NURS 309 Quiz 5 Female Reproductive
A patient reports the sensation of feeling as if "something is falling out" along with painful intercourse, backache, and a feeling of heaviness or pressure in the pelvis. Which question does the nurse ask to assess for a cystocele? A. "Are you having urinary frequency or urgency?" B. "Do you feel constipated?" C. "Have you had a problem with hemorrhoids?" D. "Have you had any heavy vaginal bleeding?"
A. "Are you having urinary frequency or urgency?"
A patient had a pelvic examination and needs an additional diagnostic test for possible uterine leiomyomas. The nurse prepares the patient for which diagnostic test? A. Transvaginal ultrasound B. Laparoscopy C. Hysteroscopy D. Endometrial biopsy
A. Transvaginal ultrasound
A patient had an anterior colporrhaphy and is returning to the clinic for follow-up appointment. Which patient statement indicates that the procedure has achieved the desired therapeutic outcome? A. "The abdominal pain is almost gone" B. "I have good control over my urination" C. "That constipated feeling has resolved" D. "My vaginal bleeding has resolved"
B. "I have good control over my urination"
The nurse is teaching a group of women about prevention of toxic shock syndrome. What preventive measures does the nurse include? A. "Use super-absorbent tampons" B. "Use sanitary napkins on heavy flow days" C. "Change your tampon every 3-6 hours" D. "Void immediately after intercourse"
C. "Change your tampon every 3-6 hours"
Which woman is at greatest risk for pelvic orang prolapse? A. 16-year-old adolescent caring for her first child B. 25-year-old who became sexually active at age 15 C. 34-year-old who has a history of endometriosis D. 48-year-old obese mother of four children
D. 48-year-old obese mother of four children
What potential complication does a nurse anticipate when admitting a client with the diagnosis of severe procidentia (prolapse of the uterus)? A. Edema B. Fistulas C. Exudate D. Ulcerations
D. Ulcerations
Which patient has the greatest need for evaluation of possible endometrial cancer? A. 63-year-old woman who is having painless vaginal bleeding B. 33-year-old woman who reports a past history of multiple sex partners C. 23-year-old woman who has not had a menstural period for 3 months D. 52-year-old woman who is having irregular menses for 3 months
A. 63-year-old woman who is having painless vaginal bleeding
After an abdominal hysterectomy the client returns to the unit with an indwelling catheter. The nurse identifies that the urine in the client's collection bag has become increasingly sanguineous. What complication does a nurse suspect? A. An incisional nick in the bladder B. A urinary infection from the catheter C. Disseminated intravascular couagulopathy D. Uterine relaxation with increased bleeding
A. An incisional nick in the bladder
The patient reports itching, change in vaginal discharge, and an odor. The nurse suspects that the patient has vulvovaginitis. Based on vulvovaginitis, which questions would the nurse ask? SATA A. "Have you recently been taking antibiotics?" B. "Have you been swimming in a lake or pond?" C. "Do you consistently wipe from front to back?" D. "Do you use tampons?" E. "Do you douche or use vaginal sprays?" F. "Have you had a problem with vaginal yeast infections?"
A. "Have you recently been taking antibiotics?" C. "Do you consistently wipe from front to back?" D. "Do you use tampons?" E. "Do you douche or use vaginal sprays?" F. "Have you had a problem with vaginal yeast infections?"
