Chapter 39,40,45,46

A 31 year-old man who has worked for several years installing fiberglass insulation has developed itchy, irritating lesions on his wrists and forearms over the last several months. He has applied moisturizing creams repeatedly and has taken antihistamines but has experienced no significant improvement. He is understandably concerned about the potential effect this could have on his livelihood and has asked his care provider when treatment will resolve the problem. What is the care provider's most appropriate response?

"A steroid cream will likely help, but often the skin problem lasts long after contact with the product that irritates the skin."

The nurse assesses a client's skin and finds an elevated palpable mass with a circumscribed border. How will the nurse chart this finding?

"Client has a papule."

A client is admitted with secondary orchitis. Which assessment question is most relevant?

"Have you ever had mumps?"

Following a visit to her campus medical clinic motivated by persistent abdominal pain and dyspareunia, a 20 year-old female college student has been referred for a diagnostic workup to rule out pelvic inflammatory disease. Her elevated white cell and C-reactive protein levels lead her care provider to suspect pelvic inflammatory disease (PID). What follow-up question is most likely to help with the differential diagnosis?

"How many sexual partners have you had?"

Which of the following is the nurse's best description of a "wheal"?

"It is an elevated mass with irregular borders."

Which fungal infection most commonly found in children involves the scalp and hair shaft?

Tinea capitis

An adult male reports painful urination, rectal pain, fever/chills, general malaise and myalgia. Vital signs are: temperature, 101.7°F (38.7°C); blood pressure, 105/74 mm Hg; pulse, 98 bpm; respiration, 22 breaths/min. What condition should the health care provider suspect?

Acute bacterial prostatitis

A nurse is caring for four clients. Select the client most at risk for the development of a pressure ulcer.

A 72-year-old undernourished female who recently underwent thigh surgery

A 30-year-old woman, who just found out that she is pregnant, seeks a treatment for her severe acne. What is the most appropriate treatment for her skin condition?

A benzoyl peroxide agent

Which term is correctly linked with its definition?

A corn is a keratinous thickening of skin.

Which of the following changes in an 86 year-old male's skin would necessitate further examination and possible medical treatment?

A new mole-like growth on his forearm.

A man's primary care physician has characterized his skin lesion as being a temporary eruption but has cautioned him against repeated rubbing or scratching to avoid lichenization. What is the most likely categorization of the man's skin lesion?

A rash

A client presents with a skin infection in which the health care provider uses a potassium hydroxide (KOH) preparation and the Wood (UV) light to determine the cause. Which type of infection does this client most likely have?

A superficial fungal infection

While teaching a class on female cancers, the instructor emphasizes to the nursing students that many patients with ovarian cancer may display:

Abdominal pain, bloating, feeling full quickly after ingesting food.

Estrogen is an ovarian hormone that plays many roles in the reproductive cycle. The nurse understands that estrogen has which of the following non-reproductive effects on the female?

Accelerates growth of long bones

A nurse practitioner has a 30-year-old male patient presenting with fever/chills, urinary frequency/urgency and pain with urination. A urine sample displays cloudy and foul-smelling urine. During digital rectal exam of the prostate, the nurse notes a thick white discharge. A likely diagnosis would be which of the following?

Acute bacterial prostatitis requiring antimicrobial therapy

An adolescent male comes to the urgent care clinic. Upon assessment, the following is noted: history of circumcision, erythema of the glans, and prepuce with a malodorous discharge. Based on symptoms, the probable diagnosis would be:

Acute superficial balanoposthitis

What is a primary intervention for the nurse to implement for a client with pelvic inflammatory disease ?

Administer antibiotic therapy.

A male client seeks treatment for erectile dysfunction. What factors contribute to this condition? Select all that apply.

Age 65 years Antihypertensive medications Cardiovascular disease

A patient is seen in the primary care office with eczema. Which is the best description to include about the skin assessment in the electronic medical record?

An acute, red, itchy, vesicular crusted lesion

The nurse has completed an assessment of a client and noted a hyperkeratotic plaque of skin that resulted from chronic pressure or friction. The nurse would document this as:

Callus

An industrial labourer uses his hands every day when he lifts and transfers heavy materials. Which integumentary adaptation to his work is normal?

Calluses

A patient is admitted to the hospital with thermal injuries as a result of a fire. What type of damage of the skin can occur as a result of the thermal injuries? Select all that apply.

Cause damage to the skin and subcutaneous tissue Destroy the barrier function of the skin

There are many cancers of the female reproductive system. The nursing student knows that the most readily detected and most easily cured if detected early is which of the following?

