A male client, living in an underdeveloped country, is diagnosed with chlamydia, acquired through an ophthalmic infection by autoinoculation. Which of the following are the symptoms experienced by the client?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Granulation of the cornea and blindness. Chlamydia acquired through ophthalmic infection by autoinoculation can lead to severe eye complications, including granulation of the cornea and blindness. Option A) Testicular pain is a common symptom of chlamydia in males, but in this specific case where the infection was acquired through ophthalmic route, testicular pain would not be the primary symptom. Option B) Anal infection is another common manifestation of chlamydia, but again, in this case where the infection was acquired through the eyes, anal infection is not the expected symptom. Option D) Sore throat with an infected pharynx is not typically associated with chlamydia acquired through ophthalmic infection. Symptoms of pharyngeal chlamydia usually include throat pain, difficulty swallowing, and swollen lymph nodes in the neck. Educationally, this question highlights the importance of understanding the diverse manifestations of chlamydia depending on the route of transmission. It underscores the need for healthcare providers to consider the mode of transmission when assessing symptoms and making a diagnosis. This knowledge is crucial in providing targeted and effective treatment for patients.

Correct Answer: A

Rationale: In this scenario, the correct action that requires immediate intervention is option A) The student stands next to the client for 5 minutes while assisting with her bath. This activity poses a significant risk due to the presence of an intracavitary radioactive implant. The student should minimize the time spent near the client with the implant to reduce radiation exposure. Option B is incorrect because discussing the client's feelings about losing her child-bearing ability is an appropriate and empathetic approach in caring for a patient with cervical cancer. Option C is also incorrect as assisting the client to the bedside commode is a necessary aspect of providing holistic care. Option D is incorrect as offering food or drink is a routine part of client care and does not pose any specific risk in this context. Educationally, this question highlights the importance of understanding safety considerations when caring for clients with specific treatments or conditions. It emphasizes the need for healthcare providers to be aware of potential risks associated with certain interventions and the importance of adhering to safety protocols to ensure the well-being of both the client and the healthcare team.

Correct Answer: C

Rationale: The correct answer is C) It compromises urination. As men age, the prostate gland commonly enlarges, a condition known as benign prostatic hyperplasia (BPH). This enlargement can lead to compression of the urethra, causing symptoms such as increased frequency of urination, difficulty starting or maintaining urination, weak urine stream, and incomplete emptying of the bladder. This condition compromises the normal flow of urine, leading to discomfort and potential complications like urinary retention or urinary tract infections. Option A) It compromises the ability to fertilize ova is incorrect because the prostate gland enlargement primarily affects urination and not the reproductive capabilities of sperm. Option B) It compromises erectile function is incorrect as prostate enlargement typically does not directly impact erectile function. Erectile dysfunction may be associated with other conditions like diabetes, cardiovascular disease, or psychological factors. Option D) It compromises sperm production is incorrect because the prostate gland enlargement mainly affects the urinary system and does not directly interfere with sperm production, which occurs in the testes. Understanding the effects of prostate gland enlargement on urination is crucial for men's health awareness. Educating individuals about the symptoms of BPH and encouraging regular check-ups with healthcare providers can lead to early detection and appropriate management strategies to maintain urinary function and overall quality of life.

Correct Answer: A

Rationale: Mastitis is an inflammatory condition of the breast tissue that commonly occurs in lactating women. Option A, "A crack in the nipple or the areola," would confirm that a female client has mastitis. This is because mastitis often presents with symptoms such as redness, swelling, warmth, pain, and sometimes cracks in the skin of the nipple or areola. These symptoms are typically associated with an infection in the breast tissue. Option B, "Multiple lumps within the breast tissue," is incorrect because while lumps can be a symptom of breast disorders, in mastitis, the characteristic finding is not multiple lumps but rather inflammation and infection of the breast tissue. Option C, "Flat and soft breasts," is also incorrect because the texture or shape of the breasts would not be indicative of mastitis. Mastitis is primarily characterized by inflammation, redness, warmth, and pain in the affected breast. Option D, "Support the arm and the shoulder with pillows," is unrelated to the diagnosis of mastitis. This option does not provide any information relevant to confirming the presence of mastitis in a female client. In an educational context, understanding the typical signs and symptoms of mastitis is crucial for healthcare providers, especially those working with women during the postpartum period. Recognizing the clinical manifestations of mastitis can aid in early detection and prompt intervention, which is essential for preventing complications and providing appropriate care to the affected individual. By knowing the specific indicators of mastitis, healthcare professionals can ensure timely and effective management of this condition.

Correct Answer: B

Rationale: In teaching a male client how to perform a testicular self-exam, it is crucial for the nurse to provide accurate information about normal testes size to ensure the client can identify any abnormalities. The correct answer, B) One testis is usually larger than the other, aligns with the anatomical variation commonly seen in males. It is normal for one testis to be slightly larger or hang lower than the other due to differences in blood flow and anatomy. Option A) Both testes should be the same size, is incorrect as natural asymmetry is common. Option C) One testis usually has a lump; the other does not, is incorrect as testicular lumps are not a normal finding and should be investigated. Option D) Both testes usually have lumps, is incorrect as the presence of lumps in both testes would be abnormal and require medical attention. Educationally, understanding the variations in normal testicular anatomy helps individuals to differentiate between normal and abnormal findings during self-examinations, ultimately promoting early detection of potential issues like testicular cancer. Encouraging regular testicular self-exams empowers individuals to take charge of their health and seek medical intervention promptly when needed.