Reproductive System
A patient is having a biopsy that will remove the entire mass, plus a margin of surrounding tissue. What type of biopsy will be documented on the operative permit? Excisional biopsy Core biopsy Ultrasound-guided core biopsy Incisional biopsy
Excisional biopsy
A client has been diagnosed with cancer of the cervix. In what age group would the nurse expect the client to be? 18 to 34 years 65 years or older 35 to 50 years 51 to 64 years
35 to 50 years
The client with pelvic inflammatory disease (PID) is to receive broad-spectrum antibiotic therapy. Which of the following would the nurse least likely expect to administer? Azithromycin Doxycycline Amoxicillin Ceftriaxone
Amoxicillin
The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification? "You cannot always know everything about a person." "I refrain from sexual contact or use protection to keep myself safe." "If I use barrier protection, it will protect me from STIs." "I consider myself protected because I am on birth control pills."
"I consider myself protected because I am on birth control pills."
An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms. What is the best response by the nurse? "The use of condoms is one of the best ways to reduce the risk of acquiring an STI." "I can understand your concern and you should bring him here so that I can talk with him about STIs." "You are too young to be having sex at all." "If he won't use a condom, then he doesn't care about you."
"The use of condoms is one of the best ways to reduce the risk of acquiring an STI."
A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse? "These are normal, manageable symptoms of menopause." "Don't worry, every woman goes through this." "You need to discuss this with your spouse." "Hormone replacement therapy can resolve your symptoms."
"These are normal, manageable symptoms of menopause."
A patient who is scheduled for a gynecologic examination and Pap smear informs the nurse that she just began her menstrual cycle. What is the best response by the nurse? "This will have no bearing on your test today." "We will proceed with the examination and reschedule your Pap smear for next week." "We will do the test and take into consideration that you are menstruating." "We will reschedule your examination when you have finished menstruating."
"We will reschedule your examination when you have finished menstruating."
A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse? "This surgery can cure you of cancer." "What concerns you most about having surgery?" "How does your family feel about this decision?" "Your surgeon has performed this surgery many times."
"What concerns you most about having surgery?"
A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client? "The effects of this medication usually last for up to 48 hours." "You need to take this medication throughout the day to be effective." "Your blood glucose level might increase when you take this drug." "You may experience headache and some flushing with this drug."
"You may experience headache and some flushing with this drug."
The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time? 2 weeks after the cessation of the client's menstrual cycle 1 week after completion of the client's menstrual cycle 3 weeks after the onset of the client's menstrual cycle 2 weeks before the onset of the client's menstrual cycle
1 week after completion of the client's menstrual cycle
A client who has developed a painless penile ulcer is diagnosed with syphilis. What is the typical span of time between infection and developing symptoms with syphilis? 21 days 14 days 35 days 28 days
21 days
Which client has the highest risk of ovarian cancer? 45-year-old woman who has never been pregnant 30-year-old woman taking hormonal contraceptives 36-year-old woman who had her first child at age 22 40-year-old woman with three children
45-year-old woman who has never been pregnant
A client has fibrocystic breast disease. Assuming that there are no sudden or unusual changes, the nurse would suggest that the client have follow-up appointments with her physician every ____ months. Record your answer with a whole number. months
6
A client is diagnosed with chlamydia and is distraught. "How can I have this problem? I don't have any symptoms!" she says. The nurse teaches the client that the percentage of women with chlamydia who are asymptomatic is as high as: 50% 25% 75% 100%
75%
Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall? A 35-year-old African American man A 17-year-old European American man A 56-year-old African American man A 60-year-old Asian American man
A 56-year-old African American man
A patient reports to the nurse that she has a sense of pelvic pressure and urinary problems such as incontinence, frequency, and urgency. The problem has gotten much worse since the birth of her third child. What does the nurse suspect the patient is experiencing? A cystocele A rectocele An enterocele A urinary tract infection
A cystocele
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? One or more flat, wart-like papules in the genital area that are sensitive to touch A painless genital ulcer that appeared about 3 weeks after unprotected sex Copper-colored macules on the palms and soles that appeared after a brief fever Patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas
A painless genital ulcer that appeared about 3 weeks after unprotected sex
A client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The physician confirms a diagnosis of prostatitis and orders treatment. During client education, which recommendation does the nurse make? All options are correct. Regularly drain the gland. Complete the prescribed antibiotic treatment. Avoid caffeine.
All options are correct.
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? Increased vascularity Lack of desire Atrophy of bulbourethral glands Decreased sensitivity
Atrophy of bulbourethral glands
A client has been diagnosed with genital herpes. Knowing that education is an essential part of nursing care of the client with a genital herpes infection, the nurse plans to include which method(s) to minimize HIV transmission? Select all that apply. Avoiding physical contact with others in crowded places Avoiding HPV vaccinations Avoiding unprotected sexual intercourse Avoiding multiple sexual partners Avoiding IV drug use
Avoiding unprotected sexual intercourse Avoiding multiple sexual partners Avoiding IV drug use
Which type of yeast infection is manifested by white, cheese-like discharge? Trichomoniasis Candidiasis Cervicitis Bacterial vaginosis
Candidiasis
A woman in her late 30s has been having unusually heavy menstrual periods combined with occasional urine and stool leakage over the past few weeks. Upon further enquiry, she reveals that she also has postcoital pain and bleeding. To which diagnosis will the investigation most likely lead? Colorectal cancer Cancer of the urinary tract Hodgkin disease Cervical cancer
Cervical cancer
Which primary prevention modality aims to prevent the disease before it starts? Long-term surveillance Mastectomy Chemoprevention Radiation therapy
Chemoprevention
The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection? Chlamydia Gonorrhea Syphilis Genital warts
Chlamydia
Which term describes a procedure in which cervical tissue is removed because abnormal cells are detected? Colporrhaphy Cone biopsy (conization) Cryotherapy Perineorrhaphy
Cone biopsy (conization)
The nurse documents the following history obtained from a female patient:No known allergiesDouching 2 to 3 times per weekUse of barrier methods for contraceptionRecent viral upper respiratory infectionEstrogen levels within acceptable parametersWhich of the following would the nurse identify as a risk factor for the patient developing a vulvovaginal infection? Barrier contraception Douching Viral upper respiratory infection Normal estrogen levels
Douching
A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure? Use of stool softeners Deodorizing douches as needed Daily perineal care Encourage fluid intake
Encourage fluid intake
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? Presence of kyphosis History of osteoporosis Family history of breast cancer Symptoms of hot flashes
Family history of breast cancer
The nurse is working with a couple who have been unable to conceive despite more than 2 years of trying to get pregnant. The couple has just learned that in vitro fertilization (IVF) was unsuccessful and they are both tearful. What nursing diagnosis is most likely to apply to this couple? Compromised family coping related to unsuccessful IVF Hopelessness related to failed IVF Moral distress related to unsuccessful IVF Acute confusion related to reasons for failed IVF
Hopelessness related to failed IVF
The nurse is providing care to a client who has had a transurethral resection of the prostate. The client has a three-way catheter drainage system in place for continuous bladder irrigation. The nurse anticipates that the catheter may be removed when the urine appears as which of the following? Dark amber with copious mucous Light pink with few red streaks Light yellow and clear Reddish-pink with numerous clots
Light yellow and clear
A client has been referred to the breast clinic after her most recent mammogram revealed the presence of a lump. The lump is found to be a small, well-defined nodule in the right breast. The oncology nurse should recognize the likelihood of what treatment? Partial mastectomy and chemotherapy Partial mastectomy and radiation Lumpectomy and radiation Total mastectomy and chemotherapy
Lumpectomy and radiation
The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following? Fibrocystic breast disease Breast abscess Lymphedema Fibroadenoma
Lymphedema
The nurse has received several laboratory studies back at the clinic. Which of these results should be reported to the local health department? Positive mononucleosis Wound infection with MRSA Positive influenza Positive gonorrhea
Positive gonorrhea
The nurse is working in the labor and delivery suite when a client with active herpes simplex virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for? Complete a full assessment of the newborn on delivery. Administer an intravenous antibiotic to the mom while in labor. Place an antibacterial ointment on the mother's lesions. Prepare for a cesarean section.
