Quiz 1 Male/Female Reproductive System/Disorder
What statements by the client indicate a need for further teaching on discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair?
"I will take a tub bath instead of a shower."
A client, age 46, is recovering from an abdominal hysterectomy. Post-operative interventions for her would include?
ABDOMINAL HYSTERECTOMY: removal of the uterus through incision in lower abdomen Report urinary retention to the charge nurse Postoperative nursing interventions for patients with abdominal hysterectomy focus on monitoring vital signs and preventing urinary retention. The patient should have an output of at least 30 mL/hr. Anything less than that should be reported.
What information should the nurse include when reinforcing teaching with a male client about a semen analysis to be done for suspected infertility?
Abstain from ejaculation for at least 2 to 5 days prior to the test
A nurse is reinforcing teaching with a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at what times?
After menstruation begins
What instructions should the nurse include in the teaching with a newly licensed nurse about the administration of depot medroxyprogesterone?
"Give the medication intramuscularly"
What interventions should the nurse include in the plan of care for a client who is scheduled for a transurethral resection of the prostate?
Fear - Explore the patient's fears and provide information about anticipated procedures and effects. Urinary obstruction - Void promptly when the urge comes; Space fluid intake out throughout the day Ineffective Management of BPH - avoid caffeine and alcohol (diuretic); Caution with OTC cold containing antihistamines or pseudoephedrine (aggravate urinary symptoms)
What information should the nurse include at a community health clinic assisting with creating a brochure about testicular cancer?
Gently roll the testicles to feel for abnormalities
The nurse is teaching a gynecological client about cervical cancer. Although it can occur with any woman, it is more common among smokers, women who have had human papillomavirus (HPV), and may also be associated with?
Having a STI Long term oral contraceptive use Multiple full term pregnancies
What statements should the nurse make regarding adverse effects of the medication when reinforcing teaching to a client who is at high risk for breast cancer and is prescribed tamoxifen citrate for prophylaxis?
Hot flashes
Treatment for orchitis includes what?
Orchitis (inflammation of testes) treatment Bed rest Scrotal support Elevation of scrotum Hot/cold compress Analgesics for pain
A nurse is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. What should the nurse expect?
PERIMENOPAUSE: AROUND MENOPAUSE report of dryness with vaginal intercourse hot flashes a warm feeling caused by vasodilation that affects the face, neck, and upper body. vaginal dryness, insomnia, joint pain, headache, and Nausea.
A nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred for detecting cervical cancer. What is an appropriate response for the nurse?
Papanicolaou test
Which diagnostic test detected growths and lesions of the cervix and vagina?
Papanicolaou test
What procedures should the nurse anticipate for this client whose Papanicolaou (Pap) test cytology results are abnormal?
Colposcopy (diagnostic procedure to visually examine the cervix as well as the vagina and vulva using a colposcope)
Stress urinary incontinence which is found to have herniation of the bladder through the anterior vaginal wall. What is this condition called?
Cystocele (Herniation of the urinary bladder into the vagina) or prolapsed bladder
What information should the nurse include in the teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride?
Wear gloves when handling the tablet
A client is being evaluated for endometrial cancer. What findings should the nurse expect the client to report?
abnormal vaginal bleeding
The following diagnostic test involves scraping of material from the wall of a cavity or other surface? This test can also be used for treatment of retained placenta after childbirth of method involved when a female has a miscarriage.
curettage
A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). What items in the client's health history is a contraindication for hormone replacement therapy?
i. A history of breast cancer ii. A history of endometrial cancer iii. Porphyria (a group of disorders caused by an overaccumulation of porphyrin which helps hemoglobin, the protein that carries oxygen in the blood) iv. Severe active liver disease v. Hypertriglyceridemia (Elevated triglycerides) vi. Thromboembolic disorders vii. Undiagnosed vaginal bleeding viii. Endometriosis ix. Fibroids (leiomyomas)
A patient is prescribed sildenafil (Viagra) to treat Erectile Dysfunction. The teaching plan should include what?
i. Take approximately 1 hour before sexual activity and not more than once a day ii. Do not take with alpha-adrenergic blockers or nitrates iii. Notify Healthcare Provider if erection lasts more than 4 hours
What statements should the nurse make when caring for a client who is experiencing menopausal changes and requests information about the use of herbal therapies to relieve her discomfort?
many herbal products have not undergone long-term testing for safety and efficacy
What statements should the nurse include when reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test?
you will need to empty your bladder just before the exam
The nurse should expect the provider to prescribe what medications for this client who has advanced stage prostate cancer?
Leuproide
The client states that she examines her breasts in the shower while lying down. What position should the nurse recommend?
Lie flat on your back, with one arm over your head and a pillow or folded towel under the shoulder.
A client is postpartum and is breastfeeding her infant. What findings indicate mastitis?
MASITIS: INFLAMMATION OF THE BREAST TISSUE -localized heat -localized swelling -fever -chills -enlarged axillary lymph nodes
A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is the best for her to use. What appropriate response should the nurse give?
"Before I can help you with that question, I need to know more about your sexual activity"
A client who requires a hysterectomy states, "I've decided to delay having this surgery for several months." What statements should the nurse make?
"Can you tell me your reasons for delaying the surgery?"
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse that she's really nervous because she has never had a pelvic exam before. What is an appropriate therapeutic response by the nurse?
"Tell me more about your concerns."
The client asks the nurse about the risks she faces after having had Pelvic Inflammatory Disease. What did the nurse correctly inform her?
1. Infertility—One in 10 women with PID becomes infertile. 2. Ectopic pregnancy—Scarring from PID also can prevent a fertilized egg from moving into the uterus. 3. Chronic pelvic pain
The nurse should instruct the client who has a regular menstrual cycle to perform BSE at what times?
5-7 days after menstruation
A nurse is collecting data from a female client who has a cystocele. What findings should the nurse expect?
CYCSTOLE: HERINATION OF THE BLADDER INTO THE VAGINA dyspareunia (painful intercourse), lower back and pelvic discomfort, and recurrent bladder infections.
What finding should the nurse expect when caring for a client who has benign prostatic hyperplasia (BPH)?
Difficulty starting the flow of urine
Which term is associated with an infection of the cord-like excretory duct of the testicle?
Epididymitis
What can cause an inability to produce and maintain an erection for sexual intercourse in males?
Erectile dysfunction
Minipill contains what?
Progestin only pills
Postmenopausal women should be instructed to preform a breast self-examination?
Should be preformed monthly even after menopause