While giving a history, a patient reports having a weak urinary stream and feeling that his bladder is not empty after urination. Based on these data, what finding does the nurse anticipate upon examination?

Correct Answer: A

Rationale: The correct answer is A: An enlarged prostate gland palpated on the anterior wall of the rectum. In this case, the patient's weak urinary stream and feeling of incomplete bladder emptying are classic symptoms of benign prostatic hyperplasia (BPH). During a rectal examination, an enlarged prostate gland can be felt as a smooth, rubbery, and symmetrically enlarged mass on the anterior wall of the rectum. This finding correlates with the patient's urinary symptoms, indicating obstruction of the urethra by the enlarged prostate. Choice B is incorrect because an indirect hernia is not typically associated with urinary symptoms. Choice C is incorrect as it describes paraphimosis, a condition where the foreskin cannot be returned to its original position. Choice D is incorrect as a nodular prostate gland palpated on the posterior wall of the rectum is more characteristic of prostate cancer rather than BPH, which is typically felt on the anterior wall.

Correct Answer: A

Rationale: The correct answer is A: Bleeding. Bleeding is a priority assessment because it can indicate serious reproductive health issues such as ectopic pregnancy or cervical cancer. Pain and masses are important assessments, but bleeding takes precedence due to its potential urgency. Sexual orientation is not a priority assessment for reproductive health problems as it does not directly impact the client's immediate physical health.

Correct Answer: C

Rationale: The correct answer is C, the seminal vesicles. Seminal vesicles secrete fructose in semen to provide energy for sperm motility. This process occurs after sperm leave the epididymis and seminiferous tubules, ruling out choices A and B. The prostate glands contribute to the alkaline fluid in semen, not fructose, eliminating choice D. Therefore, choice C is correct due to its role in providing energy for sperm function.

Correct Answer: C

Rationale: The correct strategy for external fertilization is to have eggs and sperm shed simultaneously into water. This allows the gametes to meet and fertilize outside of the organism's body. This method is effective in aquatic environments where the chances of gametes coming into contact are increased. Choice A is incorrect as it describes internal fertilization. Choice B is irrelevant to the process of external fertilization. Choice D is incorrect as the frequency of egg and sperm release does not determine the success of external fertilization.

Correct Answer: B

Rationale: Correct Answer: B - Nipple is lubricated by sebaceous gland Rationale: 1. Sebaceous glands produce sebum, which lubricates the skin. 2. The nipple is a part of the skin, and sebaceous glands present in the areola secrete sebum to lubricate the nipple. 3. This lubrication helps protect the nipple during breastfeeding. Summary of other choices: A: Lactiferous duct is mainly lined by simple cuboidal epithelium - Incorrect. The lactiferous duct is lined by stratified cuboidal and columnar epithelium. C: Terminal ductules are seen in lactating mammary gland - Incorrect. Terminal ductules are present in non-lactating mammary glands. D: Interlobular stroma increase in pregnancy - Incorrect. Interlobular stroma does not significantly increase in pregnancy; rather, the alveoli and ducts enlarge during this period.