Prepare for a cesarean section.
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? Protein Staphylococcus aureus Chlamydia trachomatis Candida albicans
Staphylococcus aureus
A nurse has performed disease prevention teaching with a female client who has genital herpes. Which client behavior indicates that the teaching has been successful? The client keeps her fingernails long. The client keeps the affected area moist. The client washes her hands before and after touching lesions. The client wears tight-fitting jeans.
The client washes her hands before and after touching lesions.
A female client has just been diagnosed with condylomata acuminata (genital warts). What information is most appropriate for the nurse to tell this client? The most common treatment is metronidazole, which should eradicate the problem within 7 to 10 days. The human papillomavirus (HPV), which causes condylomata acuminata, cannot be transmitted during oral sex. The warts may require surgical removal or cryotherapy The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
The warts may require surgical removal or cryotherapy
Reproductive systems form during: puberty. late adolescence. the toddler years. embryonic development.
embryonic development
A group of students are reviewing the anatomy and physiology of the breasts. The students demonstrate understanding of breast structure when they identify the tail of Spence as an extension of which quadrant? Upper inner Lower inner Lower outer Upper outer
Upper outer
During a teaching demonstration on breast self-examination (BSE), the nurse should always explain that the majority of breast cancers are found in the: Upper, outer quadrant. Lower, inner quadrant. Upper, inner quadrant. Lower, outer quadrant.
Upper, outer quadrant.
A postmenopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort? Petroleum jelly Aspirin Water-based lubricant Ibuprofen
Water-based lubricant
For which of the following population groups would an annual clinical breast examination be recommended? Women over age 25 All postpubescent females with a family history of breast cancer Women over age 40 Women over age 21
Women over age 40
A nurse is obtaining a male client's health history before performing a physical examination. Which information would most likely not be obtained? pain during sexual intercourse contraceptive practices premature ejaculation or other concerns of a sexual nature age of first ejaculate
age of first ejaculate
A 23-year-old sexually active woman is having a yearly check-up. The nurse advises the client that she should be screened for chlamydia: every 5 years. every 6 months. annually. if symptoms develop.
annually
The nurse is presenting a community lecture about STIs, and emphasizes that some STIs are easily cured with early and adequate treatment. Which is not among these easily treated diseases? genital herpes syphilis gonorrhea chlamydia
genital herpes
A client is very concerned about possibly having breast cancer, especially after caring for a close family member who recently died from the disease. The nurse informs the client that the primary and most common sign of breast cancer is a: painless mass in the breast, most often in the upper outer quadrant. painful mass in the breast, most often in the lower quadrant near the nipple. painful mass in the breast, most often in the upper outer quadrant. painless mass in the breast, most often in the lower quadrant near the nipple.
painless mass in the breast, most often in the upper outer quadrant.
A nursing instructor is giving a lecture on the reproductive system, and describes the process of the ovum being released from the ovary and then traveling into the end of a fallopian tube. If the production of progesterone by the corpus luteum begins to decrease until it changes from a yellow to a white spot on the ovary, it is most likely that the ovum: was not fertilized. was not expelled from the ovary. was fertilized. didn't reach the fallopian tube.
was not fertilized.
The nurse is conducting a health history when a middle-aged client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next? "When was your first menstrual period?" "Are you taking any hormone replacement therapy?" "Are you finished having children?" "Do you feel like hurting yourself?"
"Are you taking any hormone replacement therapy?"
A nurse is teaching personal hygiene care techniques to a client with genital herpes. Which statement by the client indicates the teaching has been effective? "I should rub rather than scratch in response to itching." "I will apply a water-based lubricant to my lesions." "I can pour moisturizer over my lesions." "I will wear loose cotton underwear."
"I will wear loose cotton underwear."
The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film? "Don't wear any jewelry around your neck on the day of the test." "Avoid using a deodorant with aluminum hydroxide." "Make sure not to eat or drink for 4 hours before the test." "Drink at least 1 quart of water 45 minutes to 1 hour before the test."
"Avoid using a deodorant with aluminum hydroxide."
Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test? "I will stop using any vaginal medications at least 48 hours before the test." "I need to use a vinegar and water douche the morning of the test." "I need to refrain from sexual intercourse for at least 1 week before the test." "I'll schedule the test for the time when I have my next menstrual period."
"I will stop using any vaginal medications at least 48 hours before the test."
A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure? "My partner doesn't need to be treated." "One or two treatments should get rid of the warts." "Once the warts are gone, then I know I'm cured." "I'm temporarily not contagious once the warts are destroyed."
"I'm temporarily not contagious once the warts are destroyed."
A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate? "If the infection has healed, you probably don't have to use a condom." "Inform all potential sexual partners about the infection, even if it is inactive." "Use a condom during sexual activity if the infection becomes active again." "Refrain from all sexual activity until you don't have another outbreak for a year."
"Inform all potential sexual partners about the infection, even if it is inactive."
The nurse is demonstrating the technique for performing a testicular self examination (TSE) to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse? "It should be performed in high-risk males over age 30." "It should begin in adolescence." "It should begin at age 40." "It should begin in men over age 50."
"It should begin in adolescence."
The nurse is caring for a client who has just been diagnosed with chlamydia and is very upset. The client says, "I don't understand this. The person I had sex with did not have any symptoms at all. How could I have known?" What is the best response by the nurse to this client? "It is really important that you know the sexual history of every potential lover. It may be uncomfortable but it will prevent the situation you are dealing with right now." "It is very hard to see signs of infection in the heat of passion." "I think you realize that if you had used some form of a barrier protection such as a condom, it would have helped prevent this situation." "Many people with chlamydia won't have symptoms for up to 3 weeks after being infected."
"Many people with chlamydia won't have symptoms for up to 3 weeks after being infected."
