A 67-year-old man who was admitted for a transurethral resection and fulguration of a stage A bladder tumor is ready for discharge. In his discharge teaching plan the nurse should reinforce the importance of his physician for

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) periodic cystoscopies. The rationale behind this is that the patient had a stage A bladder tumor, which indicates the presence of bladder cancer. Periodic cystoscopies are essential for monitoring the recurrence or progression of bladder cancer post-treatment. By conducting regular cystoscopies, the physician can detect any signs of tumor recurrence early, allowing for timely intervention and improved outcomes. Option B) headaches is incorrect because headaches are not typically associated with bladder tumor resection and do not play a significant role in the post-operative care of this patient. Option C) routine urinalysis is also incorrect as while monitoring urine for any signs of blood or infection is important, it is not as specific or crucial as periodic cystoscopies in the context of bladder tumor surveillance. Option D) increased daily urinary output is unrelated to the patient's condition and surgical procedure, so it is not a priority in the discharge teaching plan for this specific case. Educationally, understanding the rationale behind the importance of periodic cystoscopies in the surveillance of bladder cancer post-treatment is crucial for nursing professionals caring for patients with urological conditions. It emphasizes the significance of regular follow-up appointments and diagnostic tests in cancer management, highlighting the role of early detection in improving patient outcomes. This knowledge enables nurses to provide comprehensive and evidence-based care to patients undergoing treatment for bladder tumors.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer. After a culdoscopy, the nurse should observe the client for any discomfort in the shoulders. This is because referred pain to the shoulders is a common post-procedural symptom due to the carbon dioxide used during the procedure, which can irritate the diaphragm and cause shoulder pain. Option B is incorrect because while monitoring for signs of internal bleeding and shock is important in many medical situations, it is not specifically related to a culdoscopy procedure. Option C is also incorrect as changes in skin color and rise in body temperature are not typical indicators to monitor for after a culdoscopy. Option D is unrelated to the procedure and does not address any specific post-procedural concerns. In an educational context, understanding the specific post-procedural care and potential complications following different medical procedures is crucial for nursing practice. By knowing what to monitor for and how to respond appropriately, nurses can ensure the safety and well-being of their patients.

Correct Answer: C

Rationale: Regular gynecologic examinations and Pap tests are crucial for women's health due to the potential benefits they offer. Option C is the correct choice because it highlights the importance of early diagnosis. By having regular exams and Pap tests, women increase the likelihood of detecting any abnormalities or signs of cervical cancer at an early stage. Early detection significantly improves treatment outcomes and can save lives. Option A is incorrect because gynecologic examinations and Pap tests are primarily for screening and early detection, not for deciding surgical treatments. Option B is also incorrect as these tests do not cure infections but rather help in diagnosing and managing them. Option D is misleading as Pap tests may be relatively inexpensive, but the focus should be on their effectiveness in early detection rather than cost. Educationally, it is essential for nurses to emphasize the significance of regular gynecologic exams and Pap tests to women. Understanding the purpose of these screenings and their role in preventive healthcare empowers women to take control of their health and well-being. By educating women on the importance of these tests, nurses can encourage proactive health behaviors and promote early intervention, ultimately leading to better health outcomes.

Correct Answer: C

Rationale: In the case of a client undergoing antibiotic treatment for epididymitis and orchitis, elevating the scrotum to relieve pain is the correct nursing intervention. Elevating the scrotum helps reduce inflammation and swelling by promoting venous return and reducing congestion in the affected area. This position also helps alleviate discomfort and aids in the healing process. Option A, using an alcohol rub to keep the scrotum dry, is incorrect because alcohol can be irritating to the skin and may exacerbate the condition. Option B, applying a skin cream, is also incorrect as it is not a standard nursing intervention for these conditions and may not provide any therapeutic benefit. Option D, limiting alcohol intake to 2 drinks per week, is unrelated to the nursing care of a client with epididymitis and orchitis. While reducing alcohol consumption may have general health benefits, it is not a specific intervention for these particular conditions. Educationally, it is crucial for nursing students to understand the rationale behind each intervention to provide safe and effective care to clients. By knowing why certain actions are taken, students can make informed decisions based on evidence-based practice, leading to better outcomes for their patients. Understanding the pathophysiology of diseases and the rationale behind nursing interventions is fundamental in delivering quality patient-centered care.

Correct Answer: A

Rationale: The correct answer is option A: Have an annual Papanicolaou smear to detect cervical cancer. This is the correct instruction for a client undergoing treatment for an HSV-2 infection because HSV-2 is a sexually transmitted infection that can lead to an increased risk of cervical cancer due to the presence of HPV (human papillomavirus) co-infection. Regular Pap smears are essential for early detection of any abnormal changes in the cervix, allowing for timely intervention and treatment. Option B, having an annual mammogram to detect breast cancer, is incorrect in this context because HSV-2 infection does not directly increase the risk of breast cancer. Option C, increasing the frequency of breast self-examination, is also incorrect as it is not relevant to the management of HSV-2 infection. Option D, undergoing an HIV detection test every six months, is unrelated to the treatment of HSV-2 infection. In an educational context, it is crucial for healthcare providers to understand the specific screening and monitoring recommendations for different health conditions to provide accurate and effective care to their clients. By selecting the correct option, nurses can ensure that clients receive appropriate guidance tailored to their individual health needs, promoting early detection and management of potential complications.