Med-Surg III Ch.52-56

The nurse is providing dietary instruction for the client with fibrocystic breast disease. Which of the client's favorite foods are discouraged? (Select all that apply.) -Lasagna -Chocolate pudding -Organ meat -Cola products -Popcorn

Chocolate pudding, Cola products

A client is struggling with symptoms of irritability and "feeling crazy" at times. Which assessment data would provide the most important information needed in the development of a treatment plan for this client? -Reproductive history -Menstrual diary -Vital signs -Dietary assessment

-Menstrual diary

Following a radical vulvectomy, the nurse is preparing the client for discharge to home. Which care intervention would be considered the priority for this client? -Relieving edema to lower extremities -Alterations for sexual function -Prevention of wound complications -Care of colostomy site

-Prevention of wound complications

Which of the following is an early symptom of vulvar cancer? -Pruritus with genital burning -Fever accompanied by chills -Severe abdominal pain -Dyspareunia

-Pruritus with genital burning

The nurse is caring for a client who states having an irregular menstrual period. Which diagnostic test provides information of the body's ability to ovulate? -Thyroid level -Serum luteinizing hormone -Serum follicle-stimulating hormone -Estrogen level

-Serum follicle-stimulating hormone

A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse? -"A TURP is a viable option. Let's talk to the surgeon." -"Stage II means the cancer has already spread from the prostate gland." -"A TURP is a removal of only a portion of the prostate gland." -"You have the right to choose which ever surgery you feel is best for you."

"A TURP is a removal of only a portion of the prostate gland."

The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam? -"I had sexual intercourse several days ago." -"I voided before entering the exam room." -"My menstrual period began yesterday." -"I use no vaginal sprays or creams."

"My menstrual period began yesterday."

A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse? -"What concerns you most about having surgery?" -"Your surgeon has performed this surgery many times." -"How does your family feel about this decision?" -"This surgery can cure you of cancer."

"What concerns you most about having surgery?"

Which assessment finding will most likely influence the treatment regime selected by a client with endometriosis? -Presence of pain -Family planning -Dysmenorrhea -Presence of chocolate cyst

-Family planning

The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time? -1 week after completion of the client's menstrual cycle -2 weeks before the onset of the client's menstrual cycle -3 weeks after the onset of the client's menstrual cycle -2 weeks after the cessation of the client's menstrual cycle

1 week after completion of the client's menstrual cycle

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant? -4 ng/mL -7 ng/mL -9 ng/mL -12 ng/mL

12 ng/mL

The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age? -35 -32 -24 -18

24

A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct? -An ultrasound -A biopsy -A magnetic resonance imaging (MRI) -A clinical breast exam

A biopsy

The nurse is caring for a client diagnosed with ductal carcinoma and lymph node involvement. Which diagnostic test, ordered by the physician, does the nurse identify as assessing possible metastasis? -A complete blood count -A chest x-ray -A multiple gated acquisition (MUGA) scan -A bone density test

A chest x-ray

The nurse is providing shift report related to a client newly received back to the unit from the postanesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis minor muscle removed. The oncoming nurse documents which procedure completed? A segmental mastectomy A total mastectomy A modified radical mastectomy A radical mastectomy

A modified radical mastectomy

Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system? -Age of menarche -Nutritional history -Exercise and fitness routine -Cultural history

Age of menarche

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used? -Sildenafil -Vardenafil -Alprostadil -Papaverine

Alprostadil

The client with prostatitis presents with low back pain, dysuria, and unusual sensation following ejaculation. Which of the following treatments will the nurse anticipate being ordered for this client? -Analgesics -Sitz baths -Antibiotics -Abstinence

Antibiotics

Which pharmacologic agents pose the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)? -Muscle relaxers -Antihypertensives -Nitrates -Antihistamines

Antihistamines

The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications? -Sildenafil (Viagra) -Tadalafil (Cialis) -Apomorphine (Uprima) -Vardenafil (Levitra)

Apomorphine (Uprima)

Immediately following a transurethral resection of the prostate (TURP), which is the best method to determine if active bleeding is occurring? -Assess hemoglobin and hematocrit. -Assess blood in catheter collection bag. -Assess catheter tubing. -Assess blood pressure and pulse.

Assess catheter tubing.

A client is diagnosed with prostatitis. Which of the following is the most important teaching point for the management of this disorder? -Avoid tub baths. -Avoid sexual activity. -Limit fluid intake. -Avoid prolonged sitting.

Avoid prolonged sitting.

The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted disease would the nurse focus the client education on curative goals? -Chlamydia -HIV -HPV -Genital herpes

Chlamydia

The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection? -Genital warts -Chlamydia -Gonorrhea -Syphilis

Chlamydia

The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply. -Venereal warts -Chlamydia -Hepatitis B -Syphilis -HIV -Gonorrhea

Chlamydia, Syphilis, HIV,Gonorrhea

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer? -Previous sexually transmitted infection (STI) -Low sperm count -Cryptorchidism as an infant -Family history of cancer

Cryptorchidism as an infant

Which of the following would the nurse expect to be done to assess the size of the prostate? -Digital rectal examination -Transillumination -Pelvic examination -Bladder percussion

Digital rectal examination

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply. -Moderate use of alcohol is useful for bladder relaxation. -Do not delay the urge to void. -Low-dose Benadryl will promote restful sleep. -Prolonged exposure to heat increases bladder spasms. -Painless hematuria is a common symptom of BPH. -Schedule digital rectal exams.

