Question 1

Which patient statement about vasomotor symptoms of menopause indicates the need for further teaching?

Accepted Answer

Central weight gain is not a vasomotor symptom of menopause.

Question 2

Which statement by the patient with stage IV breast cancer indicates the need for further teaching?

Accepted Answer

Stage IV breast cancer is characterized by metastasis, meaning the cancer has spread to other parts of the body. The statement "The tumor is large but there is not metastasis" indicates a misunderstanding of stage IV cancer, which inherently involves metastasis.

Question 3

Which statement by the patient with stage I breast cancer indicates understanding of this diagnosis?

Accepted Answer

Stage I breast cancer is characterized by no lymph node involvement and a tumor size less than 2 cm, indicating an early stage of cancer with a good prognosis.

Question 4

In caring for a patient complaining of pain with menstruation, the nurse correlates this to which information related to the etiology and pathophysiology of this condition?

Accepted Answer

Primary dysmenorrhea often starts within a few years of menarche, typically once ovulatory cycles are established, and is most common in younger women. It is not caused by underlying pelvic pathology, distinguishing it from secondary dysmenorrhea, which is associated with conditions like endometriosis and pelvic inflammatory disease.

Question 5

The nurse monitors for which clinical manifestations in the patient diagnosed with ovarian cancer?

Accepted Answer

The answer of The nurse monitors for which clinical manifestations...

Question 6

The nurse correlates which finding in a patient's health history as the greatest risk factor for the development of endometriosis?

Accepted Answer

Having an identical (monozygotic) twin with a history of endometriosis presents the greatest risk factor due to the shared genetic makeup, which significantly increases the likelihood of developing the condition compared to other familial relationships.

Question 7

During an assessment, the nurse notes that a patient receiving radiation treatments for breast cancer has excoriated skin. What is the priority nursing diagnosis for this patient?

Accepted Answer

Excoriated skin, especially in a patient receiving radiation treatments, is at a higher risk of infection due to the compromised integrity of the skin barrier. This makes "Risk for Infection" the priority nursing diagnosis.

Question 8

A patient with a history of breast cancer who is entering menopause is seeking information about how to manage hot flashes. What information can be provided to the patient?

Accepted Answer

Black cohosh is a herbal supplement that some studies suggest may help manage menopausal symptoms, including hot flashes. It is considered a non-hormonal option, which can be particularly appealing for breast cancer survivors who may need to avoid estrogen-based treatments.

Question 9

Which statement by the patient with stage IV uterine cancer indicates the need for further teaching?

Accepted Answer

Stage IV uterine cancer is advanced and has spread beyond the uterus, making it unlikely to be cured with surgery alone. This statement indicates a misunderstanding of the disease's severity and treatment options.

Question 10

The nurse determines which patient is at greatest risk of ovarian cancer?

Accepted Answer

The answer of The nurse determines which patient is at...

Question 11

A young adolescent patient is concerned about experiencing severe cramps with menstruation. How should the nurse respond to this patient?

Accepted Answer

Menstrual cramps are common in young adolescents and often become less severe with age.

Question 12

The nurse is caring for a patient with metastatic breast cancer receiving chemotherapy. Even though the prognosis is poor, the patient tells the nurse that the plan is to do everything to survive. What is the best response by the nurse?

Accepted Answer

The best response by the nurse is to support the patient's optimism and provide education, which can help maintain hope and improve the patient's quality of life during treatment.

Question 13

The nurse reinforces education to a patient who will have a fine-needle aspiration breast biopsy. Which patient statement indicates a need for additional teaching?

Accepted Answer

Ultrasound imaging during a fine-needle aspiration breast biopsy is not always required if the mass is palpable. The need for ultrasound guidance depends on the visibility and location of the mass, not solely on its palpability.

Question 14

Which statement by the patient about dysmenorrhea indicates the need for further teaching?

Accepted Answer

Acetaminophen is not as effective as nonsteroidal anti-inflammatory drugs (NSAIDs) for treating dysmenorrhea because it does not target the production of prostaglandins, which are largely responsible for menstrual cramps. NSAIDs are typically recommended for managing dysmenorrhea symptoms.

Question 15

Which patient statement about endometriosis indicates the need for further teaching?

Accepted Answer

Increasing calcium intake is not a recognized method to decrease pain associated with endometriosis, indicating a need for further teaching.

Question 16

In preparing education for a patient diagnosed with endometriosis, what information does the nurse include as a first-line treatment option?

Accepted Answer

Oral contraceptives are often considered a first-line treatment for endometriosis as they help regulate the menstrual cycle and reduce menstrual flow, which can alleviate symptoms.

Question 17

The nurse incorporates which information into the teaching plan for the patient receiving gonadotropin-releasing hormone (GnRH) agonists for the treatment of endometriosis?

Accepted Answer

GnRH agonists can lead to decreased bone density, so taking a vitamin D supplement daily can help maintain bone health during treatment.

Question 18

The nurse instructing a group of women between the ages of 40 and 50 about early detection of breast cancer includes which information?

Accepted Answer

Mammograms are recommended annually for women over 40 to detect breast cancer early.

Question 19

The nurse correlates which finding in the health history of a female patient to an increased risk of ovarian cancer?

Accepted Answer

A high body mass index (BMI) is associated with an increased risk of several types of cancer, including ovarian cancer. Obesity can influence hormone levels which in turn can increase the risk of developing ovarian cancer. Choices A, B, and C are generally associated with a reduced risk of ovarian cancer.

Question 20

In developing a teaching session for a group of young women about strategies to relieve menstrual cramping, the nurse includes what content as the focus of these strategies?

Accepted Answer

Increasing blood flow to the uterine muscle can help relieve menstrual cramping by providing more oxygen to the tissue, which can help reduce pain.

Quiz 65: Coordinating Care for Female Patients With Reproductive and Breast Disorders