Which of the following instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave's disease?

Correct Answer: C

Rationale: Regular follow-up care is crucial after a thyroidectomy for Grave's disease to monitor the patient's thyroid hormone levels, assess for signs of complications such as hypothyroidism or hypoparathyroidism, and ensure appropriate management of any related conditions. Routine follow-up visits with healthcare providers allow for ongoing assessment and adjustment of medications, as well as addressing any concerns the patient may have post-surgery. By emphasizing the importance of regular follow-up care, the healthcare team can provide necessary support and guidance to the patient throughout their recovery process.

Correct Answer: C

Rationale: The correct statement regarding chlamydia infection is that the clinical manifestations include dysuria and urethral itching in males. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. In males, common symptoms include a burning sensation during urination (dysuria) and urethral itching. It is important to note that chlamydia is often asymptomatic, especially in women, which is why regular screening is important to detect and treat the infection early. Option A is incorrect because the treatment of choice for chlamydia is typically antibiotics such as azithromycin or doxycycline, not oral penicillin. Option B is incorrect because nystatin or miconazole are used to treat fungal infections, not chlamydia. Option D is incorrect because small, painful vesicles on genital areas are more indicative of herpes simplex virus infection rather than chlamydia

Correct Answer: D

Rationale: The apex is the bluntly rounded portion of the heart located at the bottom. It is formed by the tip of the left ventricle and points slightly downward and to the left. The apex is essential in detecting the point of maximum intensity of the heartbeat, known as the apical impulse or point of maximal impulse (PMI). This is where the heart beats closest to the chest wall and can be felt or heard during a physical examination. The base of the heart, on the other hand, is the broader superior part of the heart where the major blood vessels enter and exit. The pericardium is the tough sac enclosing the heart, and the aorta is the main artery that carries oxygen-rich blood from the heart to the body.

Correct Answer: C

Rationale: Cisplatin is a cornerstone in the treatment of germ cell tumors.

Correct Answer: B

Rationale: Strabismus, or misalignment of the eyes, is a common condition in newborns due to the lack of binocularity. Binocularity refers to the ability of both eyes to focus simultaneously on a single point, which is not fully developed in newborns. As a result, it is normal for a newborn's eyes to appear misaligned at times. This lack of coordination between the eyes typically resolves as the infant's visual system matures and they develop the ability to focus both eyes together. Therefore, the presence of strabismus in a newborn is usually considered a normal finding related to the immature visual development rather than a sign of pathology such as congenital cataracts, absence of red reflex, or pupil reactivity issues.