Which of the following suggestions should a nurse give a client with a prostate cancer to deal with his impotency?

Correct Answer: B

Rationale: The correct answer is B) Demonstrate sexual feelings in ways other than intercourse. This response is the most appropriate recommendation for a client with prostate cancer dealing with impotency for several reasons. Firstly, engaging in sexual activities beyond intercourse can help maintain intimacy and connection with a partner despite physical limitations. It also allows for exploration of alternative forms of pleasure and satisfaction. This suggestion promotes emotional well-being and can contribute to a positive self-image, which are crucial aspects of coping with the challenges of prostate cancer treatment. Option A) Abstain from any sexual activity is incorrect because it does not address the emotional and psychological aspects of sexuality that are important for overall well-being. Complete abstinence may lead to feelings of isolation and frustration for the client and their partner. Option C) Practice sexual intercourse at least two to three times daily until successful is incorrect as it sets unrealistic expectations and can be physically and emotionally taxing for the client. It does not take into account the physical limitations and side effects of prostate cancer treatment. Option D) Perform pelvic floor retraining exercises is also incorrect as it focuses on a physical intervention that may not directly address the emotional and relational aspects of sexual dysfunction experienced by the client. While pelvic floor exercises can be beneficial for some individuals, they may not be the most appropriate solution in this context. In an educational context, it is important for nurses to provide holistic care that considers the physical, emotional, and psychological needs of clients dealing with reproductive health issues. Understanding the impact of prostate cancer on sexual function and offering supportive strategies, such as the one provided in the correct answer, is crucial for promoting quality of life and overall well-being in patients.

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: B

Rationale: The correct answer is B) It is used to detect early cancer of the Cervix. The Papanicolaou test, commonly known as a Pap smear, is a screening procedure specifically designed to detect early signs of cervical cancer. During the test, cells are collected from the cervix and examined for any abnormalities or precancerous changes. Detecting cervical cancer at an early stage significantly increases the chances of successful treatment and cure. Option A) It is used to detect early breast cancer, is incorrect because the Pap smear is not designed to detect breast cancer. Breast cancer screening typically involves mammograms and clinical breast exams. Option C) It is used to detect the fertility status of the woman, is incorrect as well. The Pap smear does not provide information about a woman's fertility status. It is solely aimed at identifying cervical abnormalities. Option D) It is used to detect early stages of an STD, is also incorrect. While a Pap smear may sometimes detect certain sexually transmitted infections like HPV, its primary purpose is to screen for cervical cancer, not STDs in general. Educationally, understanding the specific purpose of the Pap smear is crucial for healthcare providers to effectively communicate with patients about the importance of this screening test in preventing and detecting cervical cancer. It is essential for nurses to accurately convey this information to ensure patients understand the significance of undergoing regular screenings for their overall health and well-being.

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.