Question 1

The nurse is preparing a client for colposcopy with a cervical biopsy. Which of the following information should the nurse explain to the client about the procedure?&#10;A)It involves dilation of the cervix and biopsy of the tissue lining the uterus.&#10;B)It will take place in a same-day-surgery centre so that local anesthesia can be used.&#10;C)It requires that the client have nothing to eat or drink for 6 hours before the procedure.&#10;D)It is similar to a speculum examination of the cervix and should result in little or no pain.

Accepted Answer

Colposcopy involves visualization of the cervix with a binocular microscope and is similar to a speculum examination. A cervical biopsy may cause a minimal amount of pain.

Question 2

A client calls the clinic and tells the nurse, &#34;My menstrual period is very heavy. I have to change my tampon every 4 hours.&#34; Which of the following actions should the nurse take next?&#10;A)Tell the client that her flow is not unusually heavy.&#10;B)Schedule the client for an appointment later that day.&#10;C)Ask the client how heavy her usual menstrual flow is.&#10;D)Have the client call again if the heavy flow continues.

Accepted Answer

Because a heavy menstrual flow is usually indicated by saturating a pad or tampon in 1-2 hours, the nurse should first assess how heavy the client's usual flow is. There is no need to schedule the client for an appointment that day. The client may need to call again, but this is not the first action that the nurse should take. Telling the client that she does not have a heavy flow implies that the client's concern is not important.

Question 3

A client calls the clinic because of an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. Which of the following amounts of blood loss should the nurse estimate from the clients information?

A)10-20 mL.
B)20-30 mL.
C)30-40 mL.
D)40-60 mL.

40-60 mL.

Accepted Answer

The average tampon absorbs 20-30 mL.

Question 4

Which of the following questions should the nurse ask when assessing a client who has a history of benign prostatic hyperplasia (BPH)?&#10;A)&#34;Have you noticed any unusual discharge from your penis?&#34;&#10;B)&#34;Has there been any change in your sex life in the last year?&#34;&#10;C)&#34;Do you find it hard to initiate your urinary stream?&#34;&#10;D)&#34;Have you been experiencing any difficulty in achieving an erection?&#34;

Accepted Answer

Enlargement of the prostate blocks the urethra, leading to urinary changes. Benign prostatic hyperplasia is a common problem of older men. It can alter normal urination, causing retention and difficulty in initiating the urinary stream. The other questions address possible problems with infection or sexual difficulties but would not be helpful in determining whether there were functional changes caused by BPH.

Question 5

The nurse is assessing an older-adult male client and the client says that he does not respond to sexual stimulation the way he did when he was younger. Which of the following responses to the client's comment is best?

A)"Many men need more sexual stimulation with aging."
B)"Interest in sex frequently decreases as men get older."
C)"Erectile dysfunction is a common problem with older men."
D)"Tell me more about how your sexual response has changed."

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Accepted Answer

The initial response by the nurse should be further assessment of the problem. The other statements by the nurse are accurate but might not respond to the client's concerns.

Question 6

The nurse is performing a physical assessment on a male client and obtains this information. Which of the following findings is most important to report to the health care provider?&#10;A)One testis hangs lower than the other.&#10;B)Inguinal lymph nodes are nonpalpable.&#10;C)Genital hair distribution is diamond shaped.&#10;D)Clear penile discharge is present at the meatus.

Accepted Answer

Clear penile discharge may be indicative of a sexually transmitted infection (STI). The other findings are normal and do not need to be reported.

Question 7

The following clients call the outpatient clinic. Which phone call should the nurse return first?&#10;A)A client who has severe breast tenderness following a breast biopsy&#10;B)A client who has bloody discharge after a hysteroscopy earlier today&#10;C)A client who is complaining of dyspnea after a pelvic computed tomography (CT) with contrast&#10;D)A client who is experiencing shoulder pain after a laparoscopy yesterday

Accepted Answer

The client's dyspnea suggests a delayed reaction to the iodine dye used for the CT scan. The other client's symptoms are not unusual after the procedures they had done.

Question 8

The nurse is providing teaching a client who has been treated for pelvic inflammatory disease. Which of the following information should the nurse teach the client about?&#10;A)Irregularities in the menstrual cycle&#10;B)Changes in secondary sex characteristics&#10;C)Possible difficulty with becoming pregnant&#10;D)Use of hormone replacement therapy (HRT)

Accepted Answer

Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is not affected, the client will not require HRT, have irregular menstrual cycles, or experience changes in secondary sex characteristics.

Question 9

The nurse is assessing a client in the Sexual Health Clinic who has a positive Venereal Disease Research Laboratory (VDRL) test, but no chancre is noted. The nurse should plan to send the specimens for which of the following tests?