Do not delay the urge to void, Schedule digital rectal exams.

Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound? -Restrict solid food intake for 2 hours before the test. -Refrain from douching for at least 1 week before the test. -Drink at least 1 quart of water an hour before the test. -Empty the bladder immediately before the test.

Drink at least 1 quart of water an hour before test

The nurse at a gynecologist's office is obtaining a client history including the fact that several of the client's relatives have had breast cancer. Which general information regarding the most common type of cancer is accurate? -Inflammatory breast cancer -Ductal carcinoma -Lobular carcinoma -Medullary carcinoma

Ductal carcinoma

The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis? -Erection -Emission -Ejaculation -Engorgement

Ejaculation

A client with history of type 2 diabetes mellitus and coronary artery disease has been diagnosed with stage III prostate cancer and opts for treatment with diethylstilbestrol (DES). Which is the most important nursing assessment finding in this client? -Nausea and vomiting -Progression of the malignancy -Breast enlargement -Elevated blood sugar

Elevated blood sugar

The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis? -A chancre on the genitals -Fever, sore throat, lymph node enlargement -Urethral drainage, dysuria -Dementia, central nervous system involvement

Fever, sore throat, lymph node enlargement

The client with benign prostatic hyperplasia (BPH) is considering use of medication in the management of symptoms. Which of the following drugs reduces the size of the prostate without lowering circulating levels of testosterone? -Finasteride (Proscar) -Tamsulosin (Flomax) -Terazosin (Hytrin) -Oxybutynin chloride (Ditropan)

Finasteride (Proscar)

Which of the following should nurses teach all men, especially those who have had cryptorchidism? -Need for blood tests to measure serum acid phosphatase levels -Importance of regular monitoring of prostate-specific antigen (PSA) levels -Need to undergo a baseline and follow up lymph node biopsies -How to perform a testicular self-examination

How to perform a testicular self-examination

The nurse is caring for a client who is beginning doxorubicin (Adriamycin) therapy for breast cancer. When preparing the client for probable side effects, which would the nurse include? -Information regarding wigs from the American Cancer Society -Information about blood donation from the American Red Cross -Information regarding high caloric meals from a dietician -Information regarding depression from a mental health association

Information regarding wigs from the American Cancer Society

The nurse has just obtained a newborn for admission and assessment in the newborn nursery. Which of the following nursing actions is done as a result of potential contamination of the neonate when descending down the birth canal? -Assessing the mouth for thrush -Instilling erythromycin ointment in the eyes -Providing an injection of vitamin K -Completing hearing screening

Instilling erythromycin ointment in the eyes

The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which of the following is the main cause that statistics are underreported? -Clients do not often seek treatment for STIs. -Only certain STIs are reported to the Centers for Disease Control and Prevention. -Poor communication is offered between the physician offices and reporting agency. -Reporting physicians are afraid of being sued for a breach in confidentiality.

Only certain STIs are reported to the Centers for Disease Control and Prevention.

The nurse is completing the admission history for a client who is admitted for a reduction mammoplasty. Which of the following client statements is uncommon when explaining the rationale for the procedure? Back pain Low self-esteem Others disapprove Skin irritation

Others disapprove

The nurse is caring for a client diagnosed with fibrocystic disease and prescribed danazol (Danocrine). Which is essential before drug therapy is initiated? -Pregnancy test -Liver function test -MUGA scan -Blood chemistry

Pregnancy test

A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium? -Estrogen -Progesterone -Testosterone -Prolactin

Progesterone

What information would the nurse give the client when the client inquires what makes breast milk production? -Estrogen -Progesterone -Prolactin -Testosterone

Prolactin

A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ? -Vas deferens -Epididymis -Scrotum -Seminal vesicles

Seminal vesicles

During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality? -Absence of urethral discharge -Skin lesions -Prepuce covering the glans penis -Slightly pendulous scrotum

Skin lesions

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent? -Acyclovir -Ceftriaxone -Podophyllum resin -Tetracycline

Tetracycline

The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated? -The client has ulcers in the genital region. -The client has arthritis symptoms making ambulation difficult. -The client has dementia and cannot care for himself or herself. -The client complains of a headache and sore throat.

The client has dementia and cannot care for himself or herself.

The nurse is obtaining health histories from women at a busy low-income clinic. Which of the following clients should the nurse follow closely as being at high risk for developing breast cancer? -The client who is over 50 years of age -The client with a mother who had breast cancer -The client who is African American -The client has relatives with the BRCA1 mutated gene

The client has relatives with the BRCA1 mutated gene

An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include? -The mons pubis -The clitoris -Labia minora -Labia majora

The clitoris

The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active? -Having one sexual partner -Abstinence -Use a latex condom with a spermicide. -Urinating after sexual intercourse

Use a latex condom with a spermicide.

