exam 4 theory
A 20-yr-old female patient who is being seen in the family medicine clinic for an annual physical examination reports being sexually active. The nurse will plan to teach the patient about
testing for chlamydia infection
Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of male patients with reproductive problems indicates that the nurse should provide more teaching?
the UAP leave the foreskin pulled back after cleaning the glands of a pt who has a retention catheter
The nurse is caring for a patient with breast cancer who is receiving chemotherapy with doxorubicin and cyclophosphamide. Which assessment finding is most important to communicate to the health care provider?
the patients apical pulse is irregular
A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?
the patients blood pressure is 150/86 mm Hg
A 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT) with the nurse. Which information about the risk of breast cancer will the nurse provide?
the pt and her HCP must weigh the benefits of HT against the risks of breast cancer
Which assessment information collected by the nurse may present a contraindication to a testosterone replacement therapy (TRT)?
the pt has had a gradual decrease in the force of his urinary stream
When using the accompanying illustration to teach a patient about breast self-examination, the nurse will include the information that most breast cancers are located in which part of the breast?
The upper outer quadrant
the nurse will anticipate that a 61-yr-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about
Transrectal ultrasonography (TRUS)
Which information shown in the accompanying figure and obtained by the nurse about a 72-yr-old man who is complaining of erectile dysfunction is most important to communicate to the health care provider? History: takes three medications for hypertension recent knee surgery Physical exam: uncircumcised, foreskin easily retractable left testis hangs lower than right decreased pubic hair vital signs: Temp 97.6 F (36.4 C) Pulse 64 BPM RR 22 BP 134/70 mm Hg
Use of antihypertensives
The outpatient clinic receives telephone calls from four patients. Which patient should the nurse call back first?
a 50 yr old pt with stage II breast cancer is receiving doxorubicin and has ankle swelling and fatigue
The nurse in a health clinic receives requests for appointments from several patients. Which patient should be seen by the health care provider first?
a 58 yr old pt who has a painful erection that has lasted more than 6 hours
Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?
a breast nodule that is 1 cm in size, nontender, and fixed
Which information will the nurse include in patient teaching for a 36-yr-old patient who is scheduled for stereotactic core biopsy of the breast?
a local anesthetic will be given before the biopsy specimen is obtained
The nurse has just received change-of-shift report about the following four patients. Which patient should be assessed first?
a pt with a possible ectopic pregnancy who is complaining of shoulder pain
A 58-yr-old patient with erectile dysfunction (ED) tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first?
ask the pt about any prescription drugs he is taking
A 46-yr-old patient who has had blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which action should the nurse take next?
ask the pt about their past treatment for syphilis
Which information will the nurse teach a patient who has chronic prostatitis?
intercourse or masturbation will help relieve symptoms
A patient in the emergency department reports that she has been sexually assaulted. Which action by the nurse will help to maintain the medicolegal chain of evidence?
labeling all specimens and other materials obtained from the patient
To prevent pregnancy in a patient who has been sexually assaulted, the nurse in the emergency department will plan to teach the patient about the use of
levonorgestrel (Plan B one step)
A patient was recently diagnosed with polycystic ovary syndrome. It is most important for the nurse to teach the patient
methods to maintain appropriate weight
The nurse will plan to teach a 67-yr-old patient who has been diagnosed with orchitis about
pain managment
When the nurse is working in the women's health care clinic, which action is appropriate to take?
teach a 28 yr old pt with a BRCA-1 mutation about MRI
A male patient who has a profuse, purulent urethral discharge with painful urination is seen at the clinic. Which information will be most important for the nurse to obtain?
Recent sexual contacts
A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.
60-90 mL
After a 48-yr-old patient has had a modified radical mastectomy, the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. The nurse will plan to teach the patient about
Tamoxifen
Which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy?
a 25 yr old patient who has a family history of hereditary nonpolyposis colorectal cancer
A 53-yr-old patient is scheduled for an annual physical examination. The nurse will plan to teach the patient about the purpose of
Prostate specific antigen PSA testing
When caring for a 58-yr-old patient with persistent menorrhagia, the nurse will plan to monitor the
CBC -complete blood count
The nurse will plan to teach a 34-yr-old patient diagnosed with stage 0 cervical cancer about
Conization
Which patient statement indicates that the nurse's teaching about tamoxifen has been effective?
I will call if I have any eye problems
A patient newly diagnosed with stage I breast cancer is discussing treatment options with the nurse. Which statement by the patient indicates that additional teaching may be needed?
