med surge practice exam quiz gynie problems

A client has recently undergone an anterior colporrhaphy. Which is the most important discharge instruction that the nurse can provide?

"Call us for fever and pain that does not improve."

A woman has endometriosis and is visibly upset. She tells the nurse that she just got married and wants to have children but is distressed because now she will be infertile. Which response by the nurse is most appropriate?

"Endometriosis is more common in infertile women, but not all treatments cause infertility."

When the history of a female client is taken, which client statement does the nurse refer to the health care provider?

"I had my menopause 2 years ago and have started to have vaginal bleeding again."

A client had a posterior colporrhaphy. Which statement by the client indicates an adequate understanding of discharge instructions?

"I'll need to eat a low-residue diet."

A woman has been told she has cervical polyps. Which statement by the client indicates a good understanding of the teaching the nurse provided?

"These can be removed easily in the doctor's office with little pain."

A client is in the clinic reporting stress incontinence. Which other assess- ment is the priority for the nurse to perform?

Ask the client about vaginal discharge or bleeding.

Which intervention is essential for the nurse to perform for a client who had a total abdominal hysterectomy?

Assess for problems with intercourse.

For which problem are Kegel exercises recommended?

Cystocele

A client has returned to the nursing unit after a total abdominal hysterectomy. The nurse auscultates the client's abdomen and does not hear bowel sounds. Which is the nurse's priority intervention?

Document the finding in the chart.

A 48-year-old woman reports to the nurse about new "flooding" with her periods. Which other complaint is the nurse prepared to investigate more thoroughly?

Fatigue during typical activity

A woman reports cyclical abdominal pain, and her pelvic examination reveals tender nodules in the posterior vagina. The nurse plans to educate the woman about which treatment?

Medroxyprogesterone (Depo-Provera)

Why are the death rates from ovarian cancer so high?

No symptoms are obvious during the early stages of this disorder.

A client with pelvic organ prolapse has chosen treatment with a vaginal mesh. Which action by the nurse before the procedure is most important?

Witnessing the client signature on the informed consent

A client is recovering from a hysteroscopic myomectomy. The nurse assesses the client and finds the following: 2+ bilateral pedal edema; pulse, 108 beats/min; and respiratory rate, 28 breaths/min. Which action by the nurse takes priority?

Assess lung sounds and oxygen saturation.

A woman is receiving radiation via brachytherapy for endometrial cancer. Which statement by the woman indicates a need for further education about the procedure?

"I must stay away from my young grandchildren for 6 weeks."

A client is scheduled to have a hysteroscopic myomectomy. Which statement by the client indicates that she understands the procedure?

"I will need to deliver future children by cesarean section."

Which statement made by a woman who is being discharged after a hysterectomy indicates understanding and acceptance?

"My husband and I hope to have more sex because I won't have so much bleeding."

A client has undergone cryosurgery for stage I cervical cancer. Which precaution or action does the nurse teach this client?

"Use sanitary napkins to manage discharge for the next several weeks."

A client had a uterine artery embolization and has just returned to the nursing unit. She is asking when she can get up to go to the bathroom. Which question does the nurse ask during hand-off report?

"Was a vascular closure device used?"

Which action does the nurse teach the client to prevent toxic shock syn- drome?

"Wash your hands before inserting a tampon."

The client has been diagnosed with possible vulvovaginitis pending the outcome of laboratory tests. What information does the nurse teach the client?

"Wear only cotton underwear and wear looser jeans or slacks."

A client is crying because her endometrial cancer is scheduled to be treated with chemotherapy agents that will cause hair loss. Which is the most appropriate response from the nurse?

"Would you like me to put you in touch with a former client so that you can talk?"

A client had a total abdominal hysterectomy with bilateral salpingo- oophorectomy and pelvic lymph node dissection 2 days ago. The nurse finds the client short of breath, tachycardic, and anxious. What intervention takes priority?

Assess oxygen saturation and apply oxygen if needed.

A woman had returned to the nursing unit after a total abdominal hysterecto- my. After settling the client and performing a thorough assessment including vital signs, which action by the nurse is most important?

Obtain and apply sequential compression devices.

Which symptom experienced by a woman in her 20s alerts the nurse to the possibility of endometriosis?

Pain before the onset of menstrual flow

Which clinical manifestation in a client with invasive cervical cancer alerts the nurse to the possibility of metastasis?

Swelling of one leg

A woman has had recurrent Bartholin cysts. Which intervention is most appropriate for the nurse to add to the client's care plan?

Teach the woman about surgical marsupialization.

A young woman calls the clinic to report a fever and a funny rash with peeling skin on the palms of her hands and the soles of her feet. Which action by the nurse is most appropriate?

Tell her to go to the emergency department immediately.