A)Gram stain
B)Cytological studies
C)Rapid plasma reagin (RPR) agglutination
D)Fluorescent treponemal antibody absorption (FTA-ABS)

Accepted Answer

Since false positives are common with VDRL and RPR testing, FTA-ABS testing is recommended to confirm a diagnosis of syphilis. Gram staining is used for other sexually transmitted infections (STIs) such as gonorrhea and chlamydia and cytological studies are used to detect abnormal cells (such as neoplastic cells).

Question 10

Which information about a female client who wants to start using oral contraceptives is most important to report to the health care provider?&#10;A)The client quit smoking 6 months previously.&#10;B)The client's blood pressure is 164/90 mm Hg.&#10;C)The client has not been vaccinated for rubella.&#10;D)The client has chronic iron-deficiency anemia.

Accepted Answer

Since hypertension increases the risk for morbidity and mortality in women taking oral contraceptives, the client's blood pressure should be controlled before oral contraceptives are prescribed. The other information will also be reported but will not affect the choice of contraceptive.

Question 11

Acouple who has not been able to conceive is scheduled for a Huhner test for infertility. Which of the following information should the nurse provide to the couple in preparation for the test?&#10;A)Possible shoulder pain after the procedure&#10;B)Sedative medications used during the procedure&#10;C)Ways to determine the estimated time of ovulation&#10;D)How long to refrain from intercourse before the test

Accepted Answer

The answer of Acouple who has not been able to...

Question 12

The nurse is assessing the sexual-reproductive functional health pattern for a client. Which of the following questions is most useful in determining the client's sexual orientation and risk factors?&#10;A)&#34;Do you have sex with men, women, or both?&#34;&#10;B)&#34;Which gender do you prefer to have sex with?&#34;&#10;C)&#34;What types of sexual activities do you prefer?&#34;&#10;D)&#34;Are you heterosexual, homosexual, or bisexual?&#34;

Accepted Answer

The answer of The nurse is assessing the sexual-reproductive functional...

Question 13

A male client who is 53 years of age is scheduled for an annual physical exam. Which of the following information should the nurse include in the teaching plan?&#10;A)Increased risk for testicular cancer&#10;B)Possible changes in erectile function&#10;C)Normal decreases in testosterone level&#10;D)Annual digital rectal examination

Accepted Answer

The answer of A male client who is 53 years...

Question 14

The nurse is assessing a male client who is taking the following medications and tells the nurse that he has had difficulty in achieving an erection. Which of the following medications may cause erectile dysfunction (ED)?

A)Atorvastatin
B)Metformin
C)Propranolol
D)Ranitidine

Accepted Answer

The answer of The nurse is assessing a male client...

Question 15

When scheduling a pelvic examination and Pap test for a client, which of the following instructions should the nurse include when preparing the client?&#10;A)Shower, but not a tub bath, before the examination&#10;B)Do not have sexual intercourse the day before the Pap test&#10;C)Plan to have the Pap test just after her menstrual period&#10;D)Avoid douching for at least 24 hours before the examination

Accepted Answer

The answer of When scheduling a pelvic examination and Pap...

Question 16

The nurse is assessing a client who has amenorrhea with a weight of 41 kg. The client makes all of the following statements to the nurse. Which one indicates a need for client teaching?&#10;A)&#34;I have not been able to eat much for the past few months and I am so fat.&#34;&#10;B)&#34;I drink at least three glasses of nonfat milk every day.&#34;&#10;C)&#34;I am not sexually active but currently I have an IUD [intrauterine device].&#34;&#10;D)&#34;I was recently treated for a sexually transmitted disease.&#34;

Accepted Answer

The answer of The nurse is assessing a client who...

Question 17

The nurse is admitting a young adult female client to the emergency department after an automobile accident and is scheduled for abdominal x-rays. Which of the following information is most important to report to the health care provider before the x-raysareobtained?

A)Abdominal pain
B)Positive hCG testing
C)Temperature 38.9°C (102°F)
D)Blood pressure 172/88 mm Hg

Accepted Answer

The answer of The nurse is admitting a young adult...

Question 18

The nurse is caring for a client with a possible ovarian cyst who is scheduled for an ultrasound. Which of the following information should the nurse include when teaching the client about the ultrasound?

A)Discontinue taking Aspirin before the procedure
B)Receive IV contrast solution during the procedure
C)Expect mild abdominal cramps after the procedure
D)Drink several glasses of fluids before the procedure

Accepted Answer

The answer of The nurse is caring for a client...

Deck 53: Nursing Assessment Reproductive System