Question 1

The nurse is assisting with teaching a patient who has been placed on metronidazole (Flagyl)for bacterial vaginosis.What instruction by the nurse is appropriate?

Accepted Answer

Teach the patient to use the medication as directed,even if symptoms cease.A.The medication should be taken when prescribed and not whenever vaginal itching or irritation occurs.B.The medication should be taken as directed,which might be longer than 24 hours after symptoms cease.D.Antibiotics are not usually needed for extended periods.

Question 2

A patient at a walk-in clinic requests oral contraceptives (OCs)because she heard they can prevent sexually transmitted infections (STI).What information should the nurse use to base a response to this patient?

Accepted Answer

There is much debate about whether hormonal contraceptive agents may offer some protection against some STIs,based on lower statistical rates of STIs among oral contraceptive users.B.C.Cellular changes of the cervix seen with hormonal contraceptive use actually tend to be associated with higher rates of some STIs.A.Unless some specific mechanism of prevention is demonstrated by research,it seems irresponsible to suggest that OCs alone offer protection against anything other than pregnancy.Therefore,women should still be advised about the risks of contracting STIs while taking an OC.

Question 3

A patient comes to an outpatient clinic because of premenstrual syndrome (PMS)symptoms.What advice from the nurse may help her reduce her symptoms?

Accepted Answer

The nurse can provide educational materials on lifestyle measures,such as restriction of alcohol,caffeine,nicotine,salt,and simple sugars; participation in regular exercise; and development of stress management skills.B.Antianxiety agents are generally not used and would not be considered until nonpharmacological interventions are tried.A.Rest and fluids are not necessary to reduce the symptoms.D.Exercise is encouraged.

Question 4

The nurse is assessing a patient after a mastectomy and thinks the patient's affected arm appears swollen.What is the best way to verify this finding?

Accepted Answer

The best way to verify if the affected arm is swollen is to measure and comparing the affected side with the patient's opposite side.A.C.Measuring,checking for pitting edema and documenting are not as significant if not compared with the normal side.D.Hanging the arm down will not help and may worsen the swelling.

Question 5

The nurse is teaching a patient how to use a daily vaginal suppository.Which statement indicates that teaching has been effective?

Accepted Answer

Application of vaginal medication is easiest when the patient is lying down ready to sleep,because vaginal medications tend to run out when the patient stands or sits.B.C.D.Using it at other times risks losing much of the medication and its effect.

Question 6

A patient reports long,heavy,irregular menses accompanied by headache and back pain for the past several months.How should the nurse document these symptoms?

Accepted Answer

Menometrorrhagia is long,heavy,irregular menses.A.Polymenorrhea is frequent menses.B Oligomenorrhea refers to cycles longer than 35 days.C.Hypermenorrhea is menses lasting longer than 7 days.

Question 7

A 50-year-old woman states,"It is such a relief not to need birth control any more.I haven't had a period in 3 months." How should the nurse respond?

Accepted Answer

It is important to remind perimenopausal women that they may still be fertile after several months of amenorrhea.A.To prevent conception,they need to continue to practice birth control until they receive confirmation from their primary care provider that menopause is complete.C.Six months is not a magic number.B.A tubal ligation is not necessary,because only a brief time of needing protection remains.

Question 8

A patient is being seen for the urinary bladder sagging into the vagina.How should the nurse document this health problem?

Accepted Answer

Cystocele occurs when the bladder sags into the vaginal space because of inadequate support.A.Rectocele occurs when a portion of the rectum sags into the vagina because of inadequate support.C.Dyspareunia refers to pain with intercourse.D.Bladder fistula is a tract from the bladder to another location.

Question 9

A patient must prevent pregnancy while receiving chemotherapy that could harm a fetus.About which type of birth control should the nurse anticipate teaching the patient?

Accepted Answer

Oral contraceptives are the most effective for preventing pregnancy during chemotherapy.B.Depot medications are not immediately affective.A.D.Barrier methods are the least effective method of birth control.

Question 10

The nurse is assisting with a community education class on breast cancer prevention.Which risk factors should the nurse include in this training?

Accepted Answer

Factors that increase the risk of development of breast cancer include increasing age,personal or family history of breast cancer,high-fat diet,high alcohol intake,treatment with estrogens (especially when used without progestins),early menarche,late menopause,no pregnancy or late first pregnancy,and no breastfeeding or breastfeeding for short periods of time following delivery.

Question 11

The nurse enters the room of a patient with a new mastectomy and finds her crying.After confirming that the patient is crying because of the loss of her breast,which response by the nurse is best?

Accepted Answer

The nurse should help the patient remember previous successes in coping and strategies used since the memory of prior successes can encourage hope for future successes.A,B,and D all belittle the patient's concerns.The nurse does not know how the patient feels.

