Nokea
You are working as a team with an experienced nursing assistant. Considering your clients' needs for frequent assessments, monitoring, and teaching, which client is most appropriate to assign to the nursing assistant?
- A. A 34-year-old client who has just been admitted with epididymitis and an elevated temperature and needs assessment.
- B. A 43-year-old client who needs discharge teaching after having surgery to remove a stage II ovarian cancer.
- C. A 50-year-old client who has orders to ambulate in the hallway 2 days after having an abdominal hysterectomy.
- D. A 79-year-old client who is receiving continuous bladder irrigation after a transurethral resection of the prostate.
Correct Answer: C
Rationale: Ambulating a stable client is an appropriate task for a nursing assistant.
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Each spermatid and each ovum have ________. ________.
- A. glans penis
- B. 23 pairs of chromosomes
- C. shaft of the penis
- D. 23 chromosomes
Correct Answer: D
Rationale: The correct answer is D: 23 chromosomes. Spermatids and ova are haploid cells formed through meiosis, containing only half the number of chromosomes (23) as a normal diploid cell. This is essential for maintaining the proper chromosome number when fertilization occurs. Glans penis and shaft of the penis (choices A and C) are structures related to the male reproductive system but are not present in spermatids or ova. Having 23 pairs of chromosomes (choice B) would result in a total of 46 chromosomes, which is incorrect for these gametes.
The epididymis:
- A. is comm
- B. shaped;
- C. is crossed by the deferent duct (vas deferens);
- D. displays tunica albuginea on the inside;
Correct Answer: C
Rationale: Step 1: The epididymis is a structure where sperm mature and are stored.
Step 2: The deferent duct (vas deferens) carries sperm from the epididymis to the urethra.
Step 3: Since the deferent duct crosses the epididymis, choice C is correct.
Summary: Choices A, B, and D are incorrect because they do not accurately describe the anatomical relationship between the epididymis and the deferent duct.
Testosterone is secreted by the following structures, EXCEPT:
- A. prostate;
- B. testicular interstitial cells;
- C. seminiferous tubules;
- D. straight tubules;
Correct Answer: A
Rationale: The correct answer is A: prostate. Testosterone is primarily secreted by the testicular interstitial cells (Leydig cells) in the testes. The seminiferous tubules are responsible for spermatogenesis, not testosterone secretion. Straight tubules are involved in transporting sperm. The prostate gland produces prostatic fluid, not testosterone. Therefore, the prostate is not a structure that secretes testosterone.
A client is learning how to maintain optimum bladder function. Which of the following strategies identifies the method of pressing on the bladder while seated on the toilet?
- A. Valsalva maneuver
- B. Kegel maneuver
- C. Pelvic floor maneuver
- D. Crede's maneuver
Correct Answer: D
Rationale: Crede's maneuver involves applying manual pressure to the bladder to aid in voiding.
During the follicular phase of the female menstrual cycle
- A. the secretion of luteinising hormone and follicle stimulating hormone are being inhibited by the corpus luteum
- B. the corpus luteum is developing
- C. progesterone is being secreted
- D. oestrogen is at its highest level
Correct Answer: D
Rationale: During the follicular phase, the correct answer is D because it is when the ovaries produce estrogen to stimulate the thickening of the uterine lining. This prepares the uterus for potential implantation of a fertilized egg. In contrast, choice A is incorrect because the corpus luteum is not formed until after ovulation. Choice B is incorrect as the corpus luteum forms after the egg is released. Choice C is incorrect because progesterone is mainly secreted during the luteal phase to maintain the uterine lining.