The nurse is caring for a couple trying to get pregnant and have not been able to for over a year. The couple asks what kind of problems a man can have that can cause infertility. What should be the nurse's response? "Men can have problems that increase the temperature around their testicles and decrease the quality of their semen." "Men can have increased prolactin levels that decrease sperm viability." "Men may produce sperm that are incompatible with the shape of the egg." "Men may inherit the gene that causes low sperm production."
"Men can have problems that increase the temperature around their testicles and decrease the quality of their semen."
A client has had a total mastectomy with immediate reconstruction. The client asks the nurse when she can take a shower. What should the nurse respond? "Seven days after your surgery" "Not until the drain is removed" "Now, if you wash gently with soap and water" "On the second postoperative day"
"Not until the drain is removed"
A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching? "The penis will appear longer than usual." "The reservoir is filled with saline solution." "Surgery is required for placing the implant." "The implant is pumped when sexual activity is desired."
"The penis will appear longer than usual."
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent? Podophyllum resin Acyclovir Ceftriaxone Tetracycline
Tetracycline
A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? "The surgeon is going to remove the entire prostate gland." "The surgeon is going to insert a scope through my urethra to remove a portion of the gland." "I'll have a small incision on my lower abdomen after the procedure." "I'll have to stay in the hospital for about 3 to 4 days after the surgery."
"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)? Older clients, because of their maturity, are rarely embarrassed to talk about this. Abandon biases that older adults are sexually inactive. Older clients who are sexually active have less risk for STIs than other age groups. Older clients know the ways to prevent STIs.
Abandon biases that older adults are sexually inactive.
A client who came to the clinic after finding a mass in her breast is scheduled for a diagnostic breast biopsy. During the nurse's admission assessment, the nurse observes that the client is distracted and tense. What is the nurse's best action? Describe the support groups that exist in the community. Acknowledge the fear the client is likely experiencing. Assess the client's stress management skills. Document a nursing diagnosis of ineffective coping.
Acknowledge the fear the client is likely experiencing.
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate? Cardiac dysrhythmics Bronchodilators Antihypertensives Antibiotics
Antihypertensives
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 medicated 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? Antibiotics Inadequate diet Regulated diabetes Infrequent douching
Antiobiotics
A client reports stress incontinence, pelvic pain, and a feeling like "something is dropping out of my vagina." The client is diagnosed as having a pelvic organ prolapse and the treatment plan includes using a pessary. Which instructions will the nurse include in client education? Void at least every two hours for the first week after beginning to use the pessary. Maintain bedrest for 24 to 48 hours until accustomed to the pessary. Maintain bedrest for 48 to 72 hours until accustomed to the pessary. Apply a sterile lubricant to the pessary before it is reinserted.
Apply a sterile lubricant to the pessary before it is reinserted.
A client is postoperative day 1 following a vaginal hysterectomy. The nurse notes an increase in the client's abdominal girth and the client complains of "bloating." What is the nurse's most appropriate action? Provide the client with an unsweetened, carbonated beverage. Apply warm compresses to the client's lower abdomen. Provide an ice pack to apply to the perineum and suprapubic region. Assist the client into a prone position.
Apply warm compresses to the client's lower abdomen.
The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new client. According to this model, the nurse should begin with what action? Conducting a preliminary assessment Assessing for physiologic problems Asking the client's permission to discuss sexuality Addressing the client's psychosocial status
Asking the client's permission to discuss sexuality
A female client is diagnosed with breast abscess. She would like to continue to breast-feed her newborn. Which of the following would be most appropriate in this situation? Instruct the client to wear a tight-fitting bra. Reduce the frequency of removing and reapplying the dressings. Encourage the client to include protein content in the diet. Assist the client to pump the breasts to remove breast milk.
Assist the client to pump the breasts to remove breast milk.
A community health nurse is leading a health education session addressing menopause and other aspects of women's health. What dietary supplements should the nurse recommend to prevent morbidity associated with osteoporotic fractures? Vitamin B12 and vitamin C Calcium and vitamin D Vitamin B6 and phosphorus Vitamin A and potassium
Calcium and vitamin D
A client who underwent an anterior colporrhaphy 6 hours ago has not voided. She reports some discomfort in her suprapubic area. Which of the following would the nurse expect to do? Obtain an order for an analgesic. Catheterize the client. Apply ice to the area. Administer a stool softener.
Catheterize the client.
The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply. Hepatitis B Syphilis Venereal warts HIV Gonorrhea Chlamydia
Chlamydia Syphilis HIV Gonorrhea
In which group is it most important for the client to understand the importance of an annual Papanicolaou test? Clients infected with the human papillomavirus (HPV) Clients with a history of recurrent candidiasis Clients with a long history of hormonal contraceptive use Clients with a pregnancy before age 20
Clients infected with the human papillomavirus (HPV)
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea has presented at the clinic. The student knows that the care plan for this patient should be include what in the treatment of gonorrhea? Radiation therapy to destroy cancerous cells Avoidance of the use of tampons Vaginal smears every 6 months Concurrent treatment for chlamydia
Concurrent treatment for chlamydia
A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer? Weight gain of 3 pounds in 1 month Constant hip aching and discomfort Large amounts of dilute urine when voiding Frequent nighttime urination
Constant hip aching and discomfort
The nurse working on a cancer treatment floor assesses her assigned clients. It is most important for the nurse to report which assessment finding? Small amount of bloody drainage on surgical dressing 12 hours postoperatively Coolness and mottling of a newly constructed breast site Temperature 99.2°F, pulse 72, respirations 18, blood pressure 130/80 Immediate postoperative report of throat tenderness
Coolness and mottling of a newly constructed breast site
A nurse practitioner is conducting a history and physical on a 42-year-old woman. One of the questions asked of someone in this age group is the type of medications that the patient's mother took during her pregnancy. The nurse is assessing for a past history of ______ use. Antibiotics Cancer drugs Diethylstilbestrol Immunosuppressive agents
Diethylstilbestrol
The nurse is caring for a client who has been admitted to hospital for uterine bleeding after incomplete miscarriage. The nurse knows what will be included in this client's treatment? Dilation and curettage Ultrasonography Hysteroscopy Endometrial ablation
Dilation and curettage
A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take? Discontinue the irrigations. Increase the rate of the IV fluids. Administer a unit of packed red blood cells. Prepare the patient for an ECG.
Discontinue the irrigations.
A patient is planning to use a negative-pressure (vacuum) device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device? Watch for erosion of the prosthesis through the skin. Do not leave the constricting band in place for longer than 1 hour to avoid penile injury. Watch for the development of infection. Do not use the device while taking nitrate
Do not leave the constricting band in place for longer than 1 hour to avoid penile injury.
Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound? Empty the bladder immediately before the test. Drink at least 1 quart of water an hour before the test. Refrain from douching for at least 1 week before the test. Restrict solid food intake for 2 hours before the test.
Drink at least 1 quart of water an hour before the test.