The nurse is caring for a client who is employed as a manual laborer and works with her hands. Which instruction would be most helpful? -Do not return to work until all areas are completely healed. -Have others assist in tasks involving use of affected arm. -Wear gloves to prevent injury. -Check to see if job description can be changed.

Wear gloves to prevent injury.

The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next? -Have you had sexual relations with anyone? -Are you allergic to penicillin? -When did you first notice symptoms? -Are you having any pain?

Are you allergic to penicillin?

The nurse is discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification? -"HPV transmission may occur when the client is asymptomatic." -"HPV is spread during sexual intercourse." -"HPV may be spread to a newborn at the time of delivery." -"HPV can be spread by autoinoculation."

"HPV is spread during sexual intercourse."

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? -"One or two treatments should get rid of the warts." -"I'm temporarily not contagious once the warts are destroyed." -"Once the warts are gone, then I know I'm cured." -"My partner doesn't need to be treated."

"I'm temporarily not contagious once the warts are destroyed."

The nurse is caring for a client who has been diagnosed with a breast lump. The physician states that studies indicate a cancerous tumor in situ. The client is anxious and wants to know what may come next. The nurse is most correct to support physician instruction of which of the following? -"Since your tumor appears localized, removal of the tumor is indicated." -"A mastectomy is recommended for all clients in this situation." -"The next step is just as the physician described. We can have the physician talk to you again." -"Chemotherapy and radiation are typical treatments prescribed by the oncologist."

"Since your tumor appears localized, removal of the tumor is indicated."

A postmenopausal client is receiving alendronate. Which of the following would the nurse include when teaching the client about this drug? -"Take the drug with milk or milk products to enhance absorption." -"Drink at least 8 oz of water when you take this drug." -"Be sure to take the drug just before going to bed at night." -"Lie down for at least 30 minutes after you've taken the drug."

-"Drink at least 8 oz of water when you take this drug."

A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching? -"The reservoir is filled with saline solution." -"The penis will appear longer than usual." -"Surgery is required for placing the implant." -"The implant is pumped when sexual activity is desired."

"The penis will appear longer than usual."

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct? -"You are putting yourself at risk when you have multiple sex partners." -"The chance of acquiring a sexually transmitted disease increases with multiple sex partners." -"It is hard to find a good partner these days." -"What do you do to prevent sexually transmitted infections?"

"What do you do to prevent sexually transmitted infections?"

After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction? -"A white or yellow vaginal discharge is expected and normal." -"I need to apply a sterile lubricant to the pessary before reinserting it." -"After removal, I should wash the pessary with warm soapy water, rinse, and dry it." -"I should call the physician if I notice any discomfort with the pessary."

-"A white or yellow vaginal discharge is expected and normal."

The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate? -Bronchodilators -Antihypertensives -Cardiac dysrhythmics -Antibiotics

-Antihypertensives

Which of the following nursing instructions is essential in the care of a postmenopausal client who is prescribed ibandronate (Boniva)? -Take with 8 oz of water. -Take calcium supplements. -Milk helps with absorption. -Take at bedtime.

-Take with 8 oz of water.

The nurse is caring for four clients in an oncology unit. Following report on diagnosis and treatment, which client would the nurse identify as having the most life-threatening diagnosis? -A client with stage IV cancer receiving palliative care -A client diagnosed with a stage one tumor with no lymph node involvement -A client receiving chemotherapy and radiation with a low blood count -A client with an estrogen receptor-positive tumor receiving oral chemotherapy

A client with stage IV cancer receiving palliative care

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)? -Abandon biases that older adults are sexually inactive. -Older clients, because of their maturity, are rarely embarrassed to talk about this. -Older clients know the ways to prevent STIs. -Older clients who are sexually active have less risk for STIs than other age groups.

Abandon biases that older adults are sexually inactive.

A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure? -Deodorizing douches as needed -Use of stool softeners -Daily perineal care -Encourage fluid intake

Encourage fluid intake

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? -Ensure immunizations against infectious diseases such as mumps. -Engage in activities and exercises that minimize heavy lifting. -Encourage the consumption of foods that are rich in fat and starch. -Urge the limited intake of foods and fluids containing caffeine.

Ensure immunizations against infectious diseases such as mumps.

A client is receiving chemotherapy as adjuvant therapy in the management of testicular cancer. The nurse also notes that the client is ordered filgrastim (Neupogen) and knows that the client is at greatest risk for which assessment finding? -Increased bruising -Fever -Pale color -Decreased energy

Fever

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention? -Frequency -Urgency -Hesitancy -Dribbling

Frequency

A client with a normal prostate-specific antigen (PSA) level is reporting painful urination and the presence of blood in urine and semen. The nurse understands that the best option for management of this client includes which of the following? -Wait-and-see approach -Continue to monitor PSA levels. -Further evaluation -Treat the symptoms.

