CH 45 PREP U

The nurse is teaching a client with polycystic ovary syndrome (PCOS) about the condition. Which statement by the client indicates a need for further instruction?

"I developed this as a result of a sexually transmitted infection."

A female client reports that her mother-in-law was just diagnosed with cervical cancer and asks the nurse about her own risk. Which response by the nurse is correct?

"If you had the human papillomavirus (HPV) vaccine, your risk is greatly reduced."

A client diagnosed with endometriosis asks the nurse how it is that she did not know about this when she had it for so long. What is the nurse's best response?

"Its symptoms mimic those of other disorders "

What should the nurse teach the client about assessing for possible breast cancer?

"Perform monthly self-breast exams after menses."

What will the nurse teach the client who has a cervical polyp?

"Polyps typically are asymptomatic"

A client asks the health care provider to, "Explain brachytherapy, which is recommended for my cervical cancer." Which response by the nurse is most accurate?

"They will insert a radioactive device into your vagina and position it next to the cervix, so that curative levels of radiation are directly on the cancer site."

A female client with endometrial hyperplasia asks the nurse about her risk of endometrial cancer. Which statement by the nurse best answers the question?

"Your cancer risk is decreased by taking progesterone, rather than by taking oral contraceptives."

What is a primary intervention for the nurse to implement for a client with pelvic inflammatory disease ?

Administer antibiotic therapy.

An asymptomatic client who is worried about developing breast cancer due to the fact that it runs in her family asks the nurse if she could have a mammogram to see if she has any lumps. The nurse informs the client that a tumor usually is undetectable until it has doubled 30 times and contains more than 1 billion cells. This means that at this point it measures approximately which size?

1 cm

Which female client is at risk for amenorrhea?

18-year-old with anorexia nervosa

When should postmenopausal women do breast self-examination?

Any day of the month

A 29-year-old client had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify:

Atypical cervix cellular changes

A client reports irregular, very painful bleeding. While taking the history of this postmenopausal client, the health care provider is alert to which high-risk factor associated with ovarian cancer?

Never had any children

Which condition would the nurse expect a female client with human papillomavirus (HPV) to exhibit?

Cervical intraepithelial neoplasia

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client?

Cystocele

A client is suspected of having ovarian cancer. The nurse would expect which type of intervention for diagnosis and staging of ovarian cancer?

surgery

The nurse is teaching the client about risk factors for cervical cancer. What will be included in the plan of care? Select all that apply.

First intercourse at an early age Multiple sexual partners Smoking History of sexually transmitted infections

When educating a group of teenagers about sexually transmitted infections (STIs), the school nurse also mentions that cervical cancer has been associated with which viral infection?

Human papillomavirus

There are two types of vulvar cancer. One type is found in older women, and one type is found in younger women, generally less than 40 years of age. The type found in younger women is thought to be caused by:

Human papillomavirus (HPV)

Which factor in a client's history is most likely related to the diagnosis of cervical squamous dysplasia?

Human papillomavirus (HPV) infection

An 18-year-old woman presents at the clinic complaining of new-onset breakthrough bleeding, even though she is taking contraceptives. What contraceptive use, along with new-onset breakthrough bleeding, has been associated with pelvic inflammatory disease?

IUD

A female client with blocked fallopian tubes seeks assistance at a fertility clinic. Which assisted reproductive technology will bring the greatest chance for conception?

In vitro fertilization (IVF)

A client reporting low abdominal pain, purulent cervical discharge, and painful intercourse is diagnosed with pelvic inflammatory disease (PID). The provider educates the client about this disease mentioning which statement?

Is a polymicrobial infection of the upper reproductive tract

The health care provider suspects a diagnosis of endometriosis. Which procedure provides a definitive diagnosis?

Laparoscopy

A female client is being seen in the ED with complaints of lower abdominal pain, dyspareunia, back pain, purulent cervical discharge, and the presence of adnexal tenderness and painful cervix on bimanual pelvic examination. The nurse suspects the client has pelvic inflammatory disease (PID), and will assess the client for:

Number of sexual partners

Which disorder of the female genitourinary system is most likely to result from a disruption in normal endocrine function?

Polycystic ovary syndrome (PCOS)

A client has been diagnosed with endometriosis. What assessment finding does the nurse expect? Select all that apply.

Premenstrual pain Back pain Pelvic pain

A nurse who works on a urology-gynecology ward of a hospital is coming on shift and will be caring for a 34-year-old woman who has been admitted overnight for the treatment of endometriosis. Which interventions should the nurse most realistically anticipate providing over the course of the shift and the next several days?

Providing pain control; preparing the client for a laparoscopic procedure or hysterectomy

What is the most important discharge instruction for a female client with pelvic inflammatory disease (PID)?

Take all of the antibiotic

Fibrocystic changes in the breast are not uncommon. How is the diagnosis of fibrocystic changes made?

Ultrasonography and mammography

An adult client reports persistent vaginal irritation and recurrent infections. In her history the physician notices that she recently has been prescribed antibiotics for a respiratory infection and concludes that it has affected her normal flora by:

causing the vaginal environment to be more alkaline than normal.

When explaining polycystic ovary syndrome (PCOS) to a newly diagnosed client, the health care worker states, "This ovarian dysfunction is caused by:

elevated LH."

The nurse working in a fertility clinic is assessing a client's risk for fallopian tube obstruction. Which disorder places the woman at greatest risk for fallopian tube obstruction?

endometriosis