MS repro quiz 2

After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction? a) "After removal, I should wash the pessary with warm soapy water, rinse, and dry it." b) "I need to apply a sterile lubricant to the pessary before reinserting it." c) "I should call the physician if I notice any discomfort with the pessary." d) "A white or yellow vaginal discharge is expected and normal."

"A white or yellow vaginal discharge is expected and normal."

A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following? a) "Anytime I need blood drawn, they should get the sample from my right arm." b) "I can lift with my right arm objects that weigh as much as 15 pounds." c) "I need to use an electric shaver when shaving my right armpit." d) "I should tell my manucurist that it is okay to trim the cuticles on my right hand."

"I need to use an electric shaver when shaving my right armpit."

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? a) "Trapping blood causes less pain or discomfort for clients with endometriosis." b) "Contraceptives will allow blood to be diverted to the peritoneal cavity." c) "Endometriosis is usually cured with surgical menopause." d) "Symptoms of endometriosis are increased during normal menstrual cycle."

"Symptoms of endometriosis are increased during normal menstrual cycle."

Which client has the highest risk of ovarian cancer? a) 45-year-old woman who has never been pregnant b) 30-year-old woman taking hormonal contraceptives c) 36-year-old woman who had her first child at age 22 d) 40-year-old woman with three children

45-year-old woman who has never been pregnant

A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct? a) A magnetic resonance imaging (MRI) b) A clinical breast exam c) A biopsy d) An ultrasound

A biopsy

While reviewing the history of a client diagnosed with cancer of the vagina, the nurse would expect the client to report which of the following as the major complaint? a) Ascites b) Urinary frequency c) Abdominal discomfort d) Abnormal vaginal bleeding

Abnormal vaginal bleeding

Makayla is being seen at the local community-based clinic where you practice nursing. Her healthcare provider has diagnosed Makayla with candidiasis and prescribed clotrimazole cream once daily for 7 days. You are providing education on how to administer the prescribed treatment. Which of the following techniques will Makayla use to administer this medication? a) Administer cream in the morning or after daily shower at the opening of vaginal canal. b) Administer cream outside of vagina once daily at bedtime. c) Administer cream three times daily high into vaginal canal. d) Administer cream at bedtime high into vaginal canal.

Administer cream at bedtime high into vaginal canal.

A nurse is collecting assessment data from a premenopausal patient who states that she does not have menses. What term should the nurse use to document the absence of menstrual flow? a) Menorrhagia b) Amenorrhea c) Dysmenorrhea d) Metrorrhagia

Amenorrhea

A 24-year-old client is being seen by the physician in the primary care group where you practice nursing. Over the past 2 months, the client has been receiving treatment for multiple ear infections and tonsillitis. She reports vaginal discharge and itching at this appointment. What would you expect to be the cause of her vaginitis? a) Regulated diabetes b) Increased estrogen c) Antibiotics d) Infrequent douching

Antibiotics

A client returns to the recovery room following a mastectomy. An initial postoperative assessment is performed by the nurse. What is the nurse's priority assessment? a) Assessing the vital signs and oxygen saturation levels. b) Checking the dressing, drain, and amount of drainage. c) Checking level of pain first upon the clients return from the operating room. d) Checking for urinary retention and the need to void.

Assessing the vital signs and oxygen saturation levels.

A nurse is caring for a pregnant patient with active herpes. The teaching plan for this patient should include which of the following? a) Babies delivered vaginally may become infected with the virus. b) Pain generally does not occur with a herpes outbreak during pregnancy. c) Recommended treatment is excision of the herpes lesions. d) Pregnancy may exacerbate the mother's symptoms, but poses no risk to the infant.

Babies delivered vaginally may become infected with the virus.

A patient with trichomoniasis comes to the walk-in clinic. In developing a care plan for this patient the nurse would know to include what as an important aspect of treating this patient? a) Both partners will be treated with metronidazole (Flagyl). b) Constipation and menstrual difficulties may occur. c) The patient should perform Kegel exercises 30 to 80 times daily. d) Care will involve hormone therapy to control the pain.

Both partners will be treated with metronidazole (Flagyl).

