53
Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess?
fishy smelling, watery discharge
A client who is diagnosed with premenstrual syndrome is ordered agonadotropin-releasing hormone (GnRH). Which is a priority teaching item in the use of this drug?
increase vit. D + calcium intake
Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)?
super absorbent tampon
A client is ordered a vaginal cream for the treatment of a yeast infection. As the nurse provides instruction, which step for inserting vaginal medications should be highlighted?
wash applicator after use
A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect?
weight gain
After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction?
white and yellow discharge is expected/normal
A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options?
"It might help to include your partner in any of the discussions about options."
Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the dx?
"The cancer has not spread."
The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom?
Candida albicans
While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is atrisk for which of the following?
Cervical Cancer
The nurse is providing an educational presentation on toxic shock syndrome to a group of adolescents. Which preventative measure is a primary focus for this group?
Change tampon frequently
A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse?
Contact precautions
A postmenopausal client is receiving alendronate. Which of the following would the nurse include when teaching the client about this drug?
Drink at least 8oz of water when taking this drug
A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure?
Encourage fluid intake
A client, who wishes to preserve childbearing, asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse?
Endometriosis sx's are increased during normal menstrual cycle
Which assessment finding will most likely influence the treatment regime selected by a client with endometriosis?
Family Planning
The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy?
Family hx of breast cancer
A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief for this client with the least risk?
Hormonal Contraceptives
When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems?
Hypertension, Hyperlipidemia, Infertility
A client with extensive endometriosis is scheduled for a panhysterectomy. Which statement by the client indicates a need for further teaching?
I will not have to deal with sx of menopause
A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client?
Infertility
A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?
Malignancy is localized
A client is struggling with symptoms of irritability and "feeling crazy" at times. Which assessment data would provide the most important information needed in the development of a treatment plan for this client?
Menstrual Diary
Which of the following is an early symptom of vulvar cancer?
Pruritus with genital burning
An elderly client, who can void only while standing and pushing upward on the vagina,is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?
Remove and clean it every day
While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following?
STI + Cervical Cancer
Which is the primary assessment finding in identifying the possible cause of repeated episodes of vaginitis in a female client?
T2 DM
A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
Take sitz baths frequently
Which of the following nursing instructions is essential in the care of a postmenopausal client who is prescribed ibandronate (Boniva)?
Take this medication with water
A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse?
These are normal, manageable symptoms of menopause