Cervical

A client calls the clinic and tells the nurse she is concerned because her husband has developed shingles. She asks the nurse if he is contagious. The best response would be that herpes zoster (shingles) is:

Contagious and can be transmitted to nonimmune contacts

The nurse is caring for a patient with pruritis. The nurse anticipates orders for which of the following interventions?

Corticosteroids

A patient arrives in the emergency department complaining of severe pain in the left testicular area with nausea and vomiting for 2 hours. The left testicle is large and tender to palpation and radiating to the inguinal area. Which of the following reflexes can the nurse assess the absence of to indicate testicular torsion?

Cremasteric reflex

Basal cell carcinoma is the most common skin cancer in white-skinned people. The treatment goal that is most important is elimination of the lesion, but it is also important to maintain the function and cosmetic effect. What treatment is used for basal cell carcinoma?

Curettage with electrodesiccation

Which of the following factors is most protective against squamous cell carcinomas?

Dark skin color

The male reproductive system is composed of two systems. The nurse knows that which system is responsible for the transportation and storage of sperm?

Ductile system

Nevi are benign tumors of the skin. There is one type of nevus that is important because of its capacity to transform to malignant melanoma. What type of nevus is this?

Dysplastic

A client who has been diagnosed with premenstrual syndrome (PMS) asks if there is anything to help alleviate the symptoms. The best response would be:

Eat a diet low in simple sugars and high in protein

In the male stages of the sexual act, emission precedes which of the following stages, which is mediated through spinal cord reflexes?

Ejaculation

A patient has been diagnosed with a superficial fungal infection. Which of the following assessment techniques is most likely assisted with this diagnosis?

Examination of the area with a Wood light

When trying to discern the extent of a burn, the nurse will note that second-degree full-thickness burns are characterized by:

Extensive pain along with waxy white areas with blister formation.

The endocrine system is highly involved in the female reproductive system. Which hormones are used to stimulate the primordial follicles?

FSH and LH

A female patient informs the nurse that she had intercourse yesterday evening and is wondering if she could become pregnant. She asks the nurse that if she was pregnant, where it would be located at present. Which of the following should the nurse tell the patient?

Fertilization normally occurs in the middle to outer portion of the Fallopian tube.

After falling off his bicycle, an 8-year-old boy has a large abrasion on his posterior thigh that has removed the epidermis in the region but left the dermis largely intact. Which of the following changes in integumentary system would be expected in the area of his wound?

Fewer Merkel and Langerhans cells in the region

A patient comes in with a mild sunburn. Which best describes the sunburn?

First degree burn

The nurse notes a blister on a patient's skin. Which of the following best defines this area?

Fluid-filled papule

A client has just become pregnant and there is a consequent increase in secretions from the columnar epithelium of her endocervix. What effect will this have?

Formation of a mucoid plug to protect her uterus

A woman with a regular 28-day menstrual cycle wishes to become pregnant. At which point in the menstrual cycle is the optimal time for intercourse to end in fertilization of the ovum?

Fourteenth day after menses begins

The patient has a Stage III pressure ulcer. Which is the best description of a stage III pressure ulcer?

Full-thickness skin loss involving damage and necrosis of subcutaneous tissue that may extend down to but not through underlying fascia

A patient is being seen in the dermatology clinic for an infectious skin disorder. What does the nurse know are causes of infectious skin disorders? Select all that apply.

Fungi Viruses Bacteria

Which stratum layer of the epidermis has cells working to lose cytoplasm and DNA while synthesizing keratin?

Granulosum

The nurse is caring for a client with lichen simplex chronicus. What assessment finding does the nurse expect?

Gray-white plaques with an irregular surface

When performing a rectal examination of an elderly male client, the nurse practitioner recognizes the the prostate of a client who has prostate cancer is often described in which of these ways?

Hard and irregular

A patient comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. Which of the following should the nurse suspect this patient may have?

Hematocele

An older adult client presents with noted burning pain along the thoracic region with a tingling sensation and extreme sensitivity of the skin to touch, but there is no rash present at this time. Which skin problem will the health care provider interpret for this client?

Herpes zoster

An elderly patient has arrived at the physician's office complaining of a rash. Upon further investigation, the patient states the rash feels like a burning pain but also has some tingling. It is extreme sensitive to touch and it's "like crazy." The nurse notes that the rash is made up of vesicles and located on the right thoracic region. The nurse suspects the patient has:

Herpes zoster.

A patient calls the clinic and informs the nurse that he has sustained an erection for 3 hours and that it is extremely painful. The patient has a history of sickle cell disease and this has not happened to him in the past. Which of the following should the nurse instruct the patient about?