Which of the following terms is used to describe a procedure in which cervical tissue is removed as result of detection of abnormal cells? a) Cone biopsy (Conization) b) Cryotherapy c) Perineorrhaphy d) Colporrhaphy

Cone biopsy (Conization)

The nurse working on a woman's cancer treatment floor performs nursing assessments on her assigned patients. It is most important for the nurse to report which of the following assessment findings? a) Temperature of 99.2°F, pulse 72, respirations 18, blood pressure 130/80 b) Immediate postoperative reports of throat tenderness c) Coolness and mottling of a newly constructed breast site d) Small amount of bloody drainage on surgical dressing 12 hours postoperatively

Coolness and mottling of a newly constructed breast site

The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema? a) Drainage from the areola b) Fluid accumulation under in the axilla c) A reddened area around the breast d) Enlargement of the arm or hand

Enlargement of the arm or hand

In your role as nursing director at the local free clinic, you spend a significant amount of time instructing young women about their bodies and maintaining sexual health. Instruction regarding conception includes the structures involved and their roles. Within the female internal reproductive structures, where is the egg most commonly fertilized? a) Cervix b) Fallopian tubes c) Fundus d) Endometrium

Fallopian tubes

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? a) Family history of breast cancer b) History of osteoporosis c) Presence of kyphosis d) Symptoms of hot flashes

Family history of breast cancer

Which of the following is a characteristic of a breast cancer mass? a) Tender upon palpation b) Firm, hard, embedded in surrounding tissue c) Symmetrical mass d) Occurs as disseminated masses

Firm, hard, embedded in surrounding tissue

Hormone therapy decreases the risk of which of the following? a) Blood clots b) Heart attack c) Hot flashes d) Stroke

Hot flashes

The nurse notes that a patient has a history of "fibroids" and is aware that this term refers to a benign tumor of the uterus. What is a more appropriate term for a fibroid? a) Dermoid cyst b) Bartholin's cyst c) Leiomyoma d) Hydatidiform mole

Leiomyoma

A client is undergoing a left modified radical mastectomy for breast cancer. Postoperatively, blood pressure should be obtained from the right arm, and the client's left arm and hand should be elevated as much as possible to prevent which condition? a) I.V. infusion infiltration b) Muscle atrophy c) Trousseau's sign d) Lymphedema

Lymphedema

As a grade school nurse, you speak to the sixth grade boys regarding their physical maturation and body changes during puberty. In your student education sessions, you discuss the procedure of circumcision and how it is viewed by different ethnicities. Which external reproductive structure is removed by circumcision? a) Glans b) Corpora cavernosa c) All options are correct. d) Prepuce

Prepuce

Which of the following is the extrusion of the rectum into the posterior vagina? a) Rectocele b) Cystocele c) Uterine prolapse d) Enterocele

Rectocele

A nurse is assisting with obtaining a specimen of breast milk from a mother with suspected mastitis. What organism would the nurse most expect to be found in the milk that would be consistent with a diagnosis of mastitis? a) Chlamydia trachomitis b) Staphylococcus aureus c) Protein d) Candida albicans

Staphylococcus aureus

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? a) The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days. b) This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually. c) The potential for transmission to her sexual partner will be eliminated if condoms are used every time she and her partner have sexual intercourse. d) The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex.

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

A patient is being discharged home after a hysterectomy. When providing discharge education for this patient, the nurse has cautioned the patient against sitting for long periods. This advice addresses the patient's risk of what surgical complication? a) Hemorrhage b) Venous thromboembolism c) Pudendal nerve damage d) Fatigue

Venous thromboembolism

Which of the following terms describes an opening between the bladder and the vagina? a) Cystocele b) Vesicovaginal fistula c) Rectocele d) Rectovaginal fistula

Vesicovaginal fistula

At a public health fair, a nurse teaches a group of women about breast cancer awareness. Possible signs of breast cancer include: a) fever and erythema of the breast. b) breast changes during menstruation. c) nipple discharge and a breast nodule. d) fever.

nipple discharge and a breast nodule.

A nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women: a) have a mammogram annually. b) have a physician conduct a clinical examination every 2 years. c) have a hormonal receptor assay annually. d) perform breast self-examination annually.

have a mammogram annually.