Ch. 46-48 PrepU

The nurse is preparing a client for a pelvic examination. The client asks the nurse, "Why do I need to urinate and empty my bladder?" Which response by the nurse would be most appropriate?

"It helps make you more comfortable and the exam easier."

A nurse is preparing to obtain a sexual history from a client using the PLISSIT model. Which question would be most appropriate for the nurse to ask first?

"May I ask you some questions about your sexual health?"

A 67-year-old client relates increasing difficulty during intercourse, causing her pain and disrupting the intimacy that she and her husband used to share. What might be the cause of her pain?

Atrophy of bulbourethral glands

A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?

Biopsy ASAP

A client has undergone a total abdominal hysterectomy and bilateral salpingo-oopherectomy as treatment for endometrial cancer. When providing postoperative care to this client the nurse would be alert for signs and symptoms of which of the following?

Bladder dysfunction

A woman comes to the clinic complaining of vaginal itching and a discharge. Inspection reveals a thick curdlike white discharge. The nurse suspects which of the following?

Candidia infection

Which of the following terms is used to describe a procedure in which cervical tissue is removed as result of detection of abnormal cells?

Cone biopsy

A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans?

Cottage cheese like discharge

Which of the following terms is used to describe destruction of tissue by freezing?

Cryotherapy

Which of the following terms refers to difficult or painful sexual intercourse?

Dyspareunia

A female patient is scheduled to undergo a Papanicolaou test. The nurse should advise the patient of which of the following preparations?

Do not douche prior to procedure

A client is scheduled for an abdominal ultrasound as a follow up to her pelvic examination. Which action by the nurse would be most appropriate?

Ensuring that the client has a full bladder

A nurse is reviewing a client's history for possible risk factors associated with breast cancer. Which of the following would the nurse identify as increasing the client's risk?

First full term pregnancy at age 34

The nurse providing education regarding sexually transmitted diseases. Which of the following statements regarding herpes virus 2 (herpes genitalis) is accurate?

In pregnant women with active herpes virus, babies delivered vaginally may become infected with the virus.

The examiner is preparing to perform a pelvic examination. Which of the following would be done first?

Inspect external genitalia

A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?

It calls for a biopsy as soon as possible.

A 50-year-old client with challenging symptoms of menopause has discussed all the options and consequences with the physician and has some questions for you, her nurse, during the client education session. What does hormone replacement therapy endeavor to prevent? Choose all correct options.

Kyphosis Hip Fracture

Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which of the following complications does this technique help avoid?

Lymphedema

A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?

Nonmobile mass with irregular edges

A nurse is providing care to a client who was just admitted with a diagnosis of ectopic pregnancy. When reviewing the client's history, which of the following would the nurse identify as a major risk factor for this client?

PID

A 32-year-old woman has had three consecutive normal Pap tests. Which of the following recommendations for screening would be appropriate?

Pap test every 2-3 years

A positive chandelier sign is indicative of which of the following?

Pelvic infection

Which of the following is the period of transition from normal periods to the complete cessation of menses for 1 year?

Perimenopause

A nurse is obtaining health history from a young adult woman. Which of the following would alert the nurse to a possible problem?

Reports of dyspareunia

Nursing students are reviewing information about natural family planning methods in preparation for a quiz the next day. The students demonstrate a need for additional study when they identify which of the following as an example?

Spermicide

Which of the following positions is commonly used for a pelvic examination?

Supine lithotomy

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.

A group of students are reviewing the female reproductive system in preparation for a test. Which of the following if identified by the students as an internal structure indicates successful learning?

Vagina

A patient has been diagnosed with a Trichomoniasis vaginal infection. The nurse would expect which color of discharge?

Yellow-green

A female patient experienced a severe reduction in body fat by extreme caloric restriction and exercise. Which of the following female reproductive abnormalities could she acquire as a result of the reduction in body fat? Select all that apply.

• Delay or cessation of menstruation • Small breasts • Impaired potential for the implantation of a fertilized ovum