Question 1

A nonpregnant client reports a fishy-smelling,thin,white,watery vaginal discharge.She is diagnosed with bacterial vaginosis (BV).The nurse would be expecting to administer:&#10;A)Penicillin G (Bicillin)2 million units IM one time.&#10;B)Zithromax (Azithromycin)1 mg p.o.b.i.d.for 2 weeks.&#10;C)Doxycycline (Vibramycin)100 mg p.o.b.i.d.for a week.&#10;D)Metronidazole (Flagyl)500 mg p.o.b.i.d.for a week.&#10;

Accepted Answer

Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week is the recommended treatment for BV. Penicillin G is not effective for treating BV, while Zithromax and Doxycycline are antibiotics that are effective for treating other types of infections but are not the first-line treatment for BV.

Question 2

A client comes in complaining of wart-like lesions on the vulva,painful wrist and finger joints,and a chronic and hoarse sore throat.The appropriate treatment would be:&#10;A)Penicillin G (Bicillin)IM.&#10;B)Acyclovir (Zovirax)p.o.&#10;C)Ceftriaxone (Rocephin)IM.&#10;D)Azithromycin (Zithromax)p.o.&#10;

Accepted Answer

The symptoms described are indicative of secondary syphilis, which can present with wart-like lesions (condylomata lata), joint pain, and mucous membrane involvement like a sore throat. Penicillin G is the treatment of choice for syphilis.

Question 3

The nurse walks in to find the client crying after the physician informed her of her diagnosis of human papillomavirus (HPV).Which of the following statements by the nurse conveys an attitude of acceptance toward the client with a sexually transmitted infection?

A)"Don't worry about it.In a few weeks,with treatment,the lesions will disappear."
B)"You seem upset.I'll get the doctor."
C)"You seem upset.Can I help answer any questions?"
D)"I think you need to see a therapist."

"You seem upset.Can I help answer any questions?"

Accepted Answer

This statement conveys empathy and offers assistance to the client, showing acceptance and support. Option A may seem dismissive and neglect the emotional effects of the diagnosis. Option B doesn't offer any reassurance or guidance. Option D could be interpreted as judgmental and insensitive, and it's not the nurse's role to suggest therapy without discussing it with the client first.

Question 4

The couple demonstrates understanding of the consequences of not treating Chlamydia when they state:&#10;A)&#34;She could become pregnant.&#34;&#10;B)&#34;She could have severe vaginal itching.&#34;&#10;C)&#34;He could get an infection in the tube that carries the urine out.&#34;&#10;D)&#34;It could cause us to develop a rash.&#34;&#10;

Accepted Answer

Chlamydia can lead to an infection in the urethra, the tube that carries urine out of the body, in men. This is a recognized complication of untreated Chlamydia.

Question 5

The client being given discharge instructions with a diagnosis of vulvovaginal candidiasis (VVC)demonstrates understanding when she states:&#10;A)&#34;I need to apply the miconazole (Monistat)for 10 days.&#34;&#10;B)&#34;I need to douche daily.&#34;&#10;C)&#34;I need to add yogurt to my diet.&#34;&#10;D)&#34;I need to wear nylon panties.&#34;&#10;

Accepted Answer

Adding yogurt to the diet can help restore normal vaginal flora due to its probiotic content, which may help prevent future infections.

Question 6

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis.Which of the following questions are most appropriate? Select all that apply.&#10;A)&#34;Are you having hot flashes?&#34;&#10;B)&#34;Are you experiencing pain during intercourse?&#34;&#10;C)&#34;Is a discharge present?&#34;&#10;D)&#34;Are you having pain during your period?&#34;&#10;E)&#34;Have you noticed any skin rashes?&#34;&#10;F)&#34;Do you have any children?&#34;&#10;

Accepted Answer

B) Pain during intercourse is a common symptom of endometriosis due to the location of endometrial-like tissue outside the uterus.D) Pain during periods (dysmenorrhea) is a hallmark symptom of endometriosis, often due to inflammation and scarring.F) Asking about children is relevant because endometriosis can affect fertility, and understanding the client's reproductive history can provide insights into the severity of the condition.

Question 7

A nurse is taking care of a client after an abdominal hysterectomy.A priority nursing diagnosis in the early postoperative period would be:&#10;A)Acute pain.&#10;B)Powerlessness.&#10;C)Hyperthermia.&#10;D)Constipation.&#10;

Accepted Answer

Acute pain is a priority nursing diagnosis in the early postoperative period after an abdominal hysterectomy. The client may experience pain due to incision site, gas, and bloating. Proper pain management is necessary to facilitate movement, prevent respiratory complications, promote healing, and improve overall comfort.

