So that Mrs. Smith will not develop lymphedema postoperatively the nurse should

Correct Answer: D

Rationale: In the context of preventing lymphedema postoperatively, elevating the left arm on a pillow (option D) is the correct choice for Mrs. Smith. Lymphedema is a condition where there is swelling due to the accumulation of lymph fluid, often occurring after lymph nodes are removed during surgery. Elevating the arm helps to promote lymphatic fluid drainage and reduce swelling. Option A, wrapping the left arm in an elastic bandage, can actually constrict lymphatic flow, worsening lymphedema. Option B, keeping the left arm adducted and folded over the chest, can also impede lymphatic drainage and circulation. Option C, keeping an IV in that arm to keep the vein open, is unrelated to preventing lymphedema and can even increase the risk of infection or other complications. From an educational standpoint, understanding the importance of proper postoperative care to prevent complications like lymphedema is crucial for nurses and healthcare providers. By selecting the correct option, nurses can demonstrate their knowledge of effective interventions to promote patient recovery and well-being. This scenario underscores the significance of evidence-based practices in nursing care and highlights the need for critical thinking in decision-making to ensure optimal patient outcomes.

Correct Answer: B

Rationale: In the context of the Biology Human Reproductive System exam, understanding the relationship between HPV infection and associated risks is crucial. The correct answer is B) Cervical cancer. Women infected with HPV are at a higher risk of developing cervical cancer due to the virus's ability to integrate its DNA into the host cell's genome, leading to uncontrolled cell division and potentially cancerous growths. Option A) Uterine fibroids is incorrect because uterine fibroids are benign growths in the uterus and are not directly linked to HPV infection. Option C) Ovarian cysts are fluid-filled sacs on the ovaries and are not typically associated with HPV. Option D) Hemorrhagic is a vague term and not specifically related to HPV infection or its consequences. Educationally, this question serves to highlight the importance of HPV prevention through vaccination and regular screenings such as Pap smears to detect cervical abnormalities early. It emphasizes the role of viruses in causing cancer and the significance of understanding how infections can lead to serious health conditions like cervical cancer. Students can apply this knowledge to real-world scenarios, promoting better awareness of reproductive health and disease prevention.

Correct Answer: A

Rationale: In the context of the Biology of the Human Reproductive System exam, the correct answer to the question regarding sentinel lymph node mapping is A) Lymphedema. Sentinel lymph node mapping is a procedure commonly used in cancer treatment to identify the first lymph node to which a tumor drains. By identifying and removing this specific node, the risk of lymphedema, which is a condition characterized by swelling due to the accumulation of lymph fluid, is significantly reduced. Option B) Excessive scarring is not directly related to sentinel lymph node mapping. While any surgical procedure carries a risk of scarring, this technique is primarily focused on reducing the risk of lymphedema rather than scarring. Option C) Cellulitis is also not directly impacted by sentinel lymph node mapping. Cellulitis is a bacterial infection of the skin and underlying tissues, which can occur due to various reasons but is not specifically influenced by this mapping technique. Providing this educational context is crucial for students to understand the rationale behind the correct answer choice and to differentiate it from the distractors. Understanding the purpose and implications of medical procedures is essential for students pursuing careers in biology, medicine, or related fields to make informed decisions and provide accurate information to patients.

Correct Answer: C

Rationale: In this scenario, option C, "Side effects of drug therapy," is the correct answer as the primary cause of the client's erectile dysfunction. Erectile dysfunction can be a side effect of various medications, including those used to treat conditions like high blood pressure, depression, anxiety, and prostate cancer. These drugs can impact blood flow or nerve impulses necessary for achieving and maintaining an erection. Option A, "Obsessive compulsive disorder," is incorrect because OCD is a mental health condition unrelated to erectile dysfunction. Option B, "Complications of STIs," is also incorrect as while some STIs can cause sexual health issues, they are not a common cause of erectile dysfunction. Option D, "Spinal stenosis," is incorrect as it is a condition affecting the spinal cord, not directly related to erectile dysfunction. In an educational context, it is crucial for healthcare providers to understand the various factors that can contribute to erectile dysfunction to provide accurate information and appropriate treatment to clients experiencing such issues. Educating clients about the potential side effects of medication is essential for informed decision-making and proactive management of their health.

Correct Answer: D

Rationale: In this scenario, the most immediate need for nursing intervention is option D) The client complains of painful bladder spasms. This is the correct answer because painful bladder spasms after a TURP with CBI can indicate bladder irritability or potential complications like urinary retention or infection. Immediate assessment and intervention are crucial to prevent further complications. Option A) The client stating a continuous urge to void is a common symptom with CBI and may not indicate an urgent need for intervention as the bladder may be continuously filling and emptying due to irrigation. Option B) Light pink catheter drainage with occasional clots is expected after a TURP procedure and does not indicate an immediate need for intervention unless there is a sudden increase in bleeding. Option C) The catheter being pulled taut and taped to the client's thigh is also not an immediate concern unless it is causing undue tension on the catheter or skin. In an educational context, understanding the post-TURP care, including monitoring for complications like painful bladder spasms, is essential for nurses caring for these patients. Prompt recognition and intervention can prevent serious complications and promote positive patient outcomes.