Deck 53: Caring for Clients With Disorders of the Female Reproductive System

Question 1

A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options?

A) "Treatment is essential, so you really need to make a decision pretty quickly."
B) "If it was me, I would probably choose the medication options."
C) "It might help to include your partner in any of the discussions about options."
D) "The test results are clear and another physician would tell you the same thing."

Answer 1

"It might help to include your partner in any of the discussions about options."

Question 2

A female client who is suspected of having pelvic inflammatory disease (PID) needs to be examined to confirm the diagnosis. The examination will be performed in the outpatient clinic. Which instruction would be most important to give to the client?

A) Refrain from having intercourse for 48 hours before examination.
B) Refrain from douching for 48 hours before examination.
C) Refrain from strenuous physical activity for 48 hours before examination.
D) Increase the intake of water or fluids 48 hours before examination.

Answer 2

Refrain from douching for 48 hours before examination.

Question 3

The nurse is gathering data about a client's menstruation. The client reports that she has been experiencing some bleeding that occurs suddenly and without a regular pattern in between her normal menstrual periods. The nurse documents this finding as which of the following?

A) Metrorrhagia
B) Oligomenorrhea
C) Menorrhagia
D) Dysmenorrhea

Answer 3

Metrorrhagia

Question 4

Which of the following is an early symptom of vulvar cancer?

A) Pruritus with genital burning
B) Fever accompanied by chills
C) Severe abdominal pain
D) Dyspareunia

Question 5

Which of the following clients would be at greatest risk for the development of vaginitis?

A) A 30-year-old pregnant woman with diabetes
B) A 25-year-old woman who douches infrequently
C) A 38-year-old woman receiving antibiotics for a sinus infection
D) A 45-year-old woman who has not yet undergone menopause

Question 6

While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which of the following?

A) Vulvar cancer
B) Breast cancer
C) Cervical cancer
D) Endometrial cancer

Question 7

A client has undergone a repair of a vesicovaginal fistula. The physician orders a vaginal douche to remove drainage and keep the area clean. Before giving the douche, the nurse observes that the drainage is serosanguineous. Which action would the nurse do next?

A) Inform the physician immediately.
B) Record it as a normal finding.
C) Obtain a specimen for C&S.
D) Advise daily bathing with frequent perineal hygiene.Add Question Here

Question 8

A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect?

A) Severe bleeding from the vagina
B) Weight gain
C) Decreased libido
D) Areolar pigmentation

Question 9

A client with pelvic inflammatory disease (PID) is admitted to the nursing unit for intravenous fluid and antibiotic therapy. Diagnostic testing reveals a pelvic abscess. When developing the plan of care for this client, the nurse would expect to maintain the client in which position?

A) Lithotomy
B) Prone
C) Supine
D) Semi-sitting

Question 10

Culture of client's vaginal discharge reveals gardnerella vaginalis. Which of the following would the nurse expect to assess?

A) Foul foamy discharge
B) Thick curdy white discharge
C) Fishy smelling watery discharge
D) Yellowish white discharge

Question 11

Assessment of a client reveals evidence of a cystocele. The nurse interprets this as which of the following?

A) Herniation of the rectum into the vagina
B) Protrusion of intestinal wall into the vagina
C) Downward displacement of the cervix
D) Bulging of the bladder into the vagina

Question 12

Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome(TSS)?

A) Existence of menorrhagia
B) Psychological trauma
C) Use of superabsorbent tampons
D) Use of oral contraceptives

Question 13

A female client who has undergone salpingo-oophorectomy develops abdominal distention. Which of the following would be most helpful in promoting the client's comfort?

A) Instruct the client to refrain from douching.
B) Instruct the client to take sitz baths at regular intervals.
C) Tell the client to douche with hot water and soap.
D) Assist the client out of bed to ambulate.

Question 14

The nurse is preparing a client for repair of a rectovaginal fistula. Which of the following would the nurse include?

A) Providing a high fiber diet to stimulate bowel elimination
B) Administering antibiotic to cleanse the bowel
C) Performing regular douching to keep the area clean
D) Exposing the area to heat lamp therapy to reduce excoriation

Question 15

After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction?

A) "A white or yellow vaginal discharge is expected and normal."
B) "I need to apply a sterile lubricant to the pessary before reinserting it."
C) "After removal, I should wash the pessary with warm soapy water, rinse, and dry it."
D) "I should call the physician if I notice any discomfort with the pessary."

Question 16

A client with premenstrual syndrome reports using ibuprofen to relieve pain. Which instruction by the nurse would be most appropriate?

A) "You might notice some vaginal dryness from this drug."
B) "This drug may increase your risk for osteoporosis."
C) "Be sure to take this drug with food or meals."
D) "Avoid drinking any alcoholic beverages."

Question 17

While obtaining the health history of a client with premenstrual syndrome (PMS), the client reports taking 500 mg of vitamin B6daily. Theclient asks if this will help to provide relief from the pain. Which suggestion would be most appropriate?

A) Stop taking the vitamin supplement.
B) Increase the dosage a little to help cope with the symptoms.
C) Take the supplement only after meals.
D) Use soy products instead of the vitamin B .6

Question 18

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?

A) Use a pure vinegar douche daily.
B) Use skin protectants containing zinc oxide.
C) Take sitz baths frequently
D) Avoid yogurt with active lactobacilli cultures.

Question 19

A postmenopausal client receiving alendronate. Which of the following would the nurse include when teaching the client about this drug?

A) "Take the drug with milk or milk products to enhance absorption."
B) "Drink at least 8 ounces of water when you take this drug."
C) "Be sure to take the drug just before going to bed at night."
D) "Lie down for at least 30 minutes after you've taken the drug."

Question 20

The nurse is reviewing the laboratory and diagnostic test results of a client diagnosed with toxic shock syndrome. Which of the following would the nurse expect to find?

A) Decreased serum bilirubin level
B) Increased platelet count
C) Decreased aspartate aminotransferase (AST)
D) Increased blood urea nitrogen (BUN) level

Question 21

A client is diagnosed with vaginitis due to trichomonas. Which of the following agents would the nurse expect the physician to prescribe?

A) Metronidazole
B) Miconazole
C) Clotrimazole
D) Sulfisoxazole

Question 22

A nurse is preparing a presentation about cervical cancer for a local woman's group. Which of the following would the nurse include as a possible risk factor for the development of cervical cancer?

A) Sexual activity beginning at a later age
B) Having a single sexual partner
C) Infection with human papilloma virus (HPV)
D) Never having been pregnant

Question 23

A nurse is speaking to a local women's group about the various types of cancer affecting the female reproductive tract. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer does which of the following?

A) Spreads more easily than other female reproductive cancers
B) Arises from extremely rare types of cells that are resistant to treatment
C) Typically manifests with vague symptoms resulting in late diagnosis
D) Is closely associated with highly resistant sexually transmitted infections

Question 24

While reviewing the history of a client diagnosed with cancer of the vagina, the nurse would expect the client to report which of the following as the major complaint?

A) Abdominal discomfort
B) Urinary frequency
C) Ascites
D) Abnormal vaginal bleeding

Question 25

A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?

A) Cancer is confined to the body of the uterus
B) The malignancy is localized
C) Cancer extends outside the uterus
D) The malignancy involves the uterine body and cervix