After a radical prostatectomy, a client is to be discharged with a retention catheter. He has prescriptions for hydrocodone/acetaminophen 5 mg/500 mg (Vicodin) and sulfamethoxazole-trimethoprim (Septra). Which nursing action included in the client discharge plan is best to delegate to an experienced LPN working with you?

Correct Answer: A

Rationale: The correct answer, A) Reinforce the need to check his temperature daily, is the best action to delegate to an experienced LPN in this scenario. This task involves monitoring for signs of infection, which is within the scope of practice for an LPN. Checking temperature is crucial post-prostatectomy due to the risk of infection. Option B) Demonstrating how to clean around the urinary meatus requires a higher level of assessment and teaching, typically done by an RN. Option C) Documenting a discharge assessment involves critical thinking and decision-making skills usually performed by an RN. Option D) Instructing the client about the need for stool softeners is important but not as urgent as monitoring for signs of infection post-prostatectomy. In an educational context, understanding delegation based on scope of practice is essential for efficient and safe patient care. It is crucial for healthcare professionals to know their roles and responsibilities to provide quality care to patients.

Correct Answer: D

Rationale: The correct answer is D) Smooth and skeletal muscles in the scrotum. The scrotum is a sac of skin and muscle that houses the testes. The smooth and skeletal muscles in the scrotum allow it to contract and relax, moving the testes closer to or further away from the body to regulate the temperature of the testes. This is crucial for optimal sperm production and function, as sperm are most viable at slightly lower temperatures than the body's core temperature. Option A) Penis and surrounding structures is incorrect because the penis is not directly involved in regulating the temperature of the testes. The primary function of the penis is for urination and sexual intercourse. Option B) Bladder tone is also incorrect as the bladder is not responsible for regulating the temperature of the testes. The bladder's main function is to store urine produced by the kidneys. Option C) Structure of the scrotum is partially correct in that the scrotum's structure plays a role in temperature regulation, but the muscles within the scrotum are what actively control the positioning of the testes to adjust temperature. In an educational context, understanding the importance of temperature regulation in the scrotum for sperm production is crucial for individuals seeking to understand male fertility and reproductive health. Proper knowledge of this concept can help individuals make informed decisions regarding their reproductive health and potential fertility issues.

Correct Answer: D

Rationale: In the context of the Human Reproductive System Quizlet, the primary sign of breast cancer being a painless mass in the breast (Option D) is crucial to understand. This is because breast cancer often presents as a painless lump or mass in the breast tissue. Understanding this key symptom is essential for early detection and prompt medical intervention, which can significantly improve treatment outcomes and prognosis. Option A, a bloody discharge from the nipple, is more commonly associated with benign conditions such as intraductal papilloma rather than being a primary sign of breast cancer. Option B, a dimpling of the skin over the lesion, and Option C, a retraction of the nipple, are both signs that can occur in more advanced stages of breast cancer but are not typically the primary indicator. Educationally, it is important for learners to grasp the distinguishing features of various breast conditions to enhance their clinical reasoning skills. By understanding the primary sign of breast cancer, learners can develop a strong foundation in recognizing and differentiating between benign and malignant breast conditions, which is essential for healthcare professionals working in fields related to women's health and oncology. This knowledge equips them to provide better patient care through early detection, appropriate referral, and support for individuals affected by breast cancer.

Correct Answer: B

Rationale: The correct answer is B) Demonstrate sexual feelings in ways other than intercourse. This option is appropriate for a client with prostate cancer dealing with impotency because it acknowledges the client's sexual needs and suggests alternative ways to express intimacy that do not rely solely on intercourse. It promotes communication and understanding between partners, helping to maintain a healthy relationship despite the physical challenges. Option A) Abstain from any sexual activity is incorrect because it doesn't address the client's emotional and relational needs, potentially leading to feelings of isolation and frustration. Option C) Practice sexual intercourse at least two to three times daily until successful is not a suitable recommendation as it can be physically demanding and unrealistic, causing further stress and disappointment. Option D) Perform pelvic floor retraining exercises may be beneficial for some individuals with impotency issues, but it does not directly address the emotional and relational aspects of intimacy that are crucial in this context. In an educational context, it's important for healthcare providers to approach discussions about sexual health with sensitivity and empathy. Understanding the psychological impact of a cancer diagnosis and its treatments on a person's sexuality is essential in providing holistic care. Encouraging open communication, exploring alternative ways of intimacy, and involving partners in the discussion can significantly improve the quality of life for individuals dealing with impotency related to prostate cancer.