The patient needs a diagnostic testing to determine the presence of endometrial thickening and possible cancer. Which brochure will the nurse prepare for the patient? A. "How Transvaginal Ultrasound and Endometrial Biopsy Are Used in Cancer Diagnosis" B. "The Role of Abdominal Ultrasound and Magnetic Resonance Imaging in Cancer Diagnosis" C. "Advances in the Diagnosis of Cancer Using Computed Tomography and Cystography" D. "What the Presence of BRCA1 or BRCA2 Gene Mutations Means in the Diagnosis of Cancer"
A. "How Transvaginal Ultrasound and Endometrial Biopsy Are Used in Cancer Diagnosis"
Following a uterine embolization using a vascular closure device, what patient care would the nurse provide? SATA A. Assist the patient to ambulate 2 hours after the procedure B. Keep the patient on bedrest with the leg immobilized for 4 hours before ambulating C. Encourage the patient to drink a lot of fluids D. Assess for constipation and administer laxatives as needed E. Raise the head of the bed F. Assess pain level and provide analgesics as needed
A. Assist the patient to ambulate 2 hours after the procedure E. Raise the head of the bed F. Assess pain level and provide analgesics as needed
The nurse is caring for a patient who had a posterior colporrhaphy. Which task is most appropriate to delegate to unlicensed assistive personnel? A. Assist the patient with a sitz bath to relieve discomfort B. Assist the patient to select menu items that are low residue C. Change the bed linens every 4 hours or more as needed D. Supervise and teach the patient to turn every 2 hours
A. Assist the patient with a sitz bath to relieve discomfort
A young woman had minimally invasive surgery for the removal of uterine fibroids. The nurse emphasizes that this information should be included when giving health history; however for which future scenario is the history most essential? A. Becomes pregnant and is looking forward to a home delivery with midwife assistance B. Potentially needs a hysterosalpinogram for evaluation of fallopian tube patency C. Develops recurrent and frequent episodes of vulvovaginitis related to Candida albicans D. Plans to take oral contraceptives for several years to delay pregnancy
A. Becomes pregnant and is looking forward to a home delivery with midwife assistance
A client who had an abdominal hysterectomy 3 days ago reports burning with urination. Her urine output during the previous shift was 210 mL, and her temperature is 101.3. Which of these actions prescribed by the health care provider will the nurse implement first? A. Insert a straight catheter as needed (PRN) for output of less than 300 mL/ 8 hr B. Administer acetaminophen 650 mg now and every 6 hours prn C. Send a urine specimen to the laboratory for culture and sensitivity testing D. Administer ceftizoxime 1 g IV now and every 12 hours
A. Insert a straight catheter as needed (PRN) for output of less than 300 mL/ 8 hr
A nurse is assessing a client who is being admitted for surgical repair of a rectocele. What signs or symptoms does the nurse expect the client to report? SATA A. Painful intercourse B. Crampy abdominal pain C. Bearing-down sensations D. Urinary stress incontinence E. Recurrent urinary tract infections
A. Painful intercourse C. Bearing-down sensations
The nurse is caring for a patient with a radioactive implant in the uterus. Which instruction will the nurse give to unlicensed assistive personnel? A. Patient is on bedrest and excessive movement is restricted B. Assist the patient to ambulate in the hall at least three times per shift C. Assist the patient to get up to the toilet or the commode chair D. Linens and patient gown should be frequently changed for drainage
A. Patient is on bedrest and excessive movement is restricted
The nurse is working in the emergency department when a client with possible toxic shock syndrome is admitted. Which prescribed intervention will the nurse implement first? A. Remove the client's tampon B. Obtain blood specimens for culture C. Give acetaminophen 650 mg D. Infuse nafcillin 1000 mg IV
A. Remove the client's tampon
The surgical procedure for stage 1 disease of endometrial cancer involves removal of which components? SATA A. Uterus B. Vagina C. Fallopian tubes D. Rectum E. Ovaires F. Peritoneum fluid for cytologic examination
A. Uterus C. Fallopian tubes E. Ovaires F. Peritoneum fluid for cytologic examination
Three years after the patient was diagnosed and treated for endometrial cancer, the patient and family are told that the cancer is recurring. Which intervention is the nurse most likely to use? A. Arrange for the patient to speak to other patients with recurring cancer B. Assess for readiness to explore palliative care and hospice C. Assist the patient to identify complementary therapies for palliation D. Teach about radical hysertectomy followed by brachytherapy
B. Assess for readiness to explore palliative care and hospice