Mastectomy is the best choice to decrease the chance of cancer recurrence
A 51-yr-old patient with a small immobile breast lump is considering having a fine-needle aspiration (FNA) biopsy. The nurse explains that an advantage to this procedure is that
FNA is done in the outpatient clinic, and results are available in 1-2 days
A patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL) test, but no chancre is visible on assessment. The nurse will plan to send specimens for
Fluorescent treponemal antibody absorption (FTA-Abs)
A patient is considering the use of combined estrogen-progesterone hormone replacement therapy (HRT) during menopause. Which information will the nurse include during their discussion?
HRT decreases osteoporosis risk and increases the risk for cardiovascular disease and breast cancer
A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, "My symptoms are much worse this week." Which response by the nurse is appropriate?
Have you taken any over the counter medications recently
A 22-yr-old patient reports her concern about not having a menstrual period for the past 7 months. Which statement by the patient indicates a possible related factor to the amenorrhea?
I run 7-8 miles every day to manage my weight
The nurse provides discharge teaching for a 61-yr-old patient who has had a left modified radical mastectomy and lymph node dissection. Which statement by the patient indicates that teaching has been successful?
I will avoid reaching over the stove with my left hand
Which infection, reported in the health history of a female patient who is having difficulty conceiving, will the nurse identify as a risk factor for infertility?
N. Gonorrhoeae
A patient has an induced abortion with suction curettage at an ambulatory surgical center. Which instructions will the nurse include when discharging the patient?
abstain from sexual intercourse for the next 2 weeks
A patient has had left-sided lumpectomy (breast-conservation surgery) and an axillary lymph node dissection. Which nursing intervention is appropriate to delegate to a licensed practical/vocational nurse (LPN/LVN)?
administering an analgesic 30 minutes before scheduled arm exercises
Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)?
bladder irrigation prevents obstruction of the catheter after surgery
After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse? History: Lower Urinary tract symptoms for the last 9 months takes diuretic and betablocker for hypertension antihypertensive drugs not prescribed after surgery vital signs: T 99F (37.2C) P 94 bpm RR 24 BP 168/88 Physical Assessment: crackles heard at lung bases reports freq bladder spasms no urine draining form triple lumen catheter
bladder spasms and urine output
A patient has just been instructed in the treatment for a Chlamydia trachomatis vaginal infection. Which patient statement indicates that the nurse's teaching has been effective?
both my partner and I will need to take the medication for a full week
To determine the severity of the symptoms for a patient with benign prostatic hyperplasia (BPH), the nurse will ask the patient about
force of urinary stream
Which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast?
careful skin care in the radiated area will be necessary
The health care provider prescribes the following interventions for a patient with acute prostatitis caused by Escherichia coli. Which intervention should the nurse question?
catheterize the pt as needed if symptoms of urinary retention develop
Which information will the nurse include when teaching a patient who has developed a small vesicovaginal fistula 2 weeks into the postpartum period?
change the perineal pad frequently to prevent perineal skin breakdown
A 33-yr-old patient has a saline breast implant inserted in the outpatient surgery area. Which instruction will the nurse include in the discharge teaching?
check wound drains for excessive blood or a foul odor
A patient who is scheduled for a routine gynecologic examination tells the nurse that she has had intercourse during the past year with several men. The nurse will plan to teach about the reason for
chlamydia testing
A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to have sexual intercourse. Which action should the nurse take?
clarify that TURP does not commonly affect erection
Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?
clear discharge is present at the penile meatus
Which question should the nurse ask when assessing a 60-yr-old patient who has a history of benign prostatic hyperplasia (BPH)?
has there been a decrease in the force of your urination
The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a couple. The woman tells the nurse that they cannot afford IVF on her husband's salary. The man replies that if his wife worked outside the home, they would have enough money. Which nursing diagnosis is appropriate?
defensive coping related to anxiety about lack of conception
A couple is scheduled to have a Huhner test for infertility. In preparation for the test, the nurse will instruct the couple about
determining the estimated time of ovulation
A 19-yr-old patient has genital warts around her external genitalia and perianal area. She tells the nurse that she has not sought treatment until now because "the warts are so disgusting." Which nursing diagnosis is consistent with these data?
disturbed body image related to feelings about the genital warts
The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old woman. Which question is most useful in determining the patient's sexual orientation and related risk factors?
do you have sex with men, women or both?
