Nokea
While working on the surgical unit, you are assigned to care for a client who has just returned to the surgical unit after a TURP. You assess the client and obtain these data. Which finding will require the most immediate action?
- A. Client's blood pressure reading is 153/88.
- B. Client's catheter is draining bright red blood.
- C. Client is not wearing anti-embolism hose.
- D. Client is complaining of abdominal cramping.
Correct Answer: B
Rationale: Bright red blood in the catheter may indicate hemorrhage, requiring immediate attention.
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The internal male genital organs are represented by the following structures, EXCEPT:
- A. testicles;
- B. deferent ducts;
- C. corpora cavernosa;
- D. bulbourethral glands;
Correct Answer: C
Rationale: Step-by-step rationale for why choice C (corpora cavernosa) is correct:
1. Corpora cavernosa are erectile tissue in the penis, not internal male genital organs.
2. Testicles, deferent ducts, and bulbourethral glands are actual internal male genital organs.
3. Corpora cavernosa are involved in penile erection, not in male reproductive system functions.
Summary of why other choices are incorrect:
A: Testicles - Produces sperm and male sex hormones.
B: Deferent ducts - Transport sperm from the testicles to the urethra.
D: Bulbourethral glands - Produce pre-ejaculatory fluid to lubricate the urethra.
Frank is a 24 year old man who presents with multiple vesicles and burning erosions on the shaft of his penis and some tender inguinal adenopathy. Which of the following is most likely?
- A. Primary syphilis
- B. Herpes simplex
- C. Chancroid
- D. Gonorrhea
Correct Answer: B
Rationale: The correct answer is B: Herpes simplex. This is because the presentation of multiple vesicles, burning erosions on the penis shaft, and inguinal adenopathy is classic for genital herpes. Primary syphilis (A) presents with a painless chancre, chancroid (C) with painful ulcers, and gonorrhea (D) with urethral discharge or dysuria. Genital herpes is a viral infection caused by HSV-1 or HSV-2 and typically presents with vesicles, erosions, and adenopathy in the affected area.
A nurse is taking a health history of a male patient with a possible diagnosis of erectile dysfunction. Which of the following statements made by the patient would the nurse recognize as risk factors for erectile dysfunction?
- A. I have had type 1 diabetes mellitus since I was 8 years old.
- B. I frequently have urinary tract infections.
- C. I am taking medications to control my blood pressure.
- D. I have an enlarged prostate gland.
Correct Answer: A
Rationale: The correct answer is A because type 1 diabetes mellitus is a well-known risk factor for erectile dysfunction due to its impact on blood flow and nerve function. Diabetes can damage blood vessels and nerves that are essential for achieving and maintaining an erection. This patient's long history of type 1 diabetes increases the likelihood of developing erectile dysfunction.
Choices B, C, and D are incorrect because urinary tract infections, blood pressure medications, and an enlarged prostate gland are not directly associated with erectile dysfunction. Urinary tract infections typically do not affect erectile function, blood pressure medications may have erectile dysfunction as a side effect but are not a direct risk factor, and an enlarged prostate gland is more related to urinary symptoms rather than erectile dysfunction.
Which spermatid phase (spermiogenesis) is distinguished by the presence of PAS positive granules called pro acrosomal granules?
- A. Golgi phase
- B. Cap phase
- C. Acrosome phase
- D. Maturation phase
Correct Answer: A
Rationale: The correct answer is A: Golgi phase. During the Golgi phase of spermiogenesis, the proacrosomal granules are formed from the Golgi apparatus and are PAS positive. These granules will later contribute to the formation of the acrosome in mature sperm. The other choices are incorrect because:
B: Cap phase - This phase is characterized by the formation of the acrosomal cap over the nucleus, not the proacrosomal granules.
C: Acrosome phase - This phase involves the elongation and shaping of the acrosome, not the formation of proacrosomal granules.
D: Maturation phase - This phase focuses on the final maturation and condensation of the sperm cell, not the formation of proacrosomal granules.
The vagina is inserted on the:
- A. uterine corpus;
- B. uterine cervix;
- C. Fallopian tube;
- D. cervix
Correct Answer: D
Rationale: The correct answer is D: cervix. The vagina is inserted on the cervix, which is the lower part of the uterus that connects the uterus to the vagina. The cervix serves as a passageway for sperm to enter the uterus and for menstrual blood to exit. The other choices (A: uterine corpus, B: uterine cervix, C: Fallopian tube) are incorrect because they do not accurately describe the anatomical structure where the vagina is inserted. It is essential to understand the specific anatomical relationships to identify the correct answer.