A clinic nurse is providing preprocedure education for a man who will undergo a vasectomy. Which of the following measures will enhance healing and comfort? Select all that apply.- Skildor

Question 1 of 5

A clinic nurse is providing preprocedure education for a man who will undergo a vasectomy. Which of the following measures will enhance healing and comfort? Select all that apply.

A. Abstaining from sexual intercourse for at least 14 days postprocedure B. Wearing a scrotal support garment C. Using sitz baths D. Applying a heating pad intermittently E) Staying on bed rest for 48 to 72 hours postprocedure

Correct Answer: A

Rationale: The correct answer is A: Abstaining from sexual intercourse for at least 14 days postprocedure. This is important to allow the surgical site to heal properly and reduce the risk of complications. Choice B, wearing a scrotal support garment, can provide comfort but does not directly enhance healing. Choice C, using sitz baths, may help with discomfort but may not specifically promote healing. Choice D, applying a heating pad intermittently, could potentially increase the risk of infection. Choice E, staying on bed rest for 48 to 72 hours postprocedure, is unnecessary and could lead to complications such as blood clots.

Question 2 of 5

An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

A. The patient who is oriented, pain free, and blind B. The patient who is alert, hungry, and has strong self-esteem C. The patient who is cooperative, depressed, and hard of hearing D. The patient who is dyspneic, anxious, and has a tracheostomy Facial trauma, laryngeal cancer, or endotracheal intubation often prevents movement of air past vocal cords or mobility of the tongue, resulting in inability to articulate words. An extremely breathless person needs to use oxygen to breathe rather than speak. Persons with high anxiety are sometimes unable to perceive environmental stimuli or hear explanations. People who are alert, have strong self-esteem, and are cooperative and pain free do not cause communication concerns. Although hunger, blindness, and difficulty hearing can cause communication concerns, dyspnea, tracheostomy, and anxiety all contribute to communication concerns. appropriate to facilitate communication?

Correct Answer: D

Rationale: The correct answer is D because a dyspneic patient with a tracheostomy may have difficulty speaking due to impaired airflow and mobility of the tongue. In this case, using alternative communication methods such as writing or using communication boards would be more effective. Choice A is incorrect because being blind does not directly impact communication in this scenario. Choice B is incorrect as hunger, alertness, and self-esteem do not relate to the communication challenges presented. Choice C is incorrect as depression, while important to consider, is not the primary factor impacting communication in this case.

Question 3 of 5

A nurse is caring for a teenage girl who has had an anaphylactic reaction after a bee sting. The nurse is providing patient teaching prior to the patients discharge. In the event of an anaphylactic reaction, the nurse informs the patient that she should self-administer epinephrine in what site?

A. Forearm B. Thigh C. Deltoid muscle D. Abdomen

Correct Answer: B

Rationale: The correct answer is B: Thigh. When administering epinephrine during an anaphylactic reaction, the thigh is the recommended site due to its large muscle mass and quick absorption rate. Steps: 1. Remove safety cap. 2. Firmly push the auto-injector against the thigh until it clicks. 3. Hold in place for a few seconds. 4. Seek medical help immediately. Rationale for incorrect choices: A: Forearm - Not recommended due to smaller muscle mass and slower absorption. C: Deltoid muscle - Not preferred as it may not provide as rapid absorption as the thigh. D: Abdomen - Not ideal due to potential fat layers that could affect absorption speed.

Question 4 of 5

A 37-year-old man is brought to the clinic by his wife because he is experiencing loss of motor function and sensation. The physician suspects the patient has a spinal cord tumor and hospitalizes him for diagnostic testing. In light of the need to diagnose spinal cord compression from a tumor, the nurse will most likely prepare the patient for what test?

A. Anterior-posterior x-ray B. Ultrasound C. Lumbar puncture D. MRI

Correct Answer: D

Rationale: The correct answer is D: MRI. MRI is the most appropriate test for diagnosing spinal cord compression from a tumor as it provides detailed images of soft tissues, including the spinal cord and surrounding structures. It can accurately identify the location, size, and extent of the tumor. Anterior-posterior x-ray (A) is not as detailed and may not clearly show soft tissue abnormalities. Ultrasound (B) is not typically used for imaging the spinal cord and may not provide sufficient information. Lumbar puncture (C) is used to collect cerebrospinal fluid and is not helpful for diagnosing spinal cord compression from a tumor.

Question 5 of 5

A patient requests the nurse�s help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient�s inability to void?

A. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. B. The patient does not recognize the physiological signals that indicate a need to void. C. The patient is lonely, and calling the nurse in under false pretenses is a way to get attention. D. The patient is not drinking enough fluids to produce adequate urine output.

Correct Answer: A

Rationale: The correct answer is A: The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Rationale: Anxiety can lead to tension in the abdominal and perineal muscles, inhibiting the ability to relax and urinate. The sympathetic nervous system response to anxiety can cause urinary retention. So, the patient's frustration in voiding in front of the nurse may be due to anxiety hindering muscle relaxation. Summary of other choices: B: The patient not recognizing physiological signals is less likely as the patient requested assistance to void, indicating awareness of the need to urinate. C: The patient being lonely and seeking attention is not relevant to the inability to void in front of the nurse. D: Inadequate fluid intake may contribute to decreased urine output but is not directly related to the inability to void in front of the nurse.

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Skildor

ATI RN

ATI RN

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