Nokea
You are caring for a 21-year-old client who had a left orchiectomy for testicular cancer on the previous day. Which nursing activities associated with his care will be best to delegate to a new LPN you are orienting to the surgical unit?
- A. Answer the client's questions about the use of chemotherapy and radiation for testicular cancer.
- B. Administer narcotic analgesic medications to the client for pain.
- C. Teach the client how to perform testicular self-examination on the remaining testicle.
- D. Assess the client's knowledge level about the use of sperm banking.
Correct Answer: B
Rationale: Administering medications is within the scope of practice for an LPN.
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Vaginal discharge is one of the clinical manifestations in women with
- A. Vulvovaginal candidiasis
- B. Granuloma inguinale
- C. Gonorrhea
- D. Trichomoniasis
Correct Answer: D
Rationale: Correct Answer: D - Trichomoniasis
Rationale: Trichomoniasis is a sexually transmitted infection that commonly presents with vaginal discharge. The discharge is typically frothy, yellow-green, and has a strong odor. This distinguishes it from other causes of vaginal discharge.
Summary of Other Choices:
A: Vulvovaginal candidiasis - Typically presents with thick, white, cottage cheese-like discharge.
B: Granuloma inguinale - Rare bacterial infection causing painless genital ulcers, not associated with vaginal discharge.
C: Gonorrhea - May cause vaginal discharge, but typically associated with other symptoms like pelvic pain and abnormal bleeding.
Which term includes the other terms?
- A. spermatozoa
- B. alkaline mucus
- C. semen
- D. fructose
Correct Answer: C
Rationale: The correct answer is C: semen. Semen is the fluid that contains spermatozoa, alkaline mucus, and fructose. Spermatozoa are the male reproductive cells, alkaline mucus helps neutralize vaginal acidity, and fructose provides energy for sperm. Semen is the combination of these components, making it the term that encompasses all the other terms listed. A: spermatozoa is incorrect because it is just one component of semen. B: alkaline mucus is incorrect as it is a separate component in semen. D: fructose is incorrect because it is also just one component found in semen.
To detect and diagnose genital tumors at an early stage, Mrs. Yashimoto should be instructed to have an annual examination that includes
- A. a Pap smear
- B. a pelvic examination
- C. gonadotropic titer studies
- D. vaginal smears for estrogen activity
Correct Answer: A
Rationale: Pap smears are essential for early detection of cervical cancer.
Lips of the vagina is termed as
- A. Labial
- B. Labia
- C. Labrum
- D. Labor
Correct Answer: B
Rationale: The correct answer is B: Labia. The term "labia" refers to the lips of the vagina. It is the plural form of "labium." "Labial" (A) refers to anything related to the lips, "Labrum" (C) refers to a rim or edge, and "Labor" (D) refers to the process of childbirth. Therefore, B is correct as it specifically refers to the structure being described.
Umbilical cord contains _________
- A. Pluripotent stem cells
- B. Cord blood stem cells
- C. Blood stem cells
- D. None of the above
Correct Answer: B
Rationale: The correct answer is B: Cord blood stem cells. Umbilical cord blood contains stem cells that are collected from the blood in the umbilical cord and placenta after a baby is born. These stem cells are known as cord blood stem cells, which are multipotent and have the potential to develop into various types of cells in the body. Pluripotent stem cells (choice A) refer to stem cells that can differentiate into almost any cell type, which is not specifically present in the umbilical cord. Blood stem cells (choice C) are found in bone marrow and are responsible for producing blood cells, but they are not the primary type of stem cells found in umbilical cord blood. Choice D is incorrect because umbilical cord blood indeed contains cord blood stem cells.