Nokea
You obtain all of these assessment data about your client with continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). Which information indicates the most immediate need for nursing intervention?
- A. The client states he feels a continuous urge to void.
- B. The catheter drainage is light pink with occasional clots.
- C. The catheter is pulled taut and taped to the client's thigh.
- D. The client complains of painful bladder spasms.
Correct Answer: D
Rationale: Painful bladder spasms can indicate complications such as clot formation or obstruction, requiring immediate attention.
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The normal site of fertilization is:
- A. the uterus
- B. the vagina
- C. the ureter
- D. the oviduct
Correct Answer: D
Rationale: The correct answer is D: the oviduct. Fertilization occurs in the oviduct, specifically in the ampulla region. Sperm meets the egg in the oviduct where fertilization takes place. The other choices, A: the uterus, B: the vagina, and C: the ureter, are incorrect because fertilization does not occur in these locations. The uterus is where the fertilized egg implants and develops into a fetus. The vagina is the passage for sperm to enter the reproductive system. The ureter is a tube that connects the kidney to the bladder, and is not involved in fertilization.
What does line “G” point to?
- A. Dartos muscle
- B. Cremaster muscle
- C. Fascia
- D. Tunica albuginea
Correct Answer: B
Rationale: The correct answer is B: Cremaster muscle. Line "G" points to the cremaster muscle because it is the muscle responsible for raising and lowering the testes to regulate their temperature. This muscle is located within the spermatic cord and is crucial for maintaining optimal conditions for sperm production. The other choices are incorrect because:
A: The dartos muscle is responsible for wrinkling the scrotal skin but is not depicted by line "G."
C: Fascia refers to connective tissue and does not match the description of the muscle shown by line "G."
D: The tunica albuginea is a fibrous coat around the testis but is not represented by line "G."
What is the function of the prolactin hormone?
- A. Prolactin promotes the production of milk from elements in the blood.
- B. Prolactin stimulates the development of alveoli.
- C. Prolactin stimulates increased production of tubules and ducts.
- D. Prolactin promotes the growth and development of the breasts' fatty tissue.
Correct Answer: A
Rationale: Prolactin is primarily responsible for milk production in the mammary glands.
A client is undergoing sentinel lymph node mapping. A nurse explains that this new technique reduces the likelihood of which
- A. Lymphedema
- B. Excessive scarring
- C. Cellulitis
- D. None of the above
Correct Answer: A
Rationale: Sentinel lymph node mapping helps reduce the risk of lymphedema by limiting the number of lymph nodes removed.
Which of the following tissues secrete proteolytic enzymes to liquefy semen?
- A. bulbourethral gland
- B. urethra
- C. prostate
- D. testis
Correct Answer: C
Rationale: The correct answer is C: prostate. The prostate gland secretes proteolytic enzymes such as prostate-specific antigen (PSA) to liquefy semen. This aids in sperm mobility and overall fertility. The other choices are incorrect because:
A: bulbourethral gland secretes a clear fluid to lubricate the urethra during sexual arousal.
B: urethra is a passageway for urine and semen but does not secrete proteolytic enzymes.
D: testis produces sperm cells but does not secrete enzymes to liquefy semen.