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? Enlargement of the arm or hand Drainage from the areola A reddened area around the breast Fluid accumulation under in the axilla
Enlargement of the arm or hand
A premenopausal client is complaining of vaginal spotting and sharp, colicky lower abdominal pain. She informs the nurse that her period is 2 weeks late. The nurse should recognize a need for this client to be investigated for what health problem? Ectopic pregnancy Cervical cancer Fibromyalgia Trichomonas vaginalis
Ectopic pregnancy
Which diagnostic test is indicated for postmenopausal bleeding? Endometrial biopsy Magnetic resonance imaging Computed tomography Ultrasound
Endometrial biopsy
The nurse, who is conducting a Papanicolaou (Pap) smear, performs which actions to promote client comfort during the procedure? Select all that apply. Flush away any purulent material at the cervical os Lubricate the blades of the speculum Use a quick motion to open the speculum once inserted Ensure warming of the speculum Explain to the client that some discomfort is normal
Ensure warming of the speculum Lubricate the blades of the speculum Explain to the client that some discomfort is normal
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? Administering laxatives and an enema prior to the procedure Giving the client a mild sedative before the procedure Checking that it has been 5 days since the end of her menses Ensuring that the client has a full bladder
Ensuring that the client has a full bladder
Which of the following is the descent of the small intestine into the vaginal vault? Cystocele Uterine prolapse Enterocele Rectocele
Enterocele
A 20-year-old client comes to the clinic for a routine examination. The client reports that she has just started having sexual intercourse. The nurse would recommend that the client have a Pap smear at which frequency? Every year Every 4 years Every 2 years Every 3 years
Every 3 years
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 years Menarche at age 14 years One of three living children born prematurely Menopause at age 50 years
First full-term pregnancy at age 34 years
A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention? Foul-smelling discharge from the penis Rashes on the palms of the hands and soles of the feet Painful red papules on the shaft of the penis Cauliflower-like warts on the penis
Foul-smelling discharge from the penis
A male client reports urethral pain and a creamy yellow, bloody discharge from the penis. The nurse associates these characteristics with which of the following sexually transmitted infections? Gonorrhea Candidiasis Chancroid Trichomoniasis
Gonorrhea
A nurse is teaching a male client who is older than 50 years about prostate cancer. What teaching should be included by the nurse? Perform monthly testicular self-examinations, especially after age 50. Have a transrectal ultrasound every 5 years. Have a digital rectal examination. Have a complete blood count, blood urea nitrogen, and creatinine levels checked yearly.
Have a digital rectal examination.
Which of the following may result if prostate cancer invades the urethra or bladder? Rectal discomfort Backache Hip pain Hematuria
Hematuria
A client in her late 50s has expressed to the nurse her desire to explore hormone therapy (HT). Based on what aspect of the client's health history is HT likely contraindicated? Family history of osteoporosis History of vascular thrombosis History of vaginal dryness History of hot flashes and night sweats
History of vascular thrombosis
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition? Ibuprofen Cimetidine Methyldopa Spironolactone
Ibuprofen
The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority? Impaired Skin Integrity Powerlessness Knowledge Deficit Anxiety
Impaired Skin Integrity
A client with anorexia 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? Choose all that apply. Polycystic ovarian syndrome Impaired potential for the implantation of a fertilized ovum Delayed or cessation of menstruation Higher risk of fibrocystic breast disease.
Impaired potential for the implantation of a fertilized ovum Delayed or cessation of menstruation
The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct? Sperm are present from birth. In the male reproductive system In the testes within the scrotum In the seminiferous tubules
In the testes within the scrotum
The nurse is assessing the breast of a female patient and observes a prominent venous pattern on the left breast. What does the nurse understand that this can be indicative of? Increased blood supply required by a tumor Thrombus formation Infection Ulceration of the nipple
Increased blood supply required by a tumor
A client who is postoperative day 12 and recovering at home following a laparoscopic prostatectomy has reported that he is experiencing occasional "dribbling" of urine. How should the nurse best respond to this client's concern? Inform the client that urinary control is likely to return gradually. Facilitate the insertion of an indwelling urinary catheter by the home care nurse. Teach the client to perform intermittent self-catheterization. Arrange for the client to be assessed by his urologist.
Inform the client that urinary control is likely to return gradually.
Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do? Put a heating pad on the area to reduce inflammation. Squeeze the nipple to check for drainage. Inform the physician immediately. Check the area after the next menses.
Inform the physician immediately.
A client is ordered a vaginal cream for the treatment of a yeast infection. What teaching should the nurse include for inserting the vaginal medication? Lie down for 1 hour after insertion of the medication. Insert the medication into the vagina using an applicator. Eat yogurt daily. Do not use once menses begins.
Insert the medication into the vagina using an applicator.
The examiner is preparing to perform a pelvic examination. Which of the following would be done first? Specimen collection for a Pap smear Inspection of the cervix Inspection of the external genitalia Bimanual palpation
Inspection of the external genitalia
A 42-year-old man has come to the clinic for an annual physical. The nurse notes in the client's history that his father was treated for breast cancer. What should the nurse provide to the client before he leaves the clinic? A referral to a surgeon A referral to a support group A referral for a mammogram Instructions about breast self-examination (BSE)
Instructions about breast self-examination (BSE)
A patient comes to the clinic with complaints of inability to sustain an erection and is prescribed a PDE-5 inhibitor, sildenafil (Viagra). What medication should the nurse caution the patient about taking with this medication? Diphenhydramine (Benadryl) Lisinopril (Prinivil) Levothyroxine (Synthroid) Isosorbide (Isordil)
Isosorbide (Isordil)
A patient is diagnosed with the most common type of uterine fibroid, an intramural fibroid. The nurse includes which information in teaching the patient about this type of fibroid? It arises from inside or outside the surface of the uterine muscle. It lies underneath the outermost layer of the uterus. It grows below the inner uterine surface. It grows within the wall of the uterine muscle.
It grows within the wall of the uterine muscle.
When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for Chlamydia, gonorrhea, and syphilis at the same time for which reason? The infections spread through the same medium, and therefore, clients have concurrent infections. It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI). The symptoms of these diseases are the same, and culture tests alone can determine the disease that has infected the client. The infecting bacterium in all cases is the same, and therefore, clients have concurrent infections.
It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).