If the patient does not seek medical attention, impotence may result.

A patient is admitted with a prolonged and painful erection that has lasted longer than four hours. The nurse knows that this is a true urologic emergency, and that the cause is which of the following?

Impaired blood flow in the corpora cavernosa of the penis

A client has developed priapism. For which outcome is this client at risk?

Impotence

A client has dry skin, and scratching the dry regions causes some skin flakes to become dislodged. Which cell type makes up the dry skin?

Keratinocytes

The health care provider suspects a diagnosis of endometriosis. Which procedure provides a definitive diagnosis?

Laparoscopy

What skin disease manifests with lesions on the skin and oral lesions that look like milky white lacework?

Lichen planus

A patient comes to the clinic with a "terrible itch" on the abdomen and waist that has lasted for several months and has been scratched continuously. Inspection reveals an area of thickened rough skin. The nurse documents this condition using which of the following terms?

Lichenification

The hormone progesterone is metabolized in which organ?

Liver

The health care provider has just completed a skin assessment on a client. The client asks what causes the numerous freckles that she has. The best response is:

Localized collections of eumelanin contribute to the development.

The nurse is reviewing laboratory values of a seventy-year-old female client and observes the client's low-density lipoproteins (LDLs) level is elevated. The nurse understands a possible reason for this is which of the following?

Long-term estrogen deprivation

The cremaster muscles work in concert with the pampiniform plexus that surrounds the testicular artery to:

Maintain testicular temperature

A 51-year-old woman who was born congenitally blind and deaf is able to distinguish individuals by light touch of the individual's face. Which of the following components of the woman's skin innervation likely contributes the most to this ability?

Meissner corpuscles

Which of the following are pigment-synthesizing cells?

Melanocytes

A client has sought care for a serious sunburn that resulted from falling asleep at the beach. What physiologic process was involved in the client's overexposure to ultraviolet radiation?

Melanocytes were unable to sufficiently protect that client

A college student has come to the health clinic complaining of heavy bleeding during and between their menstrual periods. The nurse practitioner will document this as:

Menometrorrhagia.

Select the cells of the epidermis that are responsible for providing sensory information.

Merkel cells

Which are the sparsest cells in the epidermis?

Merkel cells

The nurse is assessing an Asian client who presents with pigmented birthmarks on the buttocks and sacral area. The nurse would document this assessment as:

Mongolian spots

A 13-year-old client undergoing puberty is alarmed to find small, white bumps surrounding her areolae. The nurse reassures her that these are a normal sign of her sexual maturation and tells her that they are:

Montgomery tubercles.

Which is a characteristic of impetigo?

Most common superficial bacterial infection

A patient is diagnosed with vulvar carcinoma, which appears as an inconspicuous thickening of the skin resembling eczema or dermatitis and may produce few symptoms other than pruritus, local discomfort, and exudation. The nurse understands that the cancer metastasizes readily through which mode?

Multiple lymph channels

A nurse assesses a patient with a 3-cm lipoma in the subcutaneous tissue. Which of the following terms would best describe this lesion?

Nodule

A client comes to the clinic with multiple bug bites to the legs bilaterally and severe pruritus. The nurse prepares to education the client about which medication commonly prescribed for pruritis?

Nonsedating antihistamines

A client is instructed on the use of moisturizers to relieve dry skin. Which moisturizer is the most effective agent for relieving skin dryness?

Occlusives

A person with severe lymphedema is asking the nurse where specifically are the lymph vessels located in the skin layers. What would the nurse would respond?

Papillary dermis layer

While studying the skin in a science class, a student asks why all people have a pinkish color to their lips/mucous membranes. The instructor would respond by citing which of the following responses?

Pheomelanin is the yellow to red pigment particularly concentrated in the lips and nipples in humans.

The nurse is assessing a patient who has a small pinpoint rash. Which of the following is the best cause of this rash?

Pinpoint petechiae

A 13 year-old girl has presented to a clinic with her mother explaining that she had an oval-shaped red patch on her chest a week ago, but that more of the lesions are now appearing on her back. On examination, the lesions on her back are in a "Christmas tree" pattern. What is the girl's most likely diagnosis?

Pityriasis rosea

A patient is being seen in the dermatologist clinic for psoriasis. What term should the nurse select on the pull down menu in the electronic medical record to describe the patient's lesions associated with psoriasis?

Plaques

Our bodies have, as endemic organisms, both yeast (Candida albicans) and molds. When a fungus invades the skin of our body, what is used as a confirmatory diagnostic tool?

