A client with a history of ovarian cysts is seen by the primary health care provider (PHCP).

The client has had 2 previous surgeries related to this condition. Her PHCP recommends an exploratory laparoscopic procedure for the current ovarian cyst, which has persisted for several months. The client states that the prior ovarian cysts were benign and questions the need for this procedure. Which response is best for the nurse to provide?

"With your recurrent history, one of these times the cyst will be malignant."

"I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?"

"The surgical procedure is minimal, and you will not have to be concerned after you learn the results."

"A prolonged ovarian abnormality should be evaluated thoroughly."

Answer and Explanation

The Correct Answer is B

A.   "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B.   "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C.   "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D.   "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.

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Correct Answer is C

Explanation

A. Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B. Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C. Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D. Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.

A. Severe pain B. Fever C. Normal blood counts D. Clear urine E. Increased energy levels F. Normal oxygen saturation levels G. Jaundice

Correct Answer is ["A","B","G"]

Explanation

A. Severe pain is a hallmark manifestation of a sickle cell crisis due to vaso-occlusion and tissue ischemia.
B. Fever can occur during a sickle cell crisis, often indicating an underlying infection or inflammatory response.
C. Normal blood counts are not typical during a sickle cell crisis; patients often exhibit anemia, leukocytosis, and thrombocytosis.
D. Clear urine is not a common manifestation of a sickle cell crisis; hematuria or dark-colored urine may occur due to hemolysis or kidney damage.
E. Increased energy levels are not typical during a sickle cell crisis; patients often experience fatigue and malaise.
F. Normal oxygen saturation levels may occur in some patients during a sickle cell crisis, but it is not a consistent finding.
G. Jaundice is common in sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

Correct Answer is C

Explanation

Which of the following are common manifestations of a sickle cell crisis? (Select all that apply)

Correct Answer is ["A","B","G"]

Explanation

A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

A patient has received a medication that has caused significant hemolysis. Upon assessment, which of the following would the healthcare provider expect?

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

A nurse in a clinic is caring for a client who is postmenopausal and has risk factors for osteoporosis. The nurse anticipates the client will be prescribed which of the following medications?

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

A nursing student is doing a presentation on human papillomavirus (HPV) for a young adult group aged 18 to 20 years old. What information should the nursing student include in this presentation?

A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?

A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?