A nurse is assisting with a physical examination of a male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes? Production of cloudy, foul-smelling urine Itching, pain, and the emergence of pustules on the penis Presence of purulent, whitish discharge from the penis Emergence of hard, painless nodules on the shaft of the penis
Itching, pain, and the emergence of pustules on the penis
Which of the following would form a part of the nurses teaching for a client who underwent surgery for fibroadenoma? Choose all correct options. Follow label directions for administering a mild non-narcotic analgesics Keep the wound clean and covered until the incision heals Wear a loose brassiere All options are correct
Keep the wound clean and covered until the incision heals Follow label directions for administering a mild non-narcotic analgesics
A Class 5 Pap smear would be interpreted as which of the following? Probably normal Suspicious Normal Malignant
Malignant
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction? Medication use Sexual history Undescended testicle Age
Medication use
Which is the main cause of anemia in a client with active uterine leiomyoma? Menorrhagia Pressure of the fibroid on the pelvic veins Poor intake of foods containing iron Hemolysis
Menorrhagia
A client has returned to the postsurgical unit after vulvar surgery. What intervention should the nurse prioritize during the initial postoperative period? Administering sitz baths every 4 hours Placing the client in high Fowler position Monitoring the integrity of the surgical site Avoiding analgesics unless the client's pain is unbearable
Monitoring the integrity of the surgical site
A 17-year-old high school student has a history of dysmenorrhea. Monthly she has incapacitating cramping and passes large clots. Her primary care physician instructs her and her mother that he will begin her treatment conservatively - what interventions would you expect the physician to recommend? Blood tests Ultrasonography NSAID use Oral hypoglycemia agents
NSAID use
A patient has undergone surgery for breast cancer and the findings of the surgery are as follows:Invasive undifferentiated tumorSize 2.2 cmAxillary lymph nodes negativeHigh ERBB2 expressionWhich of these findings would suggest a favorable prognosis? High ERBB2 Size Undifferentiated tumor Negative lymph nodes
Negative lymph nodes
A 59-year-old African American man has opted for hormonal androgen deprivation therapy (ADT) to treat his prostate cancer. Which surgical procedures is the client most likely to undergo? Circumcision Orchiectomy Vasectomy Hydrocelectomy
Orchiectomy
Which term refers to the surgical removal of one or both testes? Hydrocelectomy Vasectomy Circumcision Orchiectomy
Orchiectomy
The nurse is completing the admission history for a client who is admitted for a reduction mammoplasty. Which of the following client statements is uncommon when explaining the rationale for the procedure? Others disapprove Back pain Low self-esteem Skin irritation
Others disapprove
A nurse is conducting a health education class for a group of 12- to 14-year-old girls and describing the events of secretory phase. Which of the following would the nurse include? Shedding of the uterine lining Disintegration of the ovum Ovulation Thickening of the uterine wall
Ovulation
A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body? Painful joints Intermenstrual bleeding Sore throat Painful urination
Painful joints
Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome? Unclean glans Erection of the penis Painful swelling Nausea and vomiting
Painful swelling
A 45-year-old woman comes into the health clinic for her annual checkup. She mentions to the nurse that she has noticed dimpling of the right breast that has occurred over a few months. What assessment would be most appropriate for the nurse to make? Palpate the area for a breast mass. Assure the client that this is likely an age-related change. Palpate the client's breasts for tenderness and assess for infection. Assess the client's knowledge of breast cancer.
Palpate the area for a breast mass.
Which of the following is the medication of choice for early syphilis? Penicillin G benzathine Rocephin Doxycycline Tetracycline
Penicillin G benzathine
While caring for a client who is being treated for severe pelvic inflammatory disease (PID), which nursing action minimizes transmission of infection? Implementing reverse isolation precautions Performing hand hygiene when entering the room Strictly adhering to the no visitation policy Keeping the client in a sitting position
Performing hand hygiene when entering the room
A patient comes to the clinic with complaints of a painless sore on her lip 2 weeks after she had oral sex with her boyfriend. The nurse observes a chancre on the lips and the physician orders testing for syphilis. If results are positive, what is the likely stage the patient is in? Tertiary Secondary Primary Latency
Primary
Ovulation occurs midway between days 17 and 22 (usually at day 14) in a normal 28-day menstrual cycle. Conception occurs during ovulation. If an egg is fertilized, this hormone will continue to be produced to protect the egg until the placenta takes over. Which of the following is the correct hormone? Follicle-stimulation Estrogen Luteinizing hormone Progesterone
Progesterone
A public health nurse is participating in a campaign aimed at preventing cervical cancer. What strategies should the nurse include is this campaign? Select all that apply. Encouraging young women to delay first intercourse Smoking cessation Vitamin D and calcium supplementation Promotion of HPV immunization Using safer sex practices
Promotion of HPV immunization Encouraging young women to delay first intercourse Smoking cessation Using safer sex practices
A client with advanced vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name? Surgery Radiation Immunotherapy Chemotherapy
Radiation
Which of the following is considered first-line treatment for prostate cancer? Radical prostatectomy Cryosurgery Hormonal therapy Radiation
Radical prostatectomy
When the nurse places the patient in the stirrups for a pelvic exam she observes a bulge caused by rectal cavity protrusion. What does the nurse know this protrusion is called? Rectocele Cystocele Uterine prolapse Hemorrhoids
Rectocele
The nurse is caring for a client following breast reconstruction surgery using autogenous tissue. When assessing wounds from the surgical procedure, in which area would the nurse assess the wound from which tissue was taken? Gluteus maximus Rectus abdominis The rectus femoris The vastus lateralis
Rectus abdominis
A 55-year-old client with a history of type 1 diabetes presents at the clinic reporting erectile dysfunction. The physician prescribes tadalafil to be taken 1 hour before sexual intercourse. The nurse reviews the client's history prior to instructing the client on the use of this medication. What disorder will contraindicate the use of tadalafil? Diabetic neuropathy Cataracts Diabetic nephropathy Retinopathy
Retinopathy
The nurse is caring for a client with a diagnosis of vulvar cancer who has returned from the PACU after undergoing a wide excision of the vulva. How should this client's analgesic regimen be best managed? Opioid analgesics should be avoided and NSAIDs exclusively provided. Analgesia should be withheld unless the client's pain becomes unbearable. Scheduled analgesia should be administered around-the-clock to prevent pain. All analgesics should be given on a PRN, rather than scheduled, basis.
Scheduled analgesia should be administered around-the-clock to prevent pain.
The nurse is caring for a breastfeeding client who has developed a breast abscess. When instructing on the cause of abscess formation, which organism is the most common cause? Enterococcus faecalis Staphylococcus aureus Escherichia coli Pseudomonas aeruginosa
Staphylococcus aureus
A woman scheduled for a simple mastectomy in 1 week is having her preoperative education provided by the clinic nurse. What educational intervention will be of primary importance to prevent hemorrhage in the postoperative period? Limit her intake of green leafy vegetables. Have nothing by mouth for 6 hours before surgery. Stop taking aspirin. Increase her water intake to 8 glasses per day.
Stop taking aspirin.
When planning discharge teaching with a client who has undergone a total mastectomy with axillary dissection, the nurse knows to instruct the client that she should report what sign or symptom to the health care provider immediately? Gradual decline in output from the drain Fatigue Sudden cessation of output from the drainage device Temperature greater than 36.9°C (98.5ºF)
Sudden cessation of output from the drainage device
Which should be included as part of the home care instructions for a client with epididymitis and orchitis? Take prescribed antibiotics Resume sexual intercourse Undertake lifting exercises Apply ice to the area after scrotal swelling subsides
Take prescribed antibiotics
A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform? Administer atropine 0.5 mg. Take the patient's blood pressure. Start an IV. Ask the patient to obtain a urine specimen.