A patient with uterine leiomyomas reports a feeling of pelvic pressure constipation, and urinary retention. She says, "I can't button my pants anymore." What does the nurse do to further evaluate the patient's condition? A. Check the lower extremities for fluid retention B. Assess the abdomen for distension or enlargement C. Measure the fluid intake and urine output D. Palpate the urinary meatus for inflammation
B. Assess the abdomen for distension or enlargement
The nurse encourages a teenage patient to receive the human papillomavirus (HPV) vaccine because it protects against which type of cancer? A. Endometrial cancer B. Cervical cancer C. Ovarian cancer D. Uterine cancer
B. Cervical cancer
A client who has a diagnosis of endometriosis is concerned about the side effects of hot flashes from her prescribed medication. She tells the nurse that her mother found them very uncomfortable during her menopause. What medications cause this side effect? A. Estrogen (Premarin) B. Leuprolide (Lupron) C. Diclofenac (Voltaren) D. Ergonovine (Ergotrate)
B. Leuprolide (Lupron)
The nurse is caring for a patient who is one day post-op for a total abdominal hysterectomy. Which assessment finding is cause for greatest concern? A. Urinary catheter is in place with a moderate amount of dark, amber urine B. Patient reports saturating one pad in an hour with dark red blood C. Patient reports difficulty with bowels and asks for a stool softener D. Incision is intact but appears more inflamed than previously
B. Patient reports saturating one pad in an hour with dark red blood
Which laboratory result indicates that the primary goal of treatment of the patient's uterine fibroids has been successful? A. Vaginal smears show no bacterial growth B. Red blood cell count is within normal limits C. Human chorionic gonadotropin is negative D. White blood cell count is within normal limits
B. Red blood cell count is within normal limits
The nurse is giving instructions to a patient who is undergoing brachytherapy for cervical cancer. What information does the nurse include? A. "Limit interactions with others between treatments for their protection' B. "We will give you pain medication prior to every treatment" C. "Report any blood in the urine or severe diarrhea immediately" D. "Expect heavy vaginal bleeding during this time"
C. "Report any blood in the urine or severe diarrhea immediately"
The nurse is interviewing a young woman who is considering the option of uterine artery embolization for the treatment of uterine fibroids. Which question would the nurse ask to assist the patient in making a decision? A. "How has the uterine fibroid condition been affecting your lifestyle?" B. "Do you have a family history of breast or uterine cancer?" C. "What did the health care provider tell you about the procedure?" D. "Would you like a brochure about planning future pregnancies?"
C. "What did the health care provider tell you about the procedure?"
The nurse is supervising a student nurse who is caring for a client who has an intracavitary radioactive implant in place to treat cervical cancer. Which action by the student requires that the nurse intervene immediately? A. Standing next to the client for 5 minutes while assisting with her bath B. Asking the client how she feels about losing her childbearing ability C. Assisting the client to the bedside commode for a bowel movement D. Offering to get the client whatever she would like to eat or drink
C. Assisting the client to the bedside commode for a bowel movement
The nurse is caring for several patients who had total abdominal hysterectomies. All patients are coming to the clinic for their 6-week follow-up appointment. Which patient demeanor is the strongest indicator that there is a need for psychological referral? A. Quiet and withdrawn but asks appropriate questions B. Tense and impatient but answers questions correctly C. Disheveled and lackluster and displays a lack of interest in questions D. Cheerful and distractible and answers questions with excessive detail
C. Disheveled and lackluster and displays a lack of interest in questions
What is the priority preoperative and postoperative nursing care for a patient with leiomyomas? A. Preventing infection B. Managing severe pain C. Monitoring for bleeding D. Assessing for and managing anxiety
C. Monitoring for bleeding
Which classic symptom is indicative of invasive gynecologic cancer? A. Swelling of the lymph nodes in groin area B. Dark and foul-smelling vaginal discharge C. Painless vaginal bleeding unrelated to menses D. Flank pain with dysuria and dark urine
C. Painless vaginal bleeding unrelated to menses
A client at the women's health clinic tells the nurse she has endometriosis. What factors associated with endometriosis does the nurse anticipate the client will report? SATA A. Insomnia B. Ecchymoses C. Rectal pressure D. Abdominal pain E. Skipped periods F. Pelvic infections
C. Rectal pressure D. Abdominal pain