The nurse is obtaining the pertinent health history for a man who is being evaluated for infertility. Which question focuses on a possible cause of infertility?
do you use medications to improve muscle mass?
A 22-yr-old patient tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. Which question should the nurse ask to assess for possible etiologic factors in this age group?
do you use recreational drugs or drink alcohol
After scheduling a patient with a possible ovarian cyst for ultrasound, the nurse will teach the patient that she should
drink several glasses of fluids before the procedure
The nurse is caring for a patient with pelvic inflammatory disease (PID) requiring hospitalization. Which nursing intervention will be included in the plan of care?
elevate HOB at least 30 degrees
When caring for a patient who has a radium implant for treatment of cervical cancer, the nurse will
encourage the patient to discuss any concerns by telephone
A 56-yr-old patient is concerned about having a moderate amount of vaginal bleeding after 5 years of menopause. The nurse will anticipate teaching the patient about
endometrial biopsy
A patient who was admitted to the emergency department with severe abdominal pain is diagnosed with an ectopic pregnancy. The patient begins to cry and asks the nurse to leave her alone to grieve. Which action should the nurse take next?
explain the reason for taking vital signs every 15-30 minutes
The plan of care for a patient immediately after a perineal radical prostatectomy will include decreasing the risk for infection related to
fecal wound contaminations
The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include
flushing
The nurse teaching a young women's community service group about breast self-examination (BSE) will include that
performing BSE after the menstrual period is more comfortable
A patient admitted with chest pain is also found to have positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-Abs) tests, rashes on the palms and the soles of the feet, and moist papules in the anal and vulvar area. Which action will the nurse include in the plan of care?
wear gloves for patient care
When a 31-yr-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. Which question will the nurse ask to identify a possible cause of recurrent infection?`
were your sexual partners treated with antibiotics
A 47-yr-old patient asks whether she is going into menopause if she has not had a menstrual period for 3 months. Which response by the nurse is appropriate?
what was your menstrual pattern before your periods stopped?
A 48-yr-old male patient who has been diagnosed with gonococcal urethritis tells the nurse he had recent sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the nurse explains that
women may not be aware they have gonorrhea because they often do not have symptoms
A 34-yr-old patient who is discussing contraceptive options with the nurse says, "I want to have children but not for a few years." Which response by the nurse is accurate?
women often have more difficulty becoming pregnant after about age 35
58-yr-old patient is on the medical-surgical unit after undergoing a radical vulvectomy for vulvar carcinoma. The greatest risk to the patient at this time is
wound infection
Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?
post a sign at the bedside warning against venipunctures or BP in the left arm
After a 26-yr-old patient has been treated for pelvic inflammatory disease, the nurse will plan to teach about the
potential complication of infertility
A 49-yr-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?
propranolol (Inderal)
The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)
prostate specific antigen (PSA) testing
Which topic will the nurse include in the preoperative teaching for a patient admitted for an abdominal hysterectomy?
purpose of ambulation and leg exercises
The nurse notes bilateral enlargement of the breasts during examination of a 62-yr-old male patient. Which action should the nurse take first?
question the patient about current medications
A female patient tells the nurse that she has been having nightmares and acute anxiety around men since being sexually assaulted 3 months ago. The most appropriate nursing diagnosis for the patient is
rape-trauma syndrome related to rape experience
The nurse is providing preoperative teaching about the transverse rectus abdominis musculocutaneous (TRAM) procedure to a patient. Which information will the nurse include?
recovery from the TRAM surgery takes at least 6-8 weeks
The nurse will plan to teach the patient who is incontinent of urine following a radical retropubic prostatectomy to
use belladonna and opium suppositories
The nurse performing a focused examination to determine possible causes of infertility will assess for
varicocele
A 39-yr-old patient with a history of IV drug use is seen at a community clinic. The patient reports difficulty walking, stating, "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FTA-Abs) test results. Based on the patient history, what will the nurse assess (select all that apply)?
Heart sounds mental state for judgment and orientation skin and mucous membranes for gummas
A 70-yr-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today. Which patient statement indicates a need for the nurse to provide additional instruction?
I should call the dr if I have incontinence at home
Which statement by the patient indicates that the nurse's teaching about treating vaginal candidiasis was effective?
I should clean carefully after each urination and bowel movement
The nurse will anticipate teaching a patient who is diagnosed with lobular carcinoma in situ (LCIS) about
Tamoxifen (chemopreventive)
A 