Question 8

Which of the following clients should be treated with ceftriaxone (Rocephin)IM and doxycycline (Vibramycin)orally?&#10;A)A pregnant client with gonorrhea and yeast infection&#10;B)A nonpregnant client with gonorrhea and Chlamydia&#10;C)A pregnant client with syphilis&#10;D)A nonpregnant client with Chlamydia and trichomoniasis&#10;

Accepted Answer

Ceftriaxone is used to treat gonorrhea, while doxycycline is used to treat both gonorrhea and Chlamydia. Option A should not receive doxycycline because it is contraindicated in pregnancy due to the risk of fetal harm. Option C should be treated with penicillin rather than ceftriaxone. Option D should be treated with metronidazole for trichomoniasis and azithromycin or doxycycline for Chlamydia.

Question 9

The client gives correct information regarding ways to prevent a recurrence of her urinary tract infection when she states:&#10;A)&#34;I should wipe from back to front after urination.&#34;&#10;B)&#34;I should urinate when I feel the urge.&#34;&#10;C)&#34;I should try to restrict my intake of fruits.&#34;&#10;D)&#34;I should use a diaphragm.&#34;&#10;

Accepted Answer

Urinating when feeling the urge helps to flush out bacteria and prevent its overgrowth in the urinary tract. Wiping from back to front can actually introduce bacteria from the anal area to the urinary tract, increasing the risk of infection. Restricting fruits is not necessary, as they do not directly cause urinary tract infections. Using a diaphragm may increase the risk of UTIs by putting pressure on the urethra and disrupting the flow of urine.

Question 10

A client is hospitalized for pelvic inflammatory disease.Which of the following nursing interventions would have priority?&#10;A)Encourage oral fluids.&#10;B)Administer cefotetan IV.&#10;C)Enforce bedrest.&#10;D)Remove IUD,if present.&#10;

Accepted Answer

Administering the appropriate antibiotic (cefotetan) is a priority intervention to treat the underlying infection of pelvic inflammatory disease. Encouraging oral fluids and enforcing bedrest may be important interventions, but they do not address the underlying infection. Removing an IUD may be necessary in some cases, but it is not a priority intervention in all cases of pelvic inflammatory disease.

Question 11

A nurse is assessing a pregnant client for right-sided flank pain.The nurse explains to the client that this type of pain is a common symptom of pyelonephritis in the pregnant client because of:&#10;A)Temporary suspension of urine output.&#10;B)Nausea and vomiting.&#10;C)The position of the uterus in the abdomen.&#10;D)A colicky large intestine.&#10;

Accepted Answer

The answer of A nurse is assessing a pregnant client...

Question 12

In teaching women about ways of preventing toxic shock syndrome (TSS),it is important for the nurse to know that women at increased risk include those who:&#10;A)Use high-absorbency tampons.&#10;B)Use an IUD.&#10;C)Use oral contraception.&#10;D)Have multiple sexual partners.&#10;

Accepted Answer

The answer of In teaching women about ways of preventing...

Question 13

Which of the following statements by the client verifies correct knowledge about vaginal herpes?&#10;A)&#34;I should douche daily to prevent infection.&#34;&#10;B)&#34;I could have another breakout during my period.&#34;&#10;C)&#34;I am more likely to develop cancer of the cervix.&#34;&#10;D)&#34;I should use sodium bicarbonate on the lesions to relieve discomfort.&#34;&#10;

Accepted Answer

The answer of Which of the following statements by the...

Question 14

The nurse obtains a health history from the following clients.To which one should she give priority for teaching about cervical cancer prevention?&#10;A)Age 30,treated for PID&#10;B)Age 25,monogamous&#10;C)Age 20,pregnant&#10;D)Age 27,uses a diaphragm.&#10;

Accepted Answer

The answer of The nurse obtains a health history from...

Question 15

A client describes breast swelling and tenderness.What piece of data would be most important for the nurse to gather initially?&#10;A)Timing of the symptoms&#10;B)Birth control method&#10;C)Method of breast self-examination&#10;D)Diet history&#10;

Accepted Answer

The answer of A client describes breast swelling and tenderness.What...

Deck 6: Common Gynecologic Problems