Take the patient's blood pressure.
A 75-year-old male client is being treated for phimosis. When planning this client's care, what health promotion activity is most directly related to the etiology of the client's health problem? Teaching the client about safer sexual practices Teaching the client about the importance of hygiene Teaching the client about the safe use of PDE-5 inhibitors Teaching the client to perform testicular self-examination
Teaching the client about the importance of hygiene
By initiating an assessment about sexual concerns what information should the nurse convey to the client? Select all that apply. That changes or problems in sexual functioning are highly atypical That sexual issues are valid health issues That sexual issues are a comparatively minor aspect of a person's identity That changes or problems in sexual functioning should be discussed That it is safe to talk about sexual issues
That sexual issues are valid health issues That it is safe to talk about sexual issues That changes or problems in sexual functioning should be discussed
The nurse is providing preoperative education for a client diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this client? Normal activity will be permitted within 48 hours following surgery. After a hysterectomy, hormone levels remain largely unaffected. The bladder must be emptied prior to surgery and a catheter may be placed during surgery. Menstrual periods will continue to occur for several months, some of them heavy.
The bladder must be emptied prior to surgery and a catheter may be placed during surgery.
The client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When assessing the breast, which assessment finding is characteristic of fibrocystic disease? The lump is firm and immovable. One breast is larger than the other. The lump is round and movable. Nipple retractions are noted.
The lump is round and movable.
A patient is having a fine-needle biopsy (FNB) for a mass in the left breast. When the needle is inserted and the mass is no longer palpable, what does the nurse know has most likely occurred? The mass may not have been located correctly. The mass has been absorbed into the tissues of the breast. The mass may be cystic and was ruptured when the needle was inserted. The mass is not palpable because it is an inflammatory lesion.
The mass may be cystic and was ruptured when the needle was inserted.
The nurse is providing preoperative instruction for a patient who will be having an excisional breast biopsy. The patient asks the nurse what type of bra should be used after the procedure. What should the nurse inform the patient? The patient should avoid the use of a bra for 24 hours after the procedure. The patient may wear a bra as long as it is an underwire bra. The patient should wear a supportive bra after the procedure. The patient will not be able to wear a bra until the sutures are removed.
The patient should wear a supportive bra after the procedure.
The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction? The procedure includes minimal surrounding tissue damage. The procedure removes all cancer from the body. The procedure allows for an understanding of the spread of cancer cells. The procedure allows for conservation of breast tissue.
The procedure removes all cancer from the body.
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? Transrectal ultrasonography Tissue biopsy Tumor marker studies Digital rectal exam
Tissue biopsy
The nurse is caring for a client who will be having artificial implants for breast reconstruction. The client is arriving at the physician's office for which procedure to be completed before the surgery can be done? Incisional alignment Fluid drainage Pain control Tissue expansion
Tissue expansion
While caring for a client who is treated for severe pelvic inflammatory disease (PID), the nurse insists on keeping her in a semi-sitting position. What would be the best possible reason for the nurse's advice? To facilitate pelvic drainage and to minimize the upward extension of infection To prevent movement as it increases pain To prevent nosocomial infections to other clients To facilitate easy distraction of the client
To facilitate pelvic drainage and to minimize the upward extension of infection
Which is the most common type of prostate surgery? Perineal prostatectomy Transurethral resection of the prostate Retropubic prostatectomy Suprapubic prostatectomy
Transurethral resection of the prostate
A female client tells the nurse that she thinks she has a vaginal infection because she has noted inflammation of her vulva and the presence of a frothy, yellow-green discharge. The nurse recognizes that the clinical manifestations described are typical of what vaginal infection? Gonorrhea Trichomonas vaginalis Candidiasis Gardnerella
Trichomonas vaginalis
When a female client reports a frothy, yellow-green vaginal discharge, the nurse suspects the client has a vaginal infection caused by which organism? Chlamydia Candida albicans Gardnerella vaginalis Trichomonas vaginalis
Trichomonas vaginalis
A client with a fibroadenoma is being scheduled for diagnostic testing. Which of the following would the nurse expect as most likely? Mammogram Ultrasound Culture of discharge Excisional biopsy
Ultrasound
While examining the introitus, the nurse practitioner asks the client to "bear down." The nursing student observing the examination knows that the nurse practitioner is assessing the client for which condition? Human papillomavirus Uterine prolapse Female genital mutilation Colorectal cancer
Uterine prolapse
A teenage girl is brought to the clinic by her mother. The mother explains to the nurse that her daughter has just started using tampons, but is not yet sexually active. The mother states "I am very concerned because my daughter is having a lot of stabbing pain and burning." Assessment reveals no signs of infection, so the nurse should suspect what health problem? Bartholin cyst Vaginitis Vulvodynia Vulvitis
Vulvodynia
During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed? Increase the frequency of follow-up visits if she does works. Avoid household chores for at least 6 to 9 months. Avoid working in the garden or yard altogether. Wear gloves and protective clothing to avoid any injuries.
Wear gloves and protective clothing to avoid any injuries.
The nurse is caring for a patient with secondary syphilis. What nursing interventions would you know to institute when caring for this patient? Have personal protective equipment available. Keep room door closed. Place in private room. Wear gloves when there is a possibility of coming into contact with lesions.
Wear gloves when there is a possibility of coming into contact with lesions.
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis? Keep lesions dry with alcohol or peroxide. Wear loose underwear to promote air circulation. You must inform all sexual partners. Use a condom during sexual activity.
You must inform all sexual partners.
During physical examination of the male reproductive system, which method would best provide the nurse information about the prostate's size as well as evidence of tumor? inspection of the size of the scrotum scrotal radiography digital rectal examination transillumination
digital rectal examination
The nurse is preparing a patient for a gynecologic examination when the patient says, "I hope the exam doesn't hurt as much as intercourse with my husband does." What should the nurse document this finding as? Dyspareunia Dysmenorrhea Dysuria Dysthymia
dyspareunia
A school nurse at a middle school finds that students are typically surprised to hear the role of women's breasts. What is their primary function? All options are correct. lactation sexual fulfillment sexual attraction
lactation
Which cancer ranks second as the cause of death in American men? testicular skin prostate penis
prostate
A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response? "The doctor will answer your questions when he or she arrives." "Yes, breast lumps are abnormal and will need to be removed." "The doctor will need a biopsy first to see if the lump is cancerous." "Many times, an ultrasound is done to distinguish between a tumor and cyst."
"Many times, an ultrasound is done to distinguish between a tumor and cyst."