Potassium hydroxide preparations

A patient has a stage three pressure ulcer in the sacral area. What factors can contribute to the development of pressure ulcers? Select all that apply.

Pressure, shearing force, and friction.

Which hormone is responsible for breast development and the increase in body temperature that occurs with ovulation?

Progesterone

Which benefits are found from the secretions of the columnar epithelium of the endocervix? (Select all that apply.)

Protect the uterus from infection Alter receptivity to sperm Form a mucous plug during pregnancy

A nurse who works on a urology--gynecology ward of a hospital is coming on shift and will be caring for a 34-year-old woman who has been admitted overnight for the treatment of endometriosis. Which interventions should the nurse most realistically anticipate providing over the course of the shift and the next several days?

Providing pain control; preparing the client for a laparoscopic procedure or hysterectomy

The nurse is caring for a 34 year-old woman undergoing treatment for large endometrial lesions. What interventions should the nurse anticipate providing the client?

Providing pain control; preparing the client for a laparoscopic procedure or hysterectomy.

What disease has primary lesions that have a silvery scale over thick red plaques?

Psoriasis vulgaris

A 52-year-old male diagnosed with erectile dysfunction (ED) asks the nurse what will be implemented as a first option for treatment. The best response would be:

Psychosexual counseling and PDE-5 inhibitor medications

A nurse is performing a genital examination on a male client who develops an erection. Which of the following is the nurse's most appropriate intervention?

Reassure the client that this is a normal response and continue with the examination

A patient is admitted to the hospital with first and second degree burns. Which assessment findings are associated with first degree burns? Select all that apply.

Red or pink Painful

The nurse is caring for a client with acute superficial balanitis. The nurse assesses for which of these signs or symptoms, consistent with the diagnosis?

Redness of the glans penis and malodorous discharge

A few of the more experienced nurses are sitting around a lunch table discussing the changes they are seeing in their skin. Which of the following would be considered normal age-related changes? Select all that apply.

Reduction in subcutaneous tissue. Dry, scaly skin.

Which type of cells is characterized by a complex meshwork of dense collagen bundles interconnected with large elastic fibers and a viscid gel that is rich in mucopolysaccharides?

Reticular cells

Select the layer of dermis characterized by a complex meshwork of three-dimensional collagen bundles interconnected with large elastic fibers.

Reticular dermis

Which of the following childhood diseases that present with a rash can be protected against via vaccines? (Select all that apply.)

Rubella Varicella Rubeola

The nurse is assigned to care for newborns and assesses a newborn male, 12 hours old. The newborn has right cryptorchidism as documented in the doctor's progress notes and noted by the nurse. Which of the following would the nurse assess for this disorder?

Scrotum

A client has a burn that involves the entire epidermis and various degrees of the dermis. It is painful, moist, and blistered. The nurse recognizes the burn as:

Second-degree partial thickness

Select the statement that best describes skin disorders.

Skin color may influence the appearance of the skin disorder.

In assessing a client's integumentary system, what assessment finding does the nurse report as "normal"?

Sweat glands in the axillae

A young adult is going on vacation to a sunny climate and plans on using a tanning booth to build up a protective tan. Which instructions should the nurse provide to the young adult?

Tanning booths should be avoided under all circumstances.

A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats per minute and he has vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and slightly swollen and the testes are firm to touch and tender, with extensive cremaster muscle contraction noted. What is the boy's most likely diagnosis?

Testicular torsion

An obstetrician is explaining the differentiation of embryonic tissue into a fetus to an aspiring class of nursing students. Which hormone is primarily responsible for the development of male sex characteristics?

Testosterone

When explaining to a client why his prostate is enlarging, the nurse will mention that which hormones may contribute to the prostatic hyperplasia? Select all that apply.

Testosterone Dihydrotestosterone Estrogens

Fingernails and toenails, unlike hair, grow continuously. The nail plate itself is nearly transparent and acts as a window for viewing what?

The amount of oxygen in the blood

Over the past 24 hours, a hospitalized client has developed diffuse bullous skin lesions that are concentrated on the trunk and face. The healthcare team should prioritize the assessment of which parameter?

The client's medication regimen

The nurse is assessing the genitalia of a forty-two-year-old female client diagnosed with a genitourinary disorder. The nurse recognizes which of the following does not describe the normal anatomy of the female genitalia.

The clitoris is located posterior to the urethra

What is the source of nutrition for the epidermis?

The dermis

An adult client has a large number of nevi on her neck and back. How should the nurse best interpret this assessment finding?