The nurse is giving discharge teaching to a woman who had local cervical ablation. What information would be included? A. Sexual activity may be resumed usually in 1 week B. Change tampons every 4 hours C. Report heavy vaginal bleeding or foul-smelling drainage D. Avoid lifting heavy objects for several days
C. Report heavy vaginal bleeding or foul-smelling drainage
What is the primary factor for the low survival rates for patients who are diagnosed with ovarian cancer? A. Ovarian cancer develops in patient with underlying immunosuppression and poor health B. Ovarian cancer does not respond well to conventional radiation and chemotherapy treatments C. Symptoms are mild and vague; therefore, the cancer is often not detected until its late stage D. There are no specific diagnostic tests that can confirm or rule out ovarian cancer
C. Symptoms are mild and vague; therefore, the cancer is often not detected until its late stage
The nurse sees that a patient has been advised by the health care provider to apply lindane to the affected area. What is a self-care measure for this patient to ensure that the symptoms do not return after using this medication? A. Wash the area daily with hydrogen peroxide B. Take a sitz bath for 30 minutes several times a day C. Wash clothes and linens, and disinfect the home environment D. Remove any irritants or allergens (i.e. change detergents)
C. Wash clothes and linens, and disinfect the home environment
After a hysterosalpingo-oophorectomy, a client wants to know whether it would be wise for her to take hormones right away to prevent symptoms of menopause. What is the nurse's most appropriate response? A. "It's best to wait because you may not have any symptoms" B. "It is comforting to know that hormones are available if you should ever need them" C. "You have to wait until symptoms are severe; otherwise, hormones will have no effect" D. "Discuss this with your health care provider, because it is important to know your concerns"
D. "Discuss this with your health care provider, because it is important to know your concerns"
Which patient is most likely to be accepting of surgery and demonstrate better coping behaviors? A. 62-year-old woman with an active social and work life has an abdominal hysterectomy for advanced ovarian cancer B. 23-year-old woman with BRCA1 and BRCA2 genes elects to have a prophylactic bilateral salpingo-oophorectomy C. 58-year-old woman with one supportive adult child has ovarian cancer which was treated with cytoreduction D. 44-year-old woman with two children and supportive partner had an abdominal hysterectomy for uterine fibroids
D. 44-year-old woman with two children and supportive partner had an abdominal hysterectomy for uterine fibroids
In realling dietary intake for a recent 24-hour period, a female patient describes eating eggs, whole milk, and bacon for breakfast; fried chicken and french fries for lunch; three-cheese pizza and ice cream for dinner. This type of diet places her at increased risk for which disorder? A. Dysfunctional uterine bleeding B. Dysparenuia C. Early menopause D. Cancer of the ovaries
D. Cancer of the ovaries
The nurse is taking a history on a patient with probable gynecologic cancer. Which clinical manifestation is a sign of metastasis? A. Watery vaginal discharge B. Constipation C. Dysparenuia D. Dysuria
D. Dysuria
Which disorder is strongly associated with prolonged exposure to estrogen without the protective effects of progesterone? A. Endometriosis B. Uterine cancer C. Leiomyomas D. Endometrial cancer
D. Endometrial cancer
What does a nurse expect to be the priority concern of a 28-year-old woman who is to undergo a laparoscopic bilateral salpingo-oophorectomy? A. Acute pain B. Risk for hemorrhage C. Fear of chronic illness D. Loss of childbearing potential
D. Loss of childbearing potential
The nurse is working in the postanesthesia care unit caring for a 32-year-old client who has just arrived after undergoing dilation and curettage to evaluate infertility. Which assessment finding should be immediately communicated to the surgeon? A. Blood pressure of 162/90 mm Hg B. Saturation of the perineal pad after the first 30 minutes C. Oxygen saturations of 91% to 95% D. Sharp, continuous, level 8 abdominal pain (on a scale of 0 to 10)
D. Sharp, continuous, level 8 abdominal pain (on a scale of 0 to 10)
What self-management strategy would the nurse recommend tp a patient to prevent vulvovaginitis? A. Wear lightweight nylon underwear B. Cleanse inner labial mucosa with antiseptic soap C. Apply antiseptic cream daily to perineal area D. Wear breathable fabrics, such as cotton
D. Wear breathable fabrics, such as cotton
An obese 59-year-old patient describes excessive menstrual bleeding that occurs approximately every 10 days. Which question should the nurse ask first? A. "Have you noticed fever or signs of infection?" B. "Did you ever use oral contraceptives?" C. "When was the last time you had intercourse?" D." How many pads (or tampons) do you use each day?"
