Nokea
Which vaccination should the nurse recommend to the postpubertal male to prevent orchitis?
- A. Yearly flu injections.
- B. Herpes varicella inoculations.
- C. Mumps vaccination.
- D. Rubella injections.
Correct Answer: C
Rationale: Mumps vaccination prevents mumps-related orchitis, a common cause in postpubertal males. Flu, varicella, and rubella are unrelated to orchitis.
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The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a genitourinary floor. Which nursing task can be delegated to the UAP?
- A. Increase the drip rate on the Murphy drip irrigation set.
- B. Check the suprapubic catheter insertion site for infection.
- C. Encourage the two (2)-hour postoperative client to turn and cough.
- D. Document the amount of red drainage in the catheter.
Correct Answer: C
Rationale: Encouraging turning and coughing is within UAP scope to prevent respiratory complications. Adjusting irrigation, checking for infection, and documenting drainage require nursing judgment.
If the client asks about long-term consequences that are associated with this disorder, the nurse accurately identifies which consequence?
- A. Cancer of the cervix
- B. Premature labors
- C. Spontaneous abortions
- D. Difficulty getting pregnant
Correct Answer: D
Rationale: Pelvic inflammatory disease can cause scarring of the fallopian tubes, leading to infertility or difficulty conceiving.
Which specific complication should the nurse assess for in the client with a uterine prolapse recovering from an anterior and posterior repair?
- A. Orthostatic hypotension.
- B. Atelectasis.
- C. Allen sign.
- D. Deep vein thrombosis.
Correct Answer: D
Rationale: Deep vein thrombosis is a significant risk post-pelvic surgery due to immobility and venous stasis. Orthostatic hypotension is unrelated, atelectasis is a respiratory risk, and Allen sign pertains to arterial occlusion.
The nurse is caring for a client who is one (1) day postoperative hysterectomy for cancer of the ovary. Which nursing interventions should the nurse implement? Select all that apply.
- A. Assess for calf enlargement and tenderness.
- B. Turn, cough, and deep breathe every six (6) hours.
- C. Assess pain on a 1-to-10 pain scale.
- D. Apply sequential compression devices to legs.
- E. Assess bowel sounds every four (4) hours.
Correct Answer: A,C,D,E
Rationale: Assess for DVT (calf tenderness), manage pain, use SCDs for DVT prevention, and monitor bowel sounds (ileus risk) are critical post-hysterectomy. Turning every 6 hours is too infrequent; every 2 hours is standard.
If a culture is ordered to detect the causative organism, which body substance will the nurse collect?
- A. Venous blood
- B. Sterile urine
- C. Specialized semen
- D. Urethral drainage
Correct Answer: D
Rationale: Urethral drainage is the primary specimen for culturing gonorrhea, as it directly samples the infection site.