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?

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, "My menstrual period is very heavy. I have to change my tampon every 4 hours." Which of the following actions should the nurse take next?

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?

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)?

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?

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?

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?

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?

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?

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?

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?

Accepted Answer

For the Huhner test, the couple should have intercourse at the estimated time of conception and then arrive for the test 2-8 hours after intercourse. The other instructions would be used for other types of fertility testing.

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?

Accepted Answer

This question is the most simply stated and will increase the likelihood of obtaining the relevant information about sexual orientation and possible risk factors associated with sexual activity. A client who prefers intercourse with women may also have intercourse at times with men. The types of sexual activities engaged in may not indicate sexual orientation. Many clients who have intercourse with both men and women do not identify themselves as homosexual or bisexual.

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?

Accepted Answer

A digital rectal examination is required for all men who have symptoms of prostate trouble, such as difficulty in initiating the flow and the urge to void frequently. This examination should be performed annually for all men 50 years of age or older. There is no indication that the other client teaching topics are appropriate for this client.

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)?

Accepted Answer

Some antihypertensives may cause erectile dysfunction, and the nurse should anticipate a change in antihypertensive therapy. The other medications will not affect erectile function.

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?

Accepted Answer

The results of a Pap test may be affected by douching, and so the client should not douche before the examination. The exam may be scheduled without regard to the menstrual period. The client may shower or bathe before the examination. Sexual intercourse does not affect the results of the examination or Pap test.

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?

Accepted Answer

Not being about to eat much at all for the past three months indicates that the client may be experiencing anorexia. Anorexia can cause amenorrhea. The other statements by the client do not suggest any urgent teaching needs.

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?

Accepted Answer

Positive hCG testing indicates that the client is pregnant and that unnecessary abdominal x-rays should be avoided. The other information is also important to report, but it will not affect whether the x-rays should be done.

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?

Accepted Answer

A full bladder is needed for many ultrasound procedures, so the nurse will have the client drink fluids before arriving for the ultrasound. The other instructions are not accurate for this procedure.

Quiz 53: Nursing Assessment Reproductive System