After a client has had a needle biopsy of the prostate gland using the transrectal approach, which statement is essential to include in the client teaching plan?

Correct Answer: C

Rationale: The correct answer is option C) You will need to call the doctor if you have a fever or chills. This statement is essential to include in the client teaching plan because after a needle biopsy of the prostate gland via the transrectal approach, there is a risk of infection. Fever and chills can be signs of an infection, which should be promptly reported to the healthcare provider for further evaluation and management. Options A, B, and D are incorrect: A) The doctor will call you about the test results in a day or two: This is incorrect as it does not address the immediate post-procedure care or potential complications like infection. B) Serious infections frequently occur as a complication of this test: This is incorrect as it is vague and does not provide specific actionable information for the client. D) It is normal to have rectal bleeding for a few days after the test: This is incorrect as rectal bleeding after the procedure should not be considered normal and should be reported to the healthcare provider. Educational Context: Client education is crucial in ensuring optimal outcomes post-procedure. Providing clear instructions on what symptoms to watch for and when to seek medical help is essential in promoting the client's well-being and timely intervention in case of complications. This empowers the client to take an active role in their healthcare and promotes a culture of safety and informed decision-making.

Correct Answer: A

Rationale: In the context of a client diagnosed with a vaginal fistula, the correct recommendation of wearing disposable, absorbent incontinence briefs (Option A) is crucial for maintaining their dignity and promoting self-esteem. Vaginal fistulas can cause involuntary leakage of urine or feces, leading to embarrassment and social isolation. By wearing absorbent briefs, the client can manage the leakage discreetly, thus preserving their self-esteem. Option B, avoiding the use of commercial deodorizers at home, is incorrect as it is not directly related to managing the symptoms of a vaginal fistula. Deodorizers may help mask odors but do not address the primary issue of urinary or fecal incontinence. Option C, abstaining from sexual intercourse, is not necessarily a universal recommendation for all clients with vaginal fistulas. While sexual activity may need to be temporarily restricted based on individual circumstances, it is not the primary intervention to address low self-esteem in this case. Option D, avoiding frequent douches, is also not directly related to managing a vaginal fistula. Douching can disrupt the natural vaginal flora and exacerbate any existing vaginal infections but does not directly address the issue of incontinence associated with a fistula. In an educational context, it is essential for healthcare providers to understand the holistic care needs of clients with conditions like vaginal fistulas. Providing appropriate recommendations that prioritize the client's physical and emotional well-being is crucial in promoting optimal outcomes and quality of life for these individuals.

Correct Answer: B

Rationale: In the scenario presented, the correct answer is B) Wash under the foreskin daily and seek care if he cannot retract the tissue. This option is the most appropriate because it promotes good hygiene practices which are essential in managing phimosis. Regular washing under the foreskin helps prevent infections and discomfort. Additionally, seeking care if unable to retract the tissue is crucial as it indicates the need for medical intervention to address the issue effectively. Option A (Apply a skin cream and try retracting the tissue) may not be effective as a standalone solution for phimosis. While skin creams can sometimes help with elasticity, they may not address the underlying issue causing the tightness of the foreskin. Option C (Apply warm soaks to the foreskin) and Option D (Take sitz baths regularly until the tissue retracts) may provide some relief but do not address the need for daily hygiene practices and seeking medical advice if unable to retract the foreskin. In an educational context, it is important for healthcare professionals to understand the appropriate management strategies for common conditions like phimosis. By emphasizing the importance of regular hygiene practices and knowing when to seek medical help, nurses can empower clients to take control of their health and well-being. This knowledge equips nurses to provide accurate information and guidance to clients, promoting better outcomes and overall health literacy.

Correct Answer: D

Rationale: The correct answer is D) Syphilis. Treponema pallidum is the bacterium responsible for causing syphilis, a sexually transmitted infection. Syphilis has distinct stages and can lead to serious health complications if left untreated. Option A) Herpes is caused by the herpes simplex virus, not Treponema pallidum. Herpes presents as painful blisters on the genitals and can recur periodically. Option B) Venereal warts are caused by the human papillomavirus (HPV), not Treponema pallidum. HPV infections can lead to the development of warts in the genital area and increase the risk of certain cancers. Option C) Gonorrhea is caused by the bacterium Neisseria gonorrhoeae, not Treponema pallidum. Gonorrhea can result in genital discharge, pain, and complications if untreated. Understanding the specific pathogens responsible for different sexually transmitted infections is crucial for accurate diagnosis, treatment, and prevention. By knowing the causative agents, healthcare providers can recommend appropriate interventions, including testing, treatment, and education on safe sexual practices. This knowledge is essential for healthcare professionals working in reproductive health and for individuals seeking to protect themselves from sexually transmitted infections.