The nevi are likely benign, unless they are undergoing changes

The nurse is caring for a client with significant benign prostatic hyperplasia (BPH)and hydronephrosis who is fearful of having corrective surgery. Which of these is important for the nurse to convey?

The obstruction is causing urine to flow backward and cause kidney dysfunction

Which of the following patients would the nurse be most concerned about?

The patient with herpes zoster affecting the trigeminal nerve

A male patient is being prepared for a physical examination of his prostate gland. How will the nurse explain the location of the prostate gland?

The prostate gland is located in the pelvis, inferior to the bladder.

Men who experience enlarged prostate glands often complain of difficulty urinating. The nurse will be able to explain that this symptom is caused by which of the following reasons?

The prostate gland surrounds the urethra and can produce urinary obstruction.

A female patient is taking antibiotics to treat a skin infection and informs the nurse that she does not think the antibiotics are working because now she thinks she has a vaginal infection. Which of the following does the nurse believe has occurred due to the antibiotic use?

The use of the antibiotics decreases the number of lactobacilli in the vagina, which can result in a vaginal infection.

Lichenified skin is defined as being which one of the following?

Thickened skin with exaggerated markings

A patient has sustained serious first degree, second degree, and third degree burns in a fire. Which best describes the burned area that involves the subcutaneous tissue, full thickness burn and involves muscle and bone?

Third degree burn

The pars reticularis is characterized by what?

Three-dimensional collagen bundles

The nurse is caring for a baby with phimosis. Which of these does the nurse explain to the mother is the key feature of this disorder?

Tightening of the foreskin preventing full retraction over the penis

Upon assessment, it is noted that a client has a dark yellowish brown tint to the great toenail. The client reports no injury and that "it's been like that for years." The nurse recognizes this as which type of fungal infection?

Tinea unguium

A 4-year-old male child has several small pustules with honey-colored crusted drainage on his face, but in no other location. The child is diagnosed with impetigo. The most appropriate treatment would be:

Topic mupirocin (Bactroban) and limiting exposure, as it is transmitted easily

A client has an appointment concerning the possible diagnosis of malignant melanoma. Which statement is correct concerning malignant melanoma?

Tumor thickness is a very important factor.

The nurse is performing a health history of a patient being evaluated for erectile dysfunction. Which of the following places the patient at highest risk for the disorder?

Type 2 diabetes

A patient with pale skin, white hair, and pink eyes comes to the clinic for a routine physical exam. Based on the patient's appearance, the nurse knows this patient has a genetic lack of which of the following enzymes?

Tyrosinase

Fibrocystic changes in the breast are not uncommon. How is the diagnosis of fibrocystic changes made?

Ultrasonography and mammography

The nursing student who is studying pathophysiology of the male genitourinary system correctly identifies which to be functions of the penis? Check all that apply

Urine elimination Sexual function

A client visiting the family medical physician is reporting her skin itching [pruritus]. Given that this is severe enough to causing excessive scratching that has broken the skin, the healthcare provider may want to educate the client to try which intervention?

Utilize topical antihistamines or corticosteroids for cutaneous disorders mediated by histamine.

The connecting tube between the cervix and the vestibule is referred to as which of the following?

Vagina

For which cancers is a patient infected with human papillomavirus (HPV) at increased risk? Select all that apply.

Vulvar Cervical Vaginal

Which skin finding is the priority for the nurse to assess?

Wheals over the trunk

Dry skin is common among the elderly. During which season does dry skin become worse?

Winter

A client has experienced a spinal cord injury between L3 and L4. His control of urinary function is lost. How will his injury affect his ability to have an erection?

With sufficient stimulation, he will likely be able to achieve an erection.

During a physical assessment, a nurse determines that a patient has excessively dry skin. Which of the following terms would the nurse use to document this condition?

Xerosis

The nurse is explaining the process of conception to a group of middle-school students and points out that fertilization occurs:

in the middle to outer portion of the fallopian tube.

Atopic dermatitis, or eczema, occurs at all ages and in all races. What happens in dark-skinned people who have eczema?

loss of pigmentation from lichenified skin

The skin assessment of a black client reveals the presence of white areas on the skin that are flat, nonpalpable, less than 1 cm in diameter, and have a circumscribed border. How does the nurse document the finding?

macule

A male client is diagnosed with an inguinal hernia. Which statement by the client indicates that the nurse's teaching about the hernia has been effective?

"The hernia is a loop of bowel protruding through a weak spot in my abdominal muscles."