Which term refers to a failure of one or both or both of the testes to descend into the scrotum? Hydrocele Varicocele Cryptorchidism Phimosis
Cryptorchidism
A 32-year-old client is concerned with the lumps that have developed in her breasts and is fearful of cancer. She reports variability in the size of the lumps. What could be causing her condition? Caffeine Nicotine Cyclical hormonal changes Progesterone
Cyclical hormonal changes
Which condition is a downward displacement of the bladder toward the vaginal orifice? Rectocele Fistula Vulvodynia Cystocele
Cystocele
As a grade school nurse, you speak to the sixth grade girls regarding their physical maturation and body changes during puberty. In your client education sessions, you discuss female anatomy and the appropriate titles and functions of each structure. Which of the following structures are referred to as the vulva? Mons pubis Vagina External female genitalia Clitoris
External female genitalia
A client has just received a diagnosis of premature ovarian failure. How would this diagnosis be confirmed? CT scan FSH level determination follicular biopsy menstrual diary
FSH level determination
A 34-year-old client has been diagnosed with endometriosis. What topic should the nurse emphasize during health education? The need to complete the full course of antibiotics, regardless of symptoms Signs and symptoms of infection The need to have the client's partner undergo diagnostic testing as well The importance of reporting a possible pregnancy as soon as it occurs
The importance of reporting a possible pregnancy as soon as it occurs
A patient with genital herpes is having an acute exacerbation. What medication would the nurse expect to be ordered to suppress the symptoms and shorten the course of the infection? Acyclovir (Zovirax) Podophyllin (Podofin) Clotrimazole (Gyne-Lotrimin) Metronidazole (Flagyl)
Acyclovir (Zovirax)
A client comes to the emergency department complaining of moderate to severe testicular pain and tenderness. Both testicles are swollen and a penile discharge is present. The client is diagnosed with viral orchitis. Which of the following would the nurse include in this client's plan of care? Applying ice to the scrotum Preparing the client for incision and drainage Keeping the scrotum in a dependent position Administering prescribed antibiotics
Applying ice to the scrotum
A public health nurse is teaching a health class for the male students at the local high school. The nurse is teaching the boys to perform monthly testicular self-examinations. What point would be appropriate to emphasize? Testicular cancer is more common in older men. Testicular cancer is very difficult to diagnose. Testicular cancer is the number one cause of cancer deaths in males. Testicular cancer is a highly curable type of cancer.
Testicular cancer is a highly curable type of cancer.
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. The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex. The potential for transmission to her sexual partner will be eliminated if condoms are used every time she and her partner have sexual intercourse. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
Which is the fastest spreading bacterial STI in the United States? syphilis chlamydia herpes simplex 1 gonorrhea
chlamydia
A client has an edematous glans penis, pain, and an extremely constricted foreskin. What treatment would the physician likely prescribe? narcotic analgesics circumcision increased hygienic measures scrotal support
circumcision
The nurse is providing education to a client who has been diagnosed with chlamydia. The client will begin treatment with azithromycin today. Which teaching point should the nurse reinforce with this client? "Abstain from any sexual activity for 1 week after the antibiotic is complete." "Coinfection with the herpes simplex virus is common with chlamydia." "It is very important to maintain good handwashing, even while you are being treated." "If you become reinfected, symptoms will immediately be present."
"Abstain from any sexual activity for 1 week after the antibiotic is complete."
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach." "I'm waking up at night to urinate and I've noticed some burning, too." "I've had trouble getting started when I urinate, often straining to do so." "I've had a fever and noticed I've been running to the bathroom more often."
"I've had trouble getting started when I urinate, often straining to do so."
The nurse is meeting with the mother of an 11-year-old girl to provide decision making support and education regarding human papillomavirus (HPV) vaccination. The mother states, "I am confused about why my 11 year old needs to be protected from a sexually transmitted infection. She is so young and not sexually active. Why does she need the vaccination now?" What is the nurse's best response? "You're daughter is at risk for ectopic pregnancy and even infertility without this vaccination. If you chose not to vaccinate, you are choosing to put your daughter at risk." "The vaccination helps to prevent cervical cancer in adult women. It works better if she has it before she becomes sexually active. Let's talk about some of the concerns you have about the vaccination" "HPV vaccination is very common and most parents are choosing to protect their children. Although your child is not sexually active now, she will be soon and this will protect her from sexually transmitted infections." "Although HPV infections are not very common, it is important to take precaution with vaccination. If you prefer, you can wait until your daughter is older than 15 years, because she would require fewer doses of the vaccine."
"The vaccination helps to prevent cervical cancer in adult women. It works better if she has it before she becomes sexually active. Let's talk about some of the concerns you have about the vaccination"
A client has just returned to the postsurgical unit from postanesthetic recovery after breast surgery for removal of a malignancy. What is the most likely major nursing diagnosis to include in this client's immediate plan of care? Chronic sorrow related to change in body image Acute pain related to tissue manipulation and incision Risk for trauma related to postsurgical injury Ineffective coping related to surgery
Acute pain related to tissue manipulation and incision
Which of the following medications are used to suppress viral load of the HSV-2 infection? Clindamycin (Cleocin) Metronidazole (Flagyl) Penicillin Acyclovir (Zovirax)
Acyclovir (Zovirax)
The nurse explained the difference between the herpes simplex viruses (HSV-1 and HSV-2). One characteristic of HSV-1 is that it: Affects the mouth and lips. Has a higher percentage of occurrence. Produces more frequent reoccurrences. Is less painful.
Affects the mouth and lips.
A nurse is providing an educational event to a local men's group about prostate cancer. The nurse should cite an increased risk of prostate cancer in what group? Native Americans African Americans Asian Americans European Americans
African Americans
Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of disease and their impact upon public health. Which is the second most frequently reportable communicable disease in the United States? Syphilis Gonorrhea AIDS Herpes simplex
Gonorrhea
A nurse practitioner who works for Planned Parenthood is responsible for health education seminars. During these presentations, the nurse always discusses the symptoms of the most common STI among young, sexually active people. This is: Human papillomavirus. Candidiasis. Salpingitis. Endocervicitis.
Human papillomavirus.
Which test is an x-ray study of the uterus and the fallopian tubes after injection of a contrast agent? Laparoscopy Hysterosalpingography Endometrial ablation Hysteroscopy
Hysterosalpingography
The nurse is providing education regarding sexually transmitted infections. Which statement regarding herpes virus 2 (herpes genitalis) is accurate? Usually, the virus is killed at room temperature by drying. The virus is very difficult to kill. Transmission of the virus requires sexual contact. In pregnant women with active herpes, babies delivered vaginally may become infected with the virus.
In pregnant women with active herpes, babies delivered vaginally may become infected with the virus.
