Question 1

The following patients call the outpatient clinic.Which phone call should the nurse return first?

Accepted Answer

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

Question 2

Which finding from the nurse's physical assessment of a 42-year-old male patient should be reported 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 3

An 18-year-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays.Which information is most important to report to the health care provider before the x-rays are obtained?

Accepted Answer

Positive hCG testing indicates that the patient 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 4

A 44-year-old patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL)test,but no chancre is visible on assessment.The nurse will plan to send specimens for

Accepted Answer

Because 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 cytologic studies are used to detect abnormal cells (such as neoplastic cells).

Question 5

A 24-year-old female says she wants to begin using oral contraceptives.Which information from the nursing assessment is most important to report to the health care provider?

Accepted Answer

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

Question 6

A 22-year-old patient reports her concern about not having a menstrual period for the past 7 months.Which statement by the patient indicates a possible related factor to the amenorrhea?

Accepted Answer

Excessive exercise can cause amenorrhea.The other statements by the patient do not suggest any urgent teaching needs.

Question 7

A 68-year-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger.The nurse's best response to the patient's concern is which of the following?

Accepted Answer

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

Question 8

Which information shown in the accompanying figure and obtained by the nurse about a 72-year-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider?

Accepted Answer

Many medications used for hypertension can cause erectile dysfunction.More information is needed regarding the specific medications.The other assessment data will not impact erectile function (recent knee surgery)or are normal for a 70-year-old man (physical exam data and vital signs).

Question 9

After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

Accepted Answer

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

Question 10

A 49-year-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection.Which of the following drugs from his current medications list 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 11

The nurse will plan to teach a 51-year-old man who is scheduled for an annual physical exam about a(n)

Accepted Answer

PSA testing may be recommended annually for men,starting at age 50.There is no indication that the other patient teaching topics are appropriate for this patient.

Question 12

A couple is scheduled to have a Huhner test for infertility.In preparation for the test,the nurse will instruct the couple about

Accepted Answer

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

Question 13

A woman calls the clinic because she is having an unusually heavy menstrual flow.She tells the nurse that she has saturated three tampons in the past 2 hours.The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.

Accepted Answer

The average tampon absorbs 20 to 30 mL.

Question 14

After a 26-year-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach 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 patient will not require HT,have irregular menstrual cycles,or experience changes in secondary sex characteristics.

Question 15

Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?

Accepted Answer

Enlargement of the prostate blocks the urethra,leading to urinary changes such as a decrease in the force of the urinary stream.The other questions address possible problems with infection or sexual difficulties,but they would not be helpful in determining whether there were functional changes caused by BPH.

Question 16

The nurse explains to a 37-year-old patient being prepared for colposcopy with a cervical biopsy that the procedure

Accepted Answer

Colposcopy involves visualization of the cervix with a binocular microscope and is similar to a speculum examination.Anesthesia is not required and fasting is not necessary.A cervical biopsy may cause a minimal amount of pain.

Question 17

The nurse is assessing the sexual-reproductive functional health pattern of a 32-year-old woman.Which question is most useful in determining the patient'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 patient who prefers sex with women may also have intercourse at times with men.The types of sexual activities engaged in may not indicate sexual orientation.Many patients who have sex with both men and women do not identify themselves as homosexual or bisexual.

Question 18

A 19-year-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time.I have to change my tampon every 4 hours." Which action should the nurse take next?

Accepted Answer

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

Question 19

The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week.The nurse instructs the patient that she should

Accepted Answer

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

Quiz 47: Nursing Assessment: Reproductive System