In the complex interaction of the sexual act in males, the nurse is aware that there are four stages involved. Which of the following stages involves shunting of blood into the corpus cavernosum?

Erection

The nurse knows that which of the following structures are a part of the male reproductive system? Select all that apply.

Pair of gonads Seminiferous tubules Prostate gland

The nurse is checking the pH of a client's vagina tissue and finds the pH to be 4.3. The nurse interprets this finding as:

normal.

The skin is richly supplied with arteriovenous anastomoses in which blood flows directly between an artery and a vein, bypassing the capillary circulation. This particular vascular structure allows a client to:

regulate body temperature.

The skin covers the body and it is exposed to a number of potentially damaging agents in the external environment. What effects do ultraviolet rays of sunlight have on the skin? Select all that apply.

• Predisposing to the development of skin cancer • Causing potential for directly damaging the skin • Accelerating the effect of aging on the skin

The nurse working in a fertility clinic is assessing a patient's risk for fallopian tube obstruction. Which one of the following places the woman at greatest risk?

Endometriosis

A male athlete admitted to the emergency room is suspected of abusing androgens. Which physical characteristic would the nurse expect to see if the testosterone has been aromatized to estradial?

Enlarged breast

While teaching a health class to junior and senior male high school students, the school nurse educates them that which of the following is the first sign of testicular cancer?

Enlargement of the testicle

A client is diagnosed as having a bullous pemphigoid. The nurse teaches the client that the blisters are occurring in which layer of the skin?

Epidermis

The provider should assess which ethnic group for prostate cancer, based on the group having the greatest risk?

Black

The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures?

Blood level of PSA and digital rectal exam

A nurse is assessing a patient with a 2-cm second-degree burn on the arm. This burn is characterized by the presence of which of the following?

Bulla

A client diagnosed with endometriosis asks the nurse how it is that she did not know about this when she had it for so long. What is the nurse's best response?

"Its symptoms mimic those of other disorders "

A nursing instructor is teaching students about skin structure. The instructor evaluates student knowledge of the epidermis based on which of the following statements?

"Keratinized epithelial cells formed in The deepest layer of the epidermis migrate to the skin surface to replace cells that are lost during normal skin shedding."

The healthcare provider has recommended that a client with unusually dry skin buy an over-the-counter lotion that contains alpha-hydroxy acids. While educating the client about this, the nurse will mention which item?

"Look for a lotion that has an abundance of fruit additives as an ingredient."

The nurse is caring for a client with cancer of the penis. The nurse recognizes which of these factors reduce the risk of this type of cancer?

Circumcision

What should the nurse teach the client about assessing for possible breast cancer?

"Perform monthly self-breast exams after menses."

The mother of a 5-year-old boy brings him into the clinic because there is a firm feeling swelling around one of his testes. What would the suspected diagnosis be?`

Hydrocele

Which chronic health issues increase a man's risk for developing erectile dysfunction? Select all that apply.

Hypertension Hyperlipidemia Diabetes mellitus

A patient presents with pruritus of the lower extremities. Which of the following is the priority nursing assessment?

Inspection for presence of dry skin

After an office visit with her primary health provider, a female patient with an elevated CA-125 test result asks the nurse if that means she has ovarian cancer. Which of the following is the nurse's best response?

"The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation."

The nurse is teaching a female client who has been prescribed hormone therapy. The client asks,, "What does this medication do?" Which of the following is an appropriate response by the nurse?

"This medication will help relieve hot flashes and other adverse symptoms of menopause."

A client with new-onset herpes zoster (shingles) asks the nurse, "Why is this rash just on my face?" Which response by the nurse is most accurate?

"This virus was reactivated and travels from the gangila to the skin of the corresponding single spinal nerve like your face."

Which of the following will the nurse teach a mother whose child has been diagnosed with impetigo?

"Treat the area with topical mupirocin and discourage iscratching of the area."

A patient with vulvodynia tells the nurse, "This is not getting better. I just can't live like this." What is the best response by the nurse?

"What bothers you the most about your condition?"

A client reports having pruritus. Which question is most appropriate for the nurse to ask first?

"Where do you feel itching?"

A 68 year-old man has revealed to his care provider that he is distraught over his increasingly frequent inability to maintain an erection. Which of the following teaching points is most warranted?

"While this problem is often a part of the aging process, it might be a result of some of the medications that you take."

The nurse is caring for a forty-eight-year-old female client who asks, "How do you know when you have reached menopause?" Which of the following is an appropriate response by the nurse?

"You are considered to be menopausal when you have not menstruated for a full year and the hormone that fluctuates with menstruation no longer fluctuates."