D." How many pads (or tampons) do you use each day?"
Young women who have intercourse as teenages and/or have multiple sex partners are at high risk for which disease/disorder? A. Edomentriosis B. Cervical cancer C. Amenorrhea D. Ovarian cancer
B. Cervical cancer
The nurse is teaching a class about laparoscopic hysteroscopic myomectomy. Which patient should be invited to attend the teaching session? A. 23-year-old woman with uterine fibroids who would like to have children in the future B. 65-year-old woman who was diagnosed with uterine cancer but also has a bleeding disorder C. 43-year-old African American woman with early diagnosed endometrial cancer D. 73-year-old woman with urinary incontinence secondary to a cystocele
A. 23-year-old woman with uterine fibroids who would like to have children in the future
The nurse is preparing patient teaching for several young women who will undergo surgical procedures for gynecologic problems. Which surgical procedure is most likely to induce menopausal symptoms? A. Bilateral salpingo-oophorectomy B. Radioblation C. Uterine artery embolization D. Hysteroscopic myomectomy
A. Bilateral salpingo-oophorectomy
A client has an anterior and posterior surgical repair of a cystocele and rectocele and returns from the postanesthesia care unit with an indwelling catheter in place. What should the nurse tell the client about the primary reasons for the catheter? SATA A. Discomfort is minimized B. Bladder tone is maintained C. Urinary retention is prevented D. Pressure on the suture line is relieved E. Hourly urine outputs can be easily measured
A. Discomfort is minimized C. Urinary retention is prevented D. Pressure on the suture line is relieved
A client past menopause undergoes an anterior-posterior colporrhaphy. What should the discharge teaching include? A. Eating a high-fiber diet B. Limiting daily activities C. Reporting signs of urinary retention D. Observing for signs of rectovaginal fistula
A. Eating a high-fiber diet
The home health nurse is reviewing the patient's medication list and sees that the patient was given doxorubicin at the hospital. What gynecologic diagnosis would the nurse expect to see as part of the patient's history? A. Endometrial cancer B. Cervical polyps C. Endometriosis D. Dysfunctional uterine bleeding
A. Endometrial cancer
What information would the nurse give to a sexually active 35-year-old woman about conventional Papanicolaou (Pap) smear and human papillomavirus (HPV) testing? A. Every 5 years is sufficient B. Annual screening is reccommended C. Testing can stop after three normal pap smears D. If there are no risk factors, testing is not necessary
A. Every 5 years is sufficient
The nurse is teaching a patient who is being discharged after having a total abdominal hysterectomy. Which conditions does the nurse tell the patient to immediately report to the surgeon? SATA A. Vaginal drainage that becomes thicker and foul-smelling B. Hot flashes and night sweats C. Temperature over 100 D. Burning during urination E. Feeling more tired and sleeping longer F. Pain, tenderness, redness, or swelling in calves
A. Vaginal drainage that becomes thicker and foul-smelling C. Temperature over 100 D. Burning during urination F. Pain, tenderness, redness, or swelling in calves
The nurse is giving discharge teaching to a patient who had a transvaginal reapid for pelvic organ prolapse using a surgical mesh. What does the nurse include? A. Avoid cigarette smoking for at least 1 month B. Abstain from sexual intercourse for 6 weeks C. Reduce calories to lose 2 pounds a month D. Avoid tub baths to prevent soaking the mesh
B. Abstain from sexual intercourse for 6 weeks
Three days after undergoing a pelvic exenteration procedure, a client reports dizziness after experiencing a sudden "giving" sensation along her abdominal incision. The nurse finds that the wound edges are open, and loops of intestine are protruding. Which action should the nurse take first? A. Notifty the surgeon that wound evisceration has occurred B. Cover the wound with saline-soaked dressing C. Use swabs to obtain aerobic and anaerobic wound cultures D. Call for assistance from the Rapid Response Team (RRT)
B. Cover the wound with saline-soaked dressing
A patient receiving chemotherapy treatments reports fatigue, loss of energy, and experiencing an "emotional crisis every day and my hair is falling out." What does the nurse do first to help the patient adapt to the body changes? A. Suggest participation in self-management B. Encourage the patient to ventilate feelings C. Help the patient to select a wig or scarf D. Encourage the patient to talk to her family
