A nurse is working with a client who has undergone chemotherapy for breast cancer. The client is experiencing body image disturbances. Which of the following symptoms would contribute to this psychosocial issue?

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Question 1 of 5

A nurse is working with a client who has undergone chemotherapy for breast cancer. The client is experiencing body image disturbances. Which of the following symptoms would contribute to this psychosocial issue?

Correct Answer: C

Rationale: In the context of a client undergoing chemotherapy for breast cancer, the correct answer is C) Hair loss. Hair loss is a common side effect of chemotherapy, and it can have a significant impact on a person's self-image and emotional well-being. Losing hair can be emotionally distressing for many individuals, as it is a visible sign of illness and can affect how they see themselves and how others perceive them. Option A) Fatigue is a common side effect of chemotherapy but is not directly related to body image disturbances. While fatigue can impact a person's quality of life, it does not specifically contribute to body image issues. Option B) Vomiting and Option D) Nausea are also common side effects of chemotherapy, but they do not directly affect body image disturbances. These symptoms are more related to the physical discomfort and side effects of treatment rather than the psychosocial impact on body image. Educationally, understanding the psychosocial impact of chemotherapy side effects like hair loss is crucial for healthcare providers working with cancer patients. By recognizing the emotional challenges that patients may face, nurses and other healthcare professionals can provide more holistic care and support to address not only the physical but also the emotional well-being of their patients. Supporting patients through body image disturbances can improve their overall quality of life during cancer treatment.

Question 2 of 5

During the initial inspection of the female genitalia, the nurse recognizes which finding as normal?

Correct Answer: C

Rationale: The correct answer is C because the vaginal vestibule lies between the labia minora and contains the urinary meatus, which is a normal anatomical finding. The labia minora being hair-covered and lying within the labia majora (A) is not normal. The cervical os in a multiparous woman should have a shape of a transverse slit, not a small circle (B). The openings of Skene and Bartholin glands are not typically visible during the initial inspection of the female genitalia (D).

Question 3 of 5

When does a nurse use transillumination of the scrotum?

Correct Answer: C

Rationale: Transillumination of the scrotum is used when there is a mass or fluid in the epididymis. Transillumination helps to differentiate between solid masses and fluid-filled structures. It is not used for tortuosity of veins (A), indirect hernia (B), or twisting of the testicle and spermatic cord (D). Vein tortuosity is diagnosed through physical examination, hernias are detected through palpation, and testicular torsion is confirmed through Doppler ultrasound.

Question 4 of 5

The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries and fallopian tubes. Which disorder does the nurse suspect?

Correct Answer: D

Rationale: The correct answer is D: Pelvic inflammatory disease (PID). PID is characterized by inflammation and infection of the female reproductive organs, including ovaries and fallopian tubes, leading to pain during bimanual pelvic examination. This is due to the inflammatory response in the pelvic area. Tertiary syphilis (A), genital herpes (B), and HPV infection (C) do not typically present with acute pelvic pain during examination. Syphilis affects multiple organ systems, herpes presents with genital lesions, and HPV usually does not cause acute pelvic pain. Therefore, PID is the most likely diagnosis based on the symptoms described.

Question 5 of 5

A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse’s best response to the patient’s concern?

Correct Answer: B

Rationale: The correct answer is B: "Many men need additional sexual stimulation with aging." With aging, physiological changes can affect sexual response. Additional stimulation may be required due to lower hormone levels and decreased sensitivity. This response acknowledges the patient's concern and provides a factual explanation. Incorrect answers: A: "Interest in sex frequently decreases as men get older." - While libido may decrease with age, it doesn't directly address the patient's concern about sexual response. C: "Erectile dysfunction is a common problem with older men." - Erectile dysfunction is only one aspect of sexual response and may not be the main issue for the patient. D: "Tell me more about how your sexual response has changed." - While this shows empathy, it doesn't provide information or address the potential need for additional stimulation.

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