A female patient with uterine leiomyomas asks the nurse about her risk of uterine cancer. Which of the following statements best answers the question?

"Your leiomyomas may cause heavy periods but will not become cancerous."

A client with chronic renal disease has severe pruritus. Which interventions should the nurse include in the teaching plan for the client? Select all that apply.

-Keep fingernails trimmed -Moisturize the skin frequently -Take a cool shower before bed

The nurse is re-enforcing information given to the client who is asking about screening for prostrate cancer. Which of these will be nurse teach the client about the PSA test?

An elevated score on a PSA test does not necessarily indicate the presence of cancer.

A 50-year-old female client reports menorrhagia with no cramping. Which medical condition is a likely cause of these symptoms?

Anovulatory cycle

Priapism (a prolonged painful erection not associated with sexual excitement) can occur at any age. In boys, ages 5 to 10, what are the most common causes of priapism?

Sickle cell disease or neoplasms

Which of the following structures would likely be present in a hair follicle in a man's groin but not in a follicle on his face?

Aprocrine gland

Which statement concerning blood flow to the skin is true?

Arteriovenous anastomoses in the skin regulate temperature.

A client who has a history of untreated cervicitis tells the nurse that she is concerned about the risk of experiencing problems with fertility. The nurse explains that problems may result from:

Ascending infection of the fallopian tubes

A female client's assessment identifies symptoms of dyspareunia and burning. The nurse is aware that the client may have developed:

Atrophic vaginitis

A woman of child-bearing age asks the nurse about a natural method to avoid pregnancy. What is an appropriate response?

Avoid sex when cervical mucus is most stretchy

The nurse is speaking with a couple at the fertility clinic about ways to increase sperm counts. Which of these topics does the nurse include in the discussion?

Avoid tight undergarments

A 60 year old male client is informed by their healthcare provider that they have an overgrowth of mucosal glands of the prostate. Based solely on this finding, what diagnosis will the provider likely document in the health record?

Benign prostate hyperplasia (BPH)

The skin covers the body and it is exposed to a number of potentially damaging agents in the external environment. What effects do ultraviolet rays of sunlight have on the skin? Select all that apply.

Causing potential for directly damaging the skin, accelerating the effect of aging on the skin, and predisposing to the development of skin cancer.

A client presents to the urgent care and tells the health care provider he came home from vacation 4 days ago and does not feel good. Upon assessment, the provider notes the client's right upper thigh area is red, warm, and painful, and the lymph nodes are palpable. The client states he had been swimming in a lake all week. The health care provider recognizes these manifestations as:

Cellulitis

As men age the reproductive system undergoes degenerative changes. The declining physiologic efficiency of the male reproductive function is also affected. The nurse understands that which of the following systems are involved? Select all that apply.

Circulatory Endocrine Neuromuscular

The basement membrane separates the epithelium from the underlying connective tissue. Which function does it play regarding skin disorders like blister formation?

Complement deposition

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client?

Cystocele

The gerontology nurse recognizes that aging male clients may enter a stage referred to as andropause. Which of these does the nurse recognize as characteristic of this stage?

Decline in sexual function

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following?

Depression

In explaining a papule to a patient, a nurse defines it as being which of the following?

Small, raised solid mass with a circumscribed border

Which layer of the skin contains cells responsible for skin color, tanning, and protection from the sun's ultraviolet radiation?

Epidermis

Which of the following is the final site for sperm maturation?

Epididymis

A 60-year-old man comes to the clinic and has been found to have a history of type 2 diabetes mellitus and cardiovascular disease. The manifestations of these diseases will warrant the nurse to assess the patient for which of the following problems?

Erectile dysfunction

The community health nurse is providing men's health education on prostate cancer. Which risk factors for prostate cancer should the nurse include in the discussion? Select all that apply.

High fat diet from processed meat Consuming high fat dairy items

A 38-year-old woman with proliferative breast changes of papilloma asks the nurse about her risk for breast cancer. Which of the following statements of risk is correct?

Higher because of your papilloma

There are two types of vulvar cancer. One type is found in older women, and one type is found in younger women, generally less than 40 years of age. What is the type found in younger women thought to be caused by?

Human papillomavirus

Which of the following factors in a patient's history is most likely related to the diagnosis of cervical squamous dysplasia?

Human papillomavirus (HPV) infection

A couple is undergoing initial testing to determine why they are unable to conceive. One of the test shows that the man has a testosterone level of 6.9 nmol/l. The man reports being tired all the time. The woman is completely healthy. Which problem is most likely?