Further evaluation

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata? -Herpes virus -Human papilloma virus -Treponema pallidum -Haemophilus ducreyi bacillus

Human papilloma virus

When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems? Select all that apply. -Hypertension -Hyperlipidemia -Infertility -Absence of body hair -Weight loss -Decreased Insulin

Hypertension, Hyperlipidemia, Infertility

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition? -Spironolactone -Cimetidine -Ibuprofen -Methyldopa

Ibuprofen

A family member asks the nurse of the benefits of immunotherapy. The nurse would be most correct to state which of the following? -Immunotherapy strengthens the immune system to prevent cancer. -Immunotherapy uses homeopathic properties to prevent free radical release. -Immunotherapy stimulates the immune response to attack and rid the body of cancer cells. -Immunotherapy promotes removal of good and bad multiplying cells.

Immunotherapy stimulates the immune response to attack and rid the body of cancer cells

When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason? -The symptoms of these diseases are the same, and culture tests alone can determine the disease that has infected the client. -The infecting bacterium in all cases is the same, and therefore, clients have concurrent infections. -The infections spread through the same medium, and therefore, clients have concurrent infections. -It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).

A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse? -Elevate the scrotum. -Keep the client NPO. -Monitor vital signs for cardiac changes. -Avoid the use of analgesics.

Keep the client NPO.

The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening? -Labia majora and minora -Meatus -Clitoris -Fourchette

Labia majora and minora

A client with fibrocystic breast disease has been receiving treatment with danazol (Danocrine) therapy for the past 6 months. In anticipation of the drug being discontinued, the nurse instructs the client to inform the healthcare provider about which of the following? -Nausea or vomiting occurring beyond 9 days after discontinuing the drug -Inability to sleep after discontinuing the drug -Constipation occurring 90 days after discontinuing the drug -Lack of return of regular menses within 90 days after discontinuing the drug

Lack of return of regular menses within 90 days after discontinuing the drug

The client states a history of lymphogranuloma venereum diagnosed 6 months ago. When completing the head-to-toe assessment, which area should be a focus? -Mental status -Lesions on the genitals -Lymph nodes of the genital area -Lower extremities for edema

Lymph nodes of the genital area

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery? -Maintaining optimal bladder emptying -Using appropriate coping to allay anxiety -Performing deep breathing exercises periodically -Doing leg exercises at least daily

Maintaining optimal bladder emptying

The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted? -No lifting greater than 15 lb -Wearing loose fitting shirts -Applying cream to breast -Arm exercises on affected side

No lifting greater than 15 lb

The nurse is instructing a health class on the proper use of a condom. Place the steps of applying a condom in the proper order. Use all options. -Obtain an erection. -Check the expiration date of the condom. -Unroll the condom over the penis leaving a -inch space at the top. -Dispose of the used condom. -Roll the condom up to the tip of the penis pinching the top.

Obtain an erection, Check the expiration date of the condom, Unroll the condom over the penis leaving a -inch space at the top, Dispose of the used condom, Roll the condom up to the tip of the penis pinching the top.

The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for? -Administer an intravenous antibiotic to the mom while in labor. -Complete a full assessment of the newborn on delivery. -Prepare for a cesarean section. -Place an antibacterial ointment on the mother's lesions.

Prepare for a cesarean section.

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability? -Bartholin glands -Prostate gland -Cowper's glands -Vas deferens

Prostate gland

The nurse is caring for a client following breast reconstruction surgery using autogenous tissue. When assessing an wounds from the surgical procedure, in which area would the nurse assess the wound from which tissue was taken? -The vastus lateralis -The rectus femoris -Gluteus maximus -Rectus abdominis

Rectus abdominis

The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which of the following symptoms would indicate to the nurse the need for administration of this drug? Select all that apply. -Increased blood in the catheter tubing -Slowed or stopped infusion rate -Increased bladder pressure and pain -Increased speed of infusion rate -Signs of urinary retention -Increased force of urinary stream

Slowed or stopped infusion rate, Increased bladder pressure and pain

The nurse is working at an oncologist's office specializing in breast cancer. The nurse cares for individuals of varied ages, backgrounds, and stages of breast cancer. Which criteria are considered a priority when determining adjunct treatment in addition to surgery? Select all that apply. -Stage of tumor -Cosmetic consequence -Presence of metastasis -Age -Gender -Sensitivity to estrogen

Stage of tumor, Presence of metastasis, Age, Sensitivity to estrogen

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? -Genital herpes -Hepatitis B -Syphilis -Condylomata acuminata

Syphilis

The nurse is caring for a client who is diagnosed with an estrogen-sensitive tumor and has undergone a mastectomy. When instructing the client on potential medications, which medication(s) are stressed? -Tamoxifen (Nolvadex) and aromatase inhibitors (Femara) -Paclitaxel (Taxol) and doxorubicin (Adriamycin) -Mifepristone (RU486) -Testolactone (Teslac)

Tamoxifen (Nolvadex) and aromatase inhibitors (Femara)

A mother of an adolescent female is asking the nurse for guidelines of when her daughter should have her first Papanicolaou test (Pap test) and then the subsequent frequency. The nurse is most correct to state which? -The first Pap test should be at age 16 years and then annually thereafter. -The first Pap test should be no later than 18 years of age and then every other year afterward. -The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward. -The first Pap test should be within the first year of menstruation and annually afterward.

