after the HCP massages the prostate.
- D. Collect a routine urine specimen for analysis.
Correct Answer: A
Rationale: Urethral (first 15 mL) and bladder (midstream 50 mL) urine are collected sequentially to differentiate infection sites. Early-morning specimens, post-prostate massage, or routine urine are incorrect.
When carrying out this intervention, which action is most appropriate?
- A. Apply ice to the site in a sealed plastic bag.
- B. Place a covered ice pack to the scrotum.
- C. Position the client on a hypothermia blanket.
- D. Seat the client on an ice-filled ring.
Correct Answer: B
Rationale: A covered ice pack reduces swelling and pain in the scrotum safely and effectively post-hydrocele aspiration.
The nurse is caring for a client who is eight (8) hours postoperative unilateral orchiectomy for cancer of the testes. Which intervention should the nurse implement?
- A. Provide an athletic supporter before ambulating.
- B. Encourage the client to delay use of pain medications.
- C. Place the client on a clear liquid diet for the first 48 hours.
- D. Monitor the PT/INR levels and have vitamin K ready.
Correct Answer: A
Rationale: An athletic supporter reduces scrotal swelling and discomfort during ambulation post-orchiectomy. Delaying pain medication, clear liquids, and PT/INR monitoring are inappropriate.