A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?
A) Rashes on the palms of the hands and soles of the feet
B) Cauliflower-like warts on the penis
C) Painful red papules on the shaft of the penis
D) Foul-smelling discharge from the penis
Question 2The nurse is tabulating a patient's 24-hour fluid balance and is aware that insensible perspiration cannot be accurately measured or documented. The nurse should be aware that a normal adult typically loses how much water in this way each day?
A) 600 mL
B) 750 mL
C) 900 mL
D) 1 L
Question 3An adult male patient with a history of type 1 diabetes has presented for care because he has been recently unable to retract his foreskin.
The nurse recognizes that this condition must be promptly resolved because it has the potential to cause what health problem?
A) Priapism
B) Penile inflammation
C) A urinary tract infection
D) Tissue necrosis
Question 4A nurse in the intensive care unit is closely monitoring the fluid balance of an acutely ill patient. The nurse is aware that insensible water loss from the epidermis occurs constantly.
What characteristic of the stratum corneum of the epidermis limits epidermal water loss?
A) The presence of semipermeable membranes in epidermal skin cells
B) The presence of lipids in the stratum corneum
C) The inability to selectively sequester water in the cells of the stratum corneum
D) The hypertonic intracellular environment in cells of the stratum corneum
Question 5A middle-aged athlete was diagnosed with a hydrocele several months ago but now requires treatment because of the increasing size of the mass. The nurse who is working with this patient should anticipate what aspect of care?
A) Administering IV antibiotics
B) Assessing the patient's scrotal incision
C) Administering chemotherapy
D) Teaching the patient to use a leg collection bag for urine output
Question 6A 28-year-old man has received a diagnosis of testicular cancer after a referral from his family health care provider and an extensive diagnostic workup. The patient's main concerns surround his sexuality and his future fertility.
When the nurse addresses these topics during health education prior to radiation therapy, the nurse should inform the patient that:
A) Successful treatment will usually result in infertility.
B) He will be able to father children but will have a diminished sex drive.
C) His sperm will be lower in number and unviable.
D) His libido will not be significantly affected by treatment.
Question 7The nurse has administered a subcutaneous injection of low-molecular-weight heparin to a patient who is recovering from surgery. This injection will be primarily deposited into:
A) The epidermis
B) The dermis
C) Muscle
D) Adipose tissue
Question 8The nurse's assessment of an older adult patient who is postoperative day 1 following orthopedic surgery reveals scrotal edema. A review of the patient's recent documentation indicates that the patient is likely fluid overloaded.
Why are areas such as the scrotum particularly susceptible to edema?
A) The scrotum has a high concentration of Merkel cells, which are easily engorged with free water.
B) The scrotum lacks an epidermal layer, making it more susceptible to pressure from deeper skin layers.
C) The vascularity and thin dermis of the scrotum make it prone to edema.
D) The scrotum has a thick basement membrane, which is highly vascular.
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