The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward.

The nursing is caring for a client who will be having artificial implants for breast reconstruction. The client is arriving at the physician's office for which procedure completed before the surgery can be done? -Incisional alignment -Tissue expansion -Fluid drainage -Pain control

Tissue expansion

A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first? -Transillumination of the scrotum -Palpate for presence of testicle -Examine for soft tissue swelling -Assess for collect-on of blood in the scrotum

Transillumination of the scrotum

A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following? -Cancer is small with no symptoms. -Tumor is confined to the prostate gland. -Tumor has spread beyond the prostrate. -Tumor has expanded to the bladder.

Tumor is confined to the prostate gland.

Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy? -Using a reliable method of contraception for several weeks -Applying warm compresses to the scrotum for the first 24 hours -Taking a prescribed opioid analgesic for pain relief -Resuming sexual activity in 24 to 48 hours

Using a reliable method of contraception for several weeks

A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse? -Vasectomies should be considered a permanent means of birth control. -Following surgery, sexual intercourse should be avoided for 3 months. -Postoperative discomfort can be relieved with use of warm sitz baths. -Vasectomy can result in permanent impotence.

Vasectomies should be considered a permanent means of birth control.

Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis? -You must inform all sexual partners. -Keep lesions dry with alcohol or peroxide. -Wear loose underwear to promote air circulation. -Use a condom during sexual activity.

You must inform all sexual partners.

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority? -Knowledge Deficit -Powerlessness -Anxiety -Impaired Skin Integrity

Impaired Skin Integrity

The nurse is conducting a health history when the client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next? -"Do you feel like hurting yourself?" -"Are you finished having children?" -"When was your first menstrual period?" -"Are you taking any hormone replacement therapy?"

"Are you taking any hormone replacement therapy?"

The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification? -"If I use barrier protection, it will protect me from STIs." -"You cannot always know everything about a person." -"I consider myself protected because I am on birth control pills." -"I refrain from sexual contact or use protection to keep myself safe."

"I consider myself protected because I am on birth control pills."

The lactation nurse is caring for a mother who is 2 weeks postpartum and has mastitis. Which statement, made by the client, requires instruction and is the probable cause of the mastitis? -"I feed the baby every 2 hours." -"I break the baby's suck before pulling the baby off of the breast." -"I nurse the baby on one breast each feeding." -"I use a lanolin ointment on my dry nipples."

"I nurse the baby on one breast each feeding."

When evaluating the therapeutic outcome of medication therapy for a client with a recurrent sexually transmitted disease, which client statement best confirms medication use? -"I take my medication per physician's order." -"I seem to have less breakouts with fewer symptoms." -"I am able to take the medication with food to prevent nausea." -"I feel that things are going better in my life."

"I seem to have less breakouts with fewer symptoms."

Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test? -"I'll schedule the test for the time when I have my next menstrual period." -"I need to refrain from sexual intercourse for at least 1 week before the test." -"I will stop using any vaginal medications at least 48 hours before the test." -"I need to use a vinegar and water douche the morning of the test."

"I will stop using any vaginal medications at least 48 hours before the test."

The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse? -"Your partner could have been asymptomatic at that time." -"You should have asked your partner if they have any infections." -"Sexually transmitted infections have obvious signs of their presence." -"Your partner should have told you of a previous infection."

"Your partner could have been asymptomatic at that time."

The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film? -"Don't wear any jewelry around your neck on the day of the test." -"Avoid using a deodorant with aluminum hydroxide." -"Make sure not to eat or drink for 4 hours before the test." -"Drink at least 1 qu

-"Avoid using a deodorant with aluminum hydroxide."

The nurse is obtaining a history from a client who states recurrent breast tenderness. The client inquires if there is something wrong with her breasts. Which question by the nurse is best? -"Do you have a history of breast disorders and cancer in the family?" -"Does the tenderness occur around the same time each month?" -"Have you pulled a muscle or had any injury to the breast?" -"When did you first recognize the symptoms?"

-"Does the tenderness occur around the same time each month?"

A client with extensive endometriosis is scheduled for a panhysterectomy. Which statement by the client indicates a need for further teaching? -"I will be having my uterus, tubes, and ovaries removed." -"I am finished having children." -"I will not have to deal with symptoms of menopause." -"I will now have a greater risk for stroke and heart disease."

-"I will not have to deal with symptoms of menopause."

A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate? -"Use a condom during sexual activity if the infection becomes active again." -"If the infection has healed, you probably don't have to use a condom." -"Inform all potential sexual partners about the infection, even if it is inactive." -"Refrain from all sexual activity until you don't have another outbreak for a year."

-"Inform all potential sexual partners about the infection, even if it is inactive."

A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options? -"Treatment is essential, so you really need to make a decision pretty quickly." -"If it was me, I would probably choose the medication options." -"It might help to include your partner in any of the discussions about options." -"The test results are clear and another physician would tell you the same thing."

-"It might help to include your partner in any of the discussions about options."

The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self-examinations at home. The nurse is most correct to respond stating which of the following? -"Mammograms are just better." -"Mammograms can detect cysts or tumors too small to palpate." -"Mammograms provide a baseline that shows changes in breast tissue." -"Mammograms provide a reassurance that the breast is free of cancer."