A nurse is assessing a client who presented to the ED with priapism. The student nurse is aware that this condition is classified as a urologic emergency because of the potential for what? Urinary tract infection Permanent vascular damage Future erectile dysfunction Chronic pain
Permanent vascular damage
An uncircumcised 78-year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination, it is noted that the foreskin is very constricted. The nurse should recognize the presence of what health problem? Bowen disease Phimosis Peyronie's disease Priapism
Phimosis
The nurse is planning the sexual assessment of a new adolescent client. The nurse should include what assessment components? Select all that apply. Understanding of menopause Physical examination findings Health history Client's interpersonal skills Laboratory results
Physical examination findings Laboratory results Health history
As a grade school nurse, you speak to the sixth grade boys regarding their physical maturation and body changes during puberty. In your client education sessions, you discuss male anatomy and the appropriate titles and functions of each structure. You discuss the procedure of circumcision and how it is viewed by different ethnicities. Which external reproductive structure is removed by circumcision? Prepuce Glans All options are correct Corpora cavernosa
Prepuce
A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on his right knee. While taking the client's family history, he states, "My father died of prostate cancer at age 48." The nurse should instruct him on which of the following health promotion activities? The client should have testing for presence of the CDH1 and STK11 genes. The client will need PSA levels drawn starting at age 55. The client should have PSA levels drawn regularly. The client should limit alcohol use due to the risk of malignancy.
The client should have PSA levels drawn regularly.
The nurse is assessing a client who reports stiff joints and alopecia. While taking the client's health history, the client reports having multiple sexual partners in the past 6 months and finding a lesion on her labia about 1 month before today's appointment. What should the nurse anticipate based on the signs and symptoms presented? Treatment planning for a chlamydial infection is needed. Pelvic inflammatory disease is the likely cause of the hair loss. The client will require a colposcopy to confirm any diagnosis. The client will require treatment for the secondary stage of syphilis.
The client will require treatment for the secondary stage of syphilis.
A new client has come to the clinic seeking an appropriate method of birth control. What would the nurse teach this client about a diaphragm? The diaphragm should be removed 1 hour following intercourse. A diaphragm eliminates the need for spermicidal jelly. One size fits all females. The diaphragm may be cleaned with soap and water after use.
The diaphragm may be cleaned with soap and water after use.
The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session? The effect of the vaccination is optimized if it is administered before the child becomes sexually active. A Pap smear test is required prior to administration of the HPV vaccination. The HPV vaccination prevents the future need for cervical cancer screening in women. The vaccination is available only to girls but, in the long term, protects both genders from sexually transmitted infections.
The effect of the vaccination is optimized if it is administered before the child becomes sexually active.
A patient has herpes simplex 2 viral infection (HSV-2). The nurse recognizes that which of the following should be included in teaching the patient? The virus causes "cold sores" of the lips. The virus may be cured with antibiotics. The virus, when active, may not be contracted during intercourse. Treatment is aimed at relieving symptoms.
Treatment is aimed at relieving symptoms.
A nurse is teaching a group of women about the potential benefits of breast self-examination (BSE). The nurse should teach the women that effective BSE is dependent on what factor? Women's knowledge of the pathophysiology of breast cancer Women's knowledge of how their breasts normally look and feel Synchronizing women's routines around BSE with the performance of mammograms The rapport that exists between the woman and her primary care provider
Women's knowledge of how their breasts normally look and feel
A gynecologist told a patient that she had chlamydia. The nurse expected the health care provider to prescribe a single dose of which of the following medications? Amoxicillin Penicillin with benzathine Tetracycline Zithromax
Zithromax
The history of a female patient reveals the following:First coitus at age 16 yearsFirst pregnancy at age 28 yearsSexual intercourse with circumcised partnerWeight appropriate for heightWhich of the following would alert the nurse to a possible risk factor for developing cervical cancer? Age at first coitus Sexual partner Age of first pregnancy Weight
Age at first coitus
A nurse is reviewing a female client's history, which includes the following information:Age at menarche: 14 yearsCesarean delivery: 2 pregnanciesAge at first pregnancy: 35 yearsAlcohol use: approximately 1 to 2 glasses of wine/monthThe nurse identifies which as a possible risk factor for the client to develop breast cancer? Cesarean deliveries Age at first pregnancy Age at menarche Alcohol use
Age at first pregnancy
What are the main sexually transmitted diseases (STIs) in Australia?. Syphilis Chlamydia All of the above Gonorrhea
All of the above
A 67-year-old client underwent a lumpectomy for a breast lesion determined to be malignant. Which of the following are factors in the client's history that may have increased her risk of breast cancer? Obesity All options are correct Not giving birth Increased age
All options are correct
Sexually transmitted infections are a significant health problem for several reasons. Which of the following are contributing factors to the increasing incidence of STIs? Sexual contact between infection and symptom manifestation Being unaware of transmission methods for STIs STI organism mutation and antimicrobial resistance All options are correct
All options are correct
A client with a history of hypertension and heart disease is being seen by the urologist because of erectile dysfunction. What would be the most likely cause of the client's erectile dysfunction? All options are correct. depression atherosclerosis hypertension medication
All options are correct.
Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis? Avoid sexual intercourse for at least 2 years. Undertake pelvic floor retraining exercises. Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies. Avoid strenuous exercises, especially lifting.
Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata? Human papilloma virus Treponema pallidum Herpes virus Hemophilus ducreyi bacillus
Human papilloma virus
When teaching clients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor? Postmenopausal bleeding Late childbearing Tobacco use Human papillomavirus (HPV)
Human papillomavirus (HPV)
An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis? Hydrocele Prostatism Orchitis Cryptorchidism
Hydrocele
A client with fibrocystic breast disease has been receiving treatment with danazol (Danocrine) therapy for the past 6 months. In anticipation of the drug being discontinued, the nurse instructs the client to inform the healthcare provider about which of the following? Lack of return of regular menses within 90 days after discontinuing the drug Constipation occurring 90 days after discontinuing the drug Inability to sleep after discontinuing the drug Nausea or vomiting occurring beyond 9 days after discontinuing the drug
Lack of return of regular menses within 90 days after discontinuing the drug
A 51-year-old woman is experiencing perimenopausal symptoms and expresses confusion around the possible use of hormone therapy (HT). She explains that her mother and aunts used HT and she is unsure why few of her peers have been prescribed this treatment. What should the nurse explain to the client? Research has shown that significant health risks are associated with HT. Large, long-term health studies have revealed that HT is minimally effective. HT has been largely replaced by other nonpharmacologic interventions. HT has been shown to exacerbate symptoms of menopause in a minority of women.
Research has shown that significant health risks are associated with HT.
Which instruction regarding future sexual activity should a nurse give a client with a vasectomy? Expect some bruising and incisional soreness after every sexual activity for the first 2 days Use a reliable method of contraception until the physician ensures that sperm no longer are present Administer a mild analgesic before any sexual activity Sexual activity can resume after 3 weeks
Use a reliable method of contraception until the physician ensures that sperm no longer are present
A nurse is teaching a community class about reducing the risk of STIs. Which recommendation would be included in the presentation? Use latex condoms with nonoxynol-9 (a spermicide) when having oral, vaginal, or anal intercourse. Washing hands or any other area that has been in direct contact with semen or vaginal mucus is not necessary. Have monogamous sex with an infected partner. It is allowable to have unprotected sex before treatment is totally completed.
Use latex condoms with nonoxynol-9 (a spermicide) when having oral, vaginal, or anal intercourse.
