Nokea
While you are orienting a new RN to the medical-surgical unit, you observe the orientee accomplishing all of the following actions while caring for a client with severe pelvic inflammatory disease (PID), who has been admitted to the hospital for administration of IV antibiotics. Which one will require that you intervene most quickly?
- A. The new RN tells the client she should avoid using tampons in the future.
- B. The new RN offers the client an ice pack to decrease her abdominal pain.
- C. The new RN positions the client flat in bed while helping her take a bath.
- D. The new RN teaches the client she should not have intercourse for 2 months.
Correct Answer: C
Rationale: Positioning the client flat in bed can exacerbate discomfort and is inappropriate for PID.
You may also like to solve these questions
Which of the following statements is incorrect?
- A. both luteinising hormone and follicle stimulating hormone are secreted by the hypothalamus
- B. testosterone stimulates sertoli cells
- C. luteinising hormone stimulates Leydig cells to make testosterone
- D. sertoli cells secrete inhibin
Correct Answer: A
Rationale: The correct answer is A because luteinising hormone (LH) and follicle stimulating hormone (FSH) are not secreted by the hypothalamus, but by the anterior pituitary gland. LH stimulates Leydig cells to produce testosterone, not the hypothalamus. Testosterone stimulates sertoli cells, not the other way around. Inhibin is indeed secreted by sertoli cells, but it does not relate to the incorrect statement regarding the origin of LH and FSH.
Vaginal candidacies are suspected in a young woman who complains of severe vaginal itching. Which of the following nursing actions should be performed first when assisting in the collection of a vaginal smear for microscopic examination?
- A. Inspect the external genitalia
- B. Don gloves
- C. Wash hands
- D. Label the specimen
Correct Answer: B
Rationale: Donning gloves is the first step to ensure hygiene and prevent contamination during specimen collection.
How many seminiferous tubules are found in each lobule?
- A. 1-3
- B. 50-100
- C. 200-300
- D. 500 or more
Correct Answer: B
Rationale: The correct answer is B (50-100) because each lobule in the testis contains multiple seminiferous tubules where sperm production occurs. The average number of seminiferous tubules per lobule ranges from 50 to 100. This is supported by anatomical studies and research on testicular structure.
Explanation:
A: 1-3 - This is too low as each lobule contains more seminiferous tubules for efficient sperm production.
C: 200-300 - This is too high as it overestimates the number of seminiferous tubules per lobule.
D: 500 or more - This is excessive and not accurate based on scientific findings.
In summary, choice B is correct because it accurately reflects the typical range of seminiferous tubules per lobule, while the other choices either underestimate or overestimate this number.
Advanced breast cancer often metastasizes to the bone. If this occurs, a prudent nursing measure would be to
- A. encourage a diet high in calcium
- B. caution the patient against falling, reaching, twisting, or lifting heavy objects
- C. encourage the patient to abstain from sexual intercourse
- D. caution the patient about using any pain medication
Correct Answer: B
Rationale: Preventing falls and injuries is crucial in patients with bone metastasis due to increased fracture risk.
Which of the following represents metrorrhagia?
- A. Fewer than 21 days between menses
- B. Excessive flow
- C. Infrequent bleeding
- D. Bleeding between periods
Correct Answer: D
Rationale: Metrorrhagia is defined as irregular bleeding between periods. Choice D is correct because it accurately describes the characteristic of metrorrhagia. Choice A is incorrect because fewer than 21 days between menses refers to polymenorrhea. Choice B is incorrect as excessive flow is known as menorrhagia. Choice C is incorrect because infrequent bleeding is termed oligomenorrhea.