-"Mammograms can detect cysts or tumors too small to palpate."

A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response? -"Yes, breast lumps are abnormal and will need to be removed." -"The doctor will need a biopsy first to see if the lump is cancerous." -"The doctor will answer your questions when he or she arrives." -"Many times, an ultrasound is done to distinguish between a tumor and cyst."

-"Many times, an ultrasound is done to distinguish between a tumor and cyst."

A client, who wishes to preserve childbearing, asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse? -"Symptoms of endometriosis are increased during normal menstrual cycle." -"Contraceptives will allow blood to be diverted to the peritoneal cavity." -"Trapping blood causes less pain or discomfort for clients with endometriosis." -"Endometriosis is usually cured with surgical menopause."

-"Symptoms of endometriosis are increased during normal menstrual cycle."

Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the diagnosis? -"I will not need any further treatment." -"The cancer has not spread." -"I will need surgery and chemotherapy to increase my odds for survival." -"I can wait until I have finished having babies to seek treatment."

-"The cancer has not spread."

A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct? -"The office staff can schedule your clinical breast examination twice a year." -"The diagnostic center will send you a reminder card to complete the annual examination." -"The clinical breast evaluation will be completed with annual gynecologic examination." -"You can complete the examination at home and report if you found anything abnormal."

-"The clinical breast evaluation will be completed with annual gynecologic examination."

A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse? -"Don't worry, every woman goes through this." -"These are normal, manageable symptoms of menopause." -"You need to discuss this with your spouse." -"Hormone replacement therapy can resolve your symptoms."

-"These are normal, manageable symptoms of menopause."

A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed? -"This vaccine lowers my risk for cervical cancer." -"I will still need to have routine screening for cervical cancer." -"I am at lower risk for developing cervical warts." -"This vaccine will prevent human papilloma virus (HPV) from occurring."

-"This vaccine will prevent human papilloma virus (HPV) from occurring."

Which nursing question is essential when caring for a client prior to a pelvic examination? -"Are you sexually active?" -"Do you have any sexually transmitted diseases?" -"Would you like to have assistance to get in position for the exam?" -"Would you like to void at this time?

-"Would you like to void at this time?

The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test? -Administer an enema prior to arrival. -Administer a low-dose sedative prior to arrival. -Avoids fluids after midnight. -Empty the bladder prior to the exam.

-Administer an enema prior to arrival.

The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? -Asthma with beta-adrenergic inhaler use -Angina with nitrate use -Chronic pain with narcotic use -Arthritis with corticosteroid use

-Angina with nitrate use

A female client is diagnosed with breast abscess. She would like to continue to breast-feed her newborn. Which of the following would be most appropriate in this situation? -Encourage the client to include protein content in the diet. -Instruct the client to wear a tight-fitting bra. -Reduce the frequency of removing and reapplying the dressings. -Assist the client to pump the breasts to remove breast milk.

-Assist the client to pump the breasts to remove breast milk.

The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom? -Gonococci -Candida albicans -Trichomonas vaginalis -Gardnerella vaginalis

-Candida albicans

Because ovarian cancer has nonspecific symptoms and can result in lethal outcome, diagnostic testing may be indicated for some women. Which risk factors support the need for screening? Select all that apply. -Carrying genetic mutation for the disease -Being nulliparous -Family history of lung cancer -Breastfeeding -Use of oral contraceptives for 5 years or more -Multiple full-term pregnancies

-Carrying genetic mutation for the disease, -Being nulliparous

While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which of the following? -Vulvar cancer -Breast cancer -Cervical cancer -Endometrial cancer

-Cervical cancer

The nurse is providing discharge instructions to a female client following inpatient therapy for a gonorrhea infection. The client is being discharged on doxycycline (Vibramycin) for 7 days. Which nursing instruction is essential for a therapeutic outcome? -Obtain a pulse prior to administering medication. -Use an alternate form of birth control. -Complete all prescribed medication. -Take medication on an empty stomach.

-Complete all prescribed medication.

A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse? -Standard precautions -Protective precautions -Contact precautions -Droplet precautions

-Contact precautions

Following a laparoscopic-assisted vaginal hysterectomy, which client assessment finding would warrant nursing intervention? Select all that apply. -Dorsal recumbent positioning with knee bend -Early ambulation -Peri-pad changed every shift -Catheter tube secured to leg -TED stockings removed and reapplied twice daily -High-fiber diet

-Dorsal recumbent positioning with knee bend,-Peri-pad changed every shift

The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema? -A reddened area around the breast -Fluid accumulation under in the axilla -Enlargement of the arm or hand -Drainage from the areola

-Enlargement of the arm or hand

The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy? -Presence of kyphosis -Symptoms of hot flashes -Family history of breast cancer -History of osteoporosis

-Family history of breast cancer

Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess? -Foul foamy discharge -Thick curdy white discharge -Fishy smelling watery discharge -Yellowish white discharge

-Fishy smelling watery discharge

The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following? -No further treatment is considered. -The test will need repeated in 3 months. -Further evaluation is needed for potential malignancy. -Chemotherapy is needed and radiation is suggested.