B. Encourage the patient to ventilate feelings
The nurse reads in the patient's chart that the patient is experiencing surgical menopause after having a total hysterectomy and bilateral salpino-oophorectomy. What expected sign/symptom does the nurse anticipate that the patient will report? A. Masculinization B. Vaginal changes C. Rejection by partner D. Weight gain
B. Vaginal changes
A patient has undergone a total hysterectomy with vaginal repair. Which over-the-counter product will the nurse recommend to decrease sexual discomfort related to intercourse? A. Hydrocortisone cream B. Water-based lubricants C. Petroleum jelly D. Vitamin A and D ointment
B. Water-based lubricants
When taking the health history of a client who is admitted for repair of a cystocele and rectocele, the nurse should expect the client to report the occurrence of? A. White vaginal discharge and itching B. Sporadic bleeding and abdominal pain C. Elevated temperature and intractable diarrhea D. Stress incontinence and low abdominal pressure
D. Stress incontinence and low abdominal pressure
The nurse is caring for a patient who had hysteroscopic surgery. The nurse is vigilant to assess for signs and symptoms of which potential complications? SATA A. Postembolectomy syndrome B. Fluid overload C. Embolism D. Perforation of uterus E. Hemorrhage F. Ureter injury
B. Fluid overload C. Embolism D. Perforation of uterus E. Hemorrhage F. Ureter injury
A 36-year-old patient is diagnosed with dysfunctional uterine bleeding. During the pelvic exam, the health care provider determines that the bleeding is acute. What is the nurse's priority action? A. Prepare the patient for transfer to the operating room B. Prepare to assist with a dilation and curettage C. Anticipate an order for oral contraceptive therapy D. Obtain an order for injectable medroxyprogesterone acetate
C. Anticipate an order for oral contraceptive therapy
A patient has had a posterior colporrhaphy. What is included in the nurse care of this patient? A. Give pain medication before a bowel movement B. Obtain an order for prn laxatives C. Resume regular activities after discharge D. Promote a high-fiber diet
A. Give pain medication before a bowel movement
The nurse is caring for a patient who had hysteroscopic surgery. The patient reports severe lower abdominal pain, appears pale, and has trouble focusing on the nurse's questions about the pain. Vital signs show T: 98.6, P: 120/min, R: 24/min, BP: 103/60. Which complications does the nurse suspect? A. Hemorrhage B. Embolism C. Fluid overload D. Incomplete suppression of menstruation
A. Hemorrhage
Which therapies would the nurse expect to use for a patient who is being treated for a rectocele? A. High-fiber diet, stool softeners, and laxatives B. Intravaginal estrogen and a pessary C. Oral contraceptives and antibiotics D. Doxorubicin and cisplatin
A. High-fiber diet, stool softeners, and laxatives
A patient with a fever, myalgia, sore throat, and sunburn-like rash is admitted with the diagnosis of toxic shock syndrome. What additional clinical manifestations should the nurse assess for? A. Hypotension B. Vaginal bleeding C. Bradycardia D. Polyuria
A. Hypotension
A patient had loop electrosurgical excision procedure for treatment and diagnosis of cervical cancer. In the discharge instructions, what does the nurse tell the patient to expect after the procedure? A. Spotting B. Menses-like vaginal bleeding C. Cramps lasting 24 hours D. Watery discharge
A. Spotting
A patient who had a total abdominal hysterectomy is anxious to resume her activities because she has young children at home. What postprocedure information does the nurse provide to the patient? SATA A. Climb stairs to build strength and endurance B. Avoid sitting for prolonged periods C. Do not lift anything heavier than 5-10 lbs D. Walk or job at least 1-2 miles every day E. When sitting, do not cross legs F. Resume regular household chores and activities
B. Avoid sitting for prolonged periods C. Do not lift anything heavier than 5-10 lbs E. When sitting, do not cross legs
A 15-year-old adolescent tells a school nurse, "I have persistent pain during my periods." What should the nurse encourage her to do? A. Continue daily activities B. Have a gynecologic examination C. Eat a nutritious diet containing iron D. Practice relaxation of abdominal muscles
B. Have a gynecologic examination