Hypogonadism

The nurse in the urology clinic is reviewing the chart of a client with erectile dysfunction. Which of these factors in the client's history does the nurse recognize is a hormone-based conditions that may contribute to erectile dysfunction?

Hypogonadism

A 54-year-old diabetic patient has come to the urology clinic complaining of erectile dysfunction. His history includes obesity, coronary artery disease which required CABG three years ago, hypertension, and gout. The nurse practitioner is reviewing his record in order to prescribe medication. The practitioner is considering prescribing sildenafil (Viagra). Which of the following home medications is contraindicated if taken concurrently with sildenafil?

Imdur (isosorbide mononitrate), a vasodilator

A 40-year-old male client has a congenital syndrome that affects the function of the Langerhans cells of his epidermis. The man's care provider would expect which of the following manifestations of his condition?

Increased susceptibility to infection

The client is diagnosed with vaginitis. What will the nurse assess? Select all that apply.

Inflammation of the vagina Vaginal discharge Pain with urination Burning and itching

A client is experiencing oligomenorrhea. The nurse interprets this as:

Infrequent menstruation with periods more than 35 days apart

An 81-year-old resident of an elder care facility is immobile and has been restricted to her bed for the past 6 weeks. Her physician recently discovered a decubitus ulcer on her left buttock. Which etiology is most likely?

Ischemia from prolonged pressure

A female has been told she has atypical glandular cells following Pap smear. The physician will likely recommend which procedure to remove the abnormal zone and provide a specimen for further histological evaluation?

Loop electrosurgical excision procedure (LEEP).

A woman reports to the primary healthcare provider that she experiences monthly changes before her menstrual cycle. Which of the following statements demonstrates understanding of premenstrual disorders?

Many women report premenstrual emotional or physical changes.

A female patient presents to her primary care physician with a report of very heavy bleeding during menstrual cycles. Tests indicate the condition is not from a hormone imbalance. Which of the following intervention options is least invasive?

Oral contraceptives

A 27-year-old male developed mumps and was ill for several days. The patient suddenly developed a fever and painful enlargement of the testes approximately 4 days after recovering. Which of the following should the nurse suspect has developed?

Orchitis

The nurse on the urology unit teaches the nursing student that which of these tests assists in detecting a recurrence of prostate cancer after prostatectomy?

PSA level

A patient is being seen in the dermatology clinic for a follow up appointment for a second degree full-thickness burn. What are characteristics of second degree burns? Select all that apply.

Painful, blistered, and mottled, pink red.

The nurse is assessing a patient's skin and notices a few papules. What is the best description to include in the assessment about papules?

Small, raised superficial lesions

Spermatogenesis, or generation of spermatozoa or sperm, begins at approximately 13 years of age and continues as long as a man remains fertile. It is in the seminiferous tubules that spermatogenesis takes place. Of what is the inner lining of the seminiferous tubules composed?

Sertoli cells

Pruritis, or the itch sensation, is a by-product of almost all skin disorders. However, we can itch without having a skin disorder. Itch then can be local or central in our bodies. Where is it postulated that a central "itch center" exists?

Somatosensory cortex

A young couple informs the healthcare provider that they have been trying to conceive for the last 4 months. The male states, "I'm afraid that I may be sterile because I've read recently that jockey underwear can cause sterility." What would be the nurse's best response to this statement?

Sperm production requires temperatures that are 2-3 degrees C below body temperature.

The nurse conducting a health promotion class for teenage boys on human reproduction determines that the participants are understanding the information when they state:

Spermatogenesis continues throughout a man's reproductive years

A nurse is giving report to a student nurse they are mentoring today. One of their assigned clients requires debridement of necrotic tissue. Which stage pressure ulcer requires the nurse to perform debridement? Select all the apply.

Stage III Stage IV

Which microorganism is responsible for the development of bullous impetigo?

Staphylococcus aureus

Which of the following characteristics of a cherry angioma should be considered suspicious?

Sudden collection of several papules

A surgeon is explaining the anatomical structures of the penis during grand rounds. During his explanation the surgeon states that the cremaster muscles work in concert with the pampiniform plexus that surrounds the testicular artery to:

maintain testicular temperature.

Which statements regarding hemangiomas of infancy are true? Select all that apply.

• They are small lesions • Hemagniomas are red in color • They are generally benign

The nurse is reviewing the history of an older adult female client who was recently diagnosed with coronary heart disease. What factors are known to contribute to this condition? Select all that apply.

• Used hormone therapy for 5 years • Smoked 1 pack/day for 20 years • Has hypertension for 15 years