-Further evaluation is needed for potential malignancy.

A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief for this client with the least risk? -Dilation and curettage (D and C) -Hormonal contraceptives -Endometrial ablation -Uterine balloon therapy

-Hormonal contraceptives

The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer? -Hepatitis B -Human papilloma viral (HPV) -Herpes zoster -Meningococcal

-Human papilloma viral (HPV)

The nurse is providing an educational presentation on toxic shock syndrome to a group of adolescents. Which preventative measure is a primary focus for this group? -If using tampons, change frequently. -Do not use vaginal devices for birth control. -Toxin is associated with multiple sex partners. -Use good personal hygiene.

-If using tampons, change frequently.

The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct? -In the male reproductive system -Sperm are present from birth. -In the testes within the scrotum -In the seminiferous tubules

-In the testes within the scrotum

A client who is diagnosed with premenstrual syndrome is ordered a gonadotropin-releasing hormone (GnRH). Which is a priority teaching item in the use of this drug? -Maintain a menstrual diary -Reduce sugar intake -Eat 6 small meals daily -Increase calcium and vitamin D intake

-Increase calcium and vitamin D intake

A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client? -Chronic pelvic inflammatory disease -Infertility -Pelvic pain -Ascending infection

-Infertility

The physician and nurse are completing a physical examination of the male genitalia. Which assessment findings are documented? Select all that apply. -Inspection for urethral drainage -Cultures -Digital rectal examination -Transillumination -Palpation of the testes -Prostate-specific antigen level

-Inspection for urethral drainage,-Digital rectal examination, -Transillumination, -Palpation of the testes

The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client? -Lithotomy position -Supine position -Trendelenburg's position -Lateral recumbent

-Lithotomy position

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following? -Lymphedema -Fibrocystic breast disease -Fibroadenoma -Breast abscess

-Lymphedema

While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following? -Sexually Transmitted Infections -Breast cancer -Fibroid tumor or myoma -Cervical cancer

-Sexually Transmitted Infections, Cervical cancer

A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse? -Pain level of 7 on the 0-to-10 pain scale -Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg -Dark drainage noted on surgical pad -Fleshy smell noted to perineal region

-Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg

The nurse is caring for a breastfeeding client who has developed a breast abscess. When instructing on the cause of abscess formation, which organism is the most common cause? -Staphylococcus aureus -Escherichia coli -Pseudomonas aeruginosa -Enterococcus faecalis

-Staphylococcus aureus

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit? -Ulcerated chancre, aortic valve insufficiency, lymphadenopathy -Fever, malaise, sore throat -Papular lesion, rash, headache -Tabes dorsalis, ataxia, and Charcot's joints

-Tabes dorsalis, ataxia, and Charcot's joints

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms? -Use a pure vinegar douche daily. -Use skin protectants containing zinc oxide. -Take sitz baths frequently. -Avoid yogurt with active lactobacilli cultures.

-Take sitz baths frequently.

A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following? -Cancer is confined to the body of the uterus. -The malignancy is localized. -Cancer extends outside the uterus. -The malignancy involves the uterine body and cervix.

-The malignancy is localized.

The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction? -The procedure allows for an understanding of the spread of cancer cells. -The procedure allows for conservation of breast tissue. -The procedure removes all cancer from the body. -The procedure includes minimal surrounding tissue damage.

-The procedure removes all cancer from the body.

A client complains of having tender and painful breasts, often feeling multiple lumps within her breast tissue. The nurse would need to gather additional information about which of the following? -Alcohol and caffeine consumption -Client's workplace in relation to the surroundings -Timing of symptoms in relation to the menstrual cycle -Bathing frequency and living surroundings

-Timing of symptoms in relation to the menstrual cycle

The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? -Transrectal ultrasonography -Tissue biopsy -Tumor marker studies -Digital rectal exam

-Tissue biopsy

Which is the primary assessment finding in identifying the possible cause of repeated episodes of vaginitis in a female client? -Tub baths preferred over shower -Healthy sex life -Occasional use of vinegar douches -Type 2 diabetes mellitus

-Type 2 diabetes mellitus

Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)? -Existence of menorrhagia -Psychological trauma -Use of superabsorbent tampons -Use of oral contraceptives

-Use of superabsorbent tampons

The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client? -Positive for human papillomavirus (HPV) -Use of pessary -Vaginal bleeding -Urinary stress incontinence

-Vaginal bleeding

A client is ordered a vaginal cream for the treatment of a yeast infection. As the nurse provides instruction, which step for inserting vaginal medications should be highlighted? -Do not use once menses begins. -Eat yogurt daily. -Lie down for 1 hour after insertion. -Wash applicator after each use.

-Wash applicator after each use.

During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed? -Avoid working in the garden or yard altogether. -Wear gloves and protective clothing to avoid any injuries. -Increase the frequency of follow-up visits if she does works. -Avoid household chores for at least 6 to 9 months.

-Wear gloves and protective clothing to avoid any injuries.

