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NEW QUESTION 50
Following TURP, which of the following instructions would be appropriate to prevent or alleviate anxiety concerning the client’s sexual functioning?
- A. “Many men experience impotence following TURP.”
- B. “Check with your doctor about resuming sexual activity.”
- C. “You may resume sexual intercourse in 2 weeks.”
- D. “A transurethral resection does not usually cause impotence.”
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Sexual activity should be delayed until cleared by the client’s physician. (B) Although many men experience retrograde ejaculation following prostate surgery, potency is seldom affected. (C) Although the client may experience retrograde ejaculation, it will not limit his ability to engage in sexual intercourse. (D) Although the client should obtain clearance from his physician before resuming sexual activity, this statement does not give the client any information or reassurance about future sexual activity or potency that could decrease his anxiety.
NEW QUESTION 51
A client is pleased about being pregnant, yet states, “It is really not the best time, but I guess it will be OK.” The nurse’s assessment of this response is:
- A. Client may have a poor relationship with her husband.
- B. This response is normal in the first trimester.
- C. Initial maternal-infant bonding may be poor.
- D. This response is abnormal, to be re-evaluated at the next visit.
Answer: B
Explanation:
(A)
Ambivalence is normal during the first trimester. Reva Rubin addresses the issue of “not now” in the first trimester. The statement still leaves room for exploration. (B) There are no data to support this. This statement by the mother still leaves room for exploration.
(C)
Ambivalenceis normal during the first trimester. Reva Rubin addresses the issue of “not now.” This fact should be shared with the mother during further exploration of the comment.
(D)
It is not abnormal. If it were, another month would also be too long to wait.
NEW QUESTION 52
A client at 9 weeks’ gestation comes for an initial prenatal visit. On assessment, the nurse discovers this is her second pregnancy. Her first pregnancy resulted in a spontaneous abortion. She is 28 years old, in good health, and works full-time as an elementary school teacher. This information alerts the nurse to which of the following:
- A. An increased risk in maternal adaptation to pregnancy
- B. The need for teaching regarding family planning
- C. The need for anticipatory guidance regarding the pregnancy
- D. An increased risk for subsequent abortions
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A, D) There are no data to support this. (B) Anticipatory guidance and health maintenance is a first-line defense in the promotion of healthy mothers and healthy babies. (C) There are no data to support this at this time. This will be a concern later.
NEW QUESTION 53
……
