NUR 222 - Ch 32-35 - PrepU misc

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A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following?

"I need to use an electric shaver when shaving my right armpit."

A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)?

"I've had trouble getting started when I urinate, often straining to do so."

The nurse is preparing a client for a pelvic examination. The client asks the nurse, "Why do I need to urinate and empty my bladder?" Which response by the nurse would be most appropriate?

"It helps make you more comfortable and the exam easier."

Which client would the nurse identify as being at highest risk for the development of testicular cancer?

A 25-year-old male with a history of cryptorchidism

Which is part of the education for a client undergoing a stereotactic core biopsy?

A small titanium clip is placed at the biopsy site.

While reviewing the history of a client diagnosed with cancer of the vagina, the nurse would expect the client to report which of the following as the major complaint?

Abnormal vaginal bleeding

The nurse explained the difference between the herpes simplex viruses (HSV-1 and HSV-2). One characteristic of HSV-1 is that it:

Affects the mouth and lips.

A 67-year-old client underwent a lumpectomy for a breast lesion determined to be malignant. Which of the following are factors in the client's history that may have increased her risk of breast cancer?

All options are correct

A woman comes to the clinic complaining of vaginal itching and a discharge. Inspection reveals a *thick curdlike white discharge*. The nurse suspects which of the following?

Candida infection

Which term refers to difficult or painful sexual intercourse?

Dyspareunia

A male patient comes to the clinic and is diagnosed with *gonorrhea*. Which symptom most likely prompted him to seek medical attention?

Foul-smelling discharge from the penis

A male client reports *urethral pain* and a *creamy yellow, bloody discharge from the penis*. The nurse associates these characteristics with which of the following sexually transmitted infections?

Gonorrhea

Which of the following may result if prostate cancer invades the urethra or bladder?

Hematuria

A nurse provided health teaching to a patient with a STI. The nurse advised her patient that *transmission* of the organism was by three routes: *sexual, percutaneous, and perinatal*. Choose the STI that was diagnosed.

Herpes simplex

A 65-year-old man complains to his health care provider that, when he urinates, he has to *start and stop several times over a period of minutes in order to fully empty his bladder*. The nurse is aware that this is not uncommon in men over the age of 60. This *"double voiding"* is directly related to which of the following?

Hyperplasia of the prostate gland

Which test is an x-ray study of the uterus and the fallopian tubes after injection of a contrast agent?

Hysterosalpingography

The examiner is preparing to perform a pelvic examination. Which of the following would be done first?

Inspection of the external genitalia

Which of the following positions is commonly used for a pelvic examination?

Supine lithotomy

During a teaching demonstration on breast self-examination (BSE), the nurse should always explain that the majority of breast cancers are found in the:

Upper, outer quadrant.

A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client?

Use of radioactive seeds implanted into the prostate


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