The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client? -Avoid riding on motorcycles. -Wear loose fitting underwear instead of tight ones. -Take a general multivitamin. -Increase sexual intercourse to every day.

-Wear loose fitting underwear instead of tight ones.

A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect? -Severe bleeding from the vagina -Weight gain -Decreased libido -Areolar pigmentation

-Weight gain

A nurse is describing the advantages and disadvantages associated with tamoxifen therapy as a means of breast cancer prevention. The nurse would identify that the drug has a beneficial effect on which of the following? -Bone mineral density -High density lipoprotein levels -Risk for endometrial cancer -Cataract formation

Bone mineral density

A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause? -Staphylococcus -Streptococcus -Escherichia coli -Paramyxovirus

Escherichia coli

Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time? Chlamydia Herpes infection Gonorrhea Syphilis

Herpes infection

A client is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies? -Mammogram -Mastopexy -Ultrasound -Breast biopsy

Mammogram

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point would the nurse place in bold letters? -Common age-groups for clients with sexually transmitted diseases are in their late teens and 20s. -Many people are asymptomatic and show no symptoms contributing to the spread of the disease. -Some sexually transmitted diseases can cause infertility caused by scarring of reproductive organs. -Some sexually transmitted diseases can be transmitted to newborns through the birth canal.

Many people are asymptomatic and show no symptoms contributing to the spread of the disease.

A client is scheduled to undergo a procedure to lift her breasts that have drooped because of significant weight loss. The nurse identifies this procedure as which of the following? -Reduction mammoplasty -Mastopexy -Autogenous breast reconstruction -Mastectomy

Mastopexy

Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction? -Age -Medication use -Sexual history -Undescended testicle

Medication use

When caring for a client experiencing metastatic cancer-related pain, which drug of choice is anticipated? -Ibuprofen (Motrin) -Alprazolam (Xanax) -Morphine (MS Contin) -Propofol (Diprivan)

Morphine (MS Contin)

Which of the following nursing assessment findings would be most significant in determining sterility in a male client? -Uncircumcised penis -Recurrent urinary tract infections (UTI) -Multiple sex partners -Mumps at age 15 years

Mumps at age 15 years

Which of the following types of condoms is appropriate only if the client is in a long-standing relationship? -Latex condom -Lubricated condom -Ribbed condom -Natural membrane condom

Natural membrane condom

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body? -Painful joints -Sore throat -Intermenstrual bleeding -Painful urination

Painful joints

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome? -Erection of the penis -Unclean glans -Painful swelling -Nausea and vomiting

Painful swelling

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique? -Palpate both testicles simultaneously for comparison. -Palpate each testicle separately, following a warm shower. -Palpate the front of the testicle first, where most tumors are found. -Palpate for a soft, round shape with normal ridges on the testicles.

Palpate each testicle separately, following a warm shower.

Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted disease? -Pat lesions instead of scratching. -Use different sections of a towel to dry areas with lesions. -Perform thorough handwashing. -Do not share personal items with others.

Perform thorough handwashing.

The client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When assessing the breast, which assessment finding is characteristic of fibrocystic disease? -One breast is larger than the other. -The lump is firm and nonmovable. -The lump is round and movable. -Nipple retractions are noted.

The lump is round and movable.

The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization? -The nurse would highlight the uterus. -The nurse would highlight the cervix. -The nurse would highlight the fallopian tube. -The nurse would highlight the ovaries.

The nurse would highlight the Fallopian tube

. When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision? -The prepuce -The glans -The shaft -The corpora cavernosa

The prepuce

The nurse is caring for a female diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for females obtaining infections more frequently than males? -The vagina is more conducive to microbial growth. -Menstrual flow provides a medium for growth. -Females have a more difficult time with hygiene. -Hormones alter the pH of the reproductive tract.

The vagina is more conducive to microbial growth.

A client with breast cancer is scheduled to undergo chemotherapy with aromatase inhibitors. Which of the following best reflects the rationale for using this group of drugs? -They lower the level of estrogen in the body blocking the tumor's ability to use it. -They block progesterone-dependent tumors from growing. -They attach to endogenous protein receptors to slow the growth of cancerous cells. -They stimulate the immune system to attack a protein common in many tumors.

They lower the level of estrogen in the body blocking the tumor's ability to use it.

A client with a fibroadenoma is being scheduled for diagnostic testing. Which of the following would the nurse expect as most likely? -Mammogram -Ultrasound -Excisional biopsy -Culture of discharge

Ultrasound

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching? -Erosion of penile or urethral tissue -Underinflation or bulging of the cylinders during inflation -Erosion of scrotal, bowel, or bladder tissue -Migration of the cylinders, pump, or reservoir from their intended location

Underinflation or bulging of the cylinders during inflation

Following a vasectomy, which is the most important instruction to provide to the client? -Wear a scrotal support until swelling is resolved. -Use a Tylenol as needed for discomfort. -Use another form a birth control until further notice. -Take a day or two to rest and recuperate from the procedure.

Use another form a birth control until further notice.

Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase (PDE5) inhibitor such as sildenafil (Viagra)? -Use of nitrates -History of hypertension -Type 2 diabetes -Use of diuretics

Use of nitrates