A patient is diagnosed with uterine leiomyomas. What does the nurse expect to see in the documentation as the patient's chief presenting symptom? A. Foul-smelling vaginal discharge B. Heavy vaginal bleeding C. Intermittent abdominal pain D. Urinary intcontinence
B. Heavy vaginal bleeding
An 86-year-old woman had an anterior and posterior colporrhaphy several days ago. Her retention catheter was removed 8 hours ago. Which assessment findings requires the nurse act most rapidly? A. Her oral temperature is 100.7 B. Her abdomen is firm and tender to palpation above the symphysis pubis C. Her breath sounds are decreased, with fine crackles audible at both bases D. Her apical pulse is 86 beats/min and slightly irregular
B. Her abdomen is firm and tender to palpation above the symphysis pubis
A patient is admitted with toxic shock syndrome. What organism is frequently associated with this syndrome when it occurs as a menstrual-related infection? A. Escherichia coli B. Staphylococcus aureus C. Haemopholus influenzae D. Beta-hemolytic streptococcus
B. Staphylococcus aureus
The nurse is teaching self-care management to a 39-year-old woman who had an abdominal hysterectomy. Which point would be emphasized to avoid complications of this surgery? A. Bathe and douche daily to prevent infection B. Take temperature twice a day for 3 days after surgery C. Resume typical exercise routines as soon as possible D. Gently massage calves if tenderness of swelling occurs
B. Take temperature twice a day for 3 days after surgery
When assessing a client with cervical cancer who had a total abdominal hysterectomy yesterday, the nurse obtains the following data. Which information has the most immediate implications for planning of the client's care? A. Fine crackles are audible at the lung bases B. The client's right calf is swollen, and she reports calf tenderness C. The client uses the patient-controlled analgesia device every 30 minutes D. Urine in the collection bag is amber and clear
B. The client's right calf is swollen, and she reports calf tenderness
A client with a third-degree uterine prolapse is scheduled for a vaginoplasty. What should the nurse anticipate the surgeon will order? A. Encourage ambulation B. Elevate the foot of the bed C. Apply moist compresses to the uterus D. Support the prolapsed uterus with a sanitary pad
C. Apply moist compresses to the uterus
A patient had a total abdominal hysterectomy. Which patient behavior is the best indicator that she is coping and adapting successfully? A. Refuses to look at the wound but encourages the nursing students to look B. Sits quietly and passively while the nurse performs wound care C. Asks questions about the wound care but seems reluctant to do self-care D. Frequently stares at the wound site but refuses to touch the area
C. Asks questions about the wound care but seems reluctant to do self-care
A patient is receiving external radiation therapy for treatment of endometrial cancer. What task does the nurse delegate to the unlicensed assistive personnel? A. Gently wash the markings outlining the treatment site B. Monitor for signs of skin breakdown, especially in the perineal area C. Assist the patient to ambulate if she feels fatigue or tiredness D. Clean the urinary catheter and meatus with mild soap and water
C. Assist the patient to ambulate if she feels fatigue or tiredness
A 20-year-old woman is being evaluate for possible toxic shock syndrome. What question would the nurse ask? A. "How many pads do you use on heavy flow days?" B. "Have you ever used intravaginal estrogen therapy?" C. "Do you have a history of multiple sexual partners?" D. "Do you use internal contraceptives?"
D. "Do you use internal contraceptives?"
A client is diagnosed with uterine fibroids, and the health care provider advises a hysterectomy. The client expresses concern for having a hysterectomy at the age 45 because she has heard from friends that she will undergo severe symptoms of menopause after surgery. What is the nurse's most appropriate response? A. "You are correct, but there are medicines you can take that will ease the symptoms" B. "This sometimes occurs in women of your age, but you needn't worry about it at this time" C. "Perhaps you should talk to your surgeon because I am not allowed to discuss this with you" D. "Some women may experience symptoms of menopause if their ovaries are removed with their uterus"
D. "Some women may experience symptoms of menopause if their ovaries are removed with their uterus