Question 12

The nurse is teaching a woman with a menstrual disorder how to measure menstrual flow.Which instruction should the nurse include?

Accepted Answer

Estimation of the amount of blood lost during menses may be difficult because pad counts can vary widely,depending on the frequency of pad changes and the portion of the pad that contains blood.The only accurate way to estimate menstrual flow is by weighing the pads (sealed in a biohazard bag)and then subtracting the weight of the original pads.D.Weighing the woman is inaccurate because there are too many other factors affecting weight.A.B.Catheters and collection systems may be used for urinary drainage but not for vaginal collection.

Question 13

A patient is seen in a clinic for contact vaginitis.What information from her history helps the nurse to plan teaching for the patient?

Accepted Answer

Contact vulvovaginitis can be related to contact with allergens or irritating chemicals such as contraceptive creams or bubble baths.D.Vaginitis is inflammation,not infection.C.UTI does not predispose to vaginitis.A.Stress and antibiotics are more likely to place the patient at risk of infection,not inflammation.

Question 14

A female patient has just learned that she is infertile.She says,"All I ever wanted in life was to have a baby.My life is over." What is the best response by the nurse?

Accepted Answer

The nurse needs to reflect the patient's feelings and offer information about options when the patient is ready.A.B.These responses belittle the patient's feelings and offer advice,which is inappropriate.C.Referring the patient to another country for treatment is dangerous and not the role of the nurse.

Question 15

A 16-year-old girl is admitted to the hospital with toxic shock syndrome (TSS).Which action by the nurse should take priority?

Accepted Answer

At 16,the girl is at an age at which she needs to understand the risk factors,not her mother.Assessment of baseline knowledge should always take place before teaching risk factors or signs and symptoms.

Question 16

A woman tells the nurse,"I am having terrible pain with my period.This has never happened before.What should I do?" What is the best response by the nurse?

Accepted Answer

The nurse should never give advice until a diagnosis is known.A.C.D.Once a diagnosis is known,it may be appropriate to teach measures to increase comfort during periods such as NSAIDs,exercise,or positioning.

Question 17

The nurse is reviewing the health histories of several patients scheduled for appointments in the health clinic.Which patient should the nurse recognize as being predisposed to developing a vaginal yeast infection?

Accepted Answer

Several conditions can predispose patients to an overgrowth of resident microbes: poor nutrition (especially diets high in simple sugars); inconsistent control of blood glucose levels in patients with diabetes,stress,pregnancy,marked hormonal fluctuations,pH changes,prolonged overheating of the genital area with little aeration (as happens with sitting still for long periods in overly restrictive clothing); and changes in the balance of vaginal flora types because of antibiotic (not NSAID)treatment or douching.A.Eating a high-protein diet,exercising daily,and using NSAIDs do not increase the risk of developing a vaginal yeast infection.

Question 18

The nurse is assisting with teaching a woman who is having difficulty conceiving.What instruction should the nurse provide about keeping a basal body temperature chart?

Accepted Answer

The nurse teaches the patient to keep a precise record of her oral temperatures with a basal thermometer each morning on awakening,before any other activity.The first day of her menses is day 1 on the temperature chart.Changing levels of hormones result in slight temperature changes,which can be used to identify when ovulation seems to be occurring and when particular hormone levels should be tested.A.B.C.These are incorrect methods to measure basal body temperature.

Question 19

The nurse is caring for a patient who had a left mastectomy earlier in the day and informs the nurse of several concerns.Which should the nurse attend to first?

Accepted Answer

Pain,constipation,and bleeding are all physiological needs which are a priority according to Maslow's hierarch.D.Psychosocial needs can be addressed later.A.C.Because 3 cm of blood is not urgent,and a few more minutes of constipation will not make a difference in the outcome,the pain should be treated first.

Question 20

The nurse is caring for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion.Why is a mastectomy patient at risk for pulmonary complications?

Accepted Answer

Patients can have ineffective breathing patterns and difficulty coughing because of pain with chest movement.D.Bedrest is not necessary.B.Pathogens should not be introduced during surgery,and the mastectomy site is not the same as the lungs.A.Breast cancer does not often spread to the lungs before diagnosis.

Quiz 42: Nursing Care of Women With Reproductive System Disorders

The nurse is assisting with teaching a patient who has been placed on metronidazole (Flagyl) for bacterial vaginosis.What instruction by the nurse is appropriate?

A patient at a walk-in clinic requests oral contraceptives (OCs) because she heard they can prevent sexually transmitted infections (STI) .What information should the nurse use to base a response to this patient?

A patient comes to an outpatient clinic because of premenstrual syndrome (PMS) symptoms.What advice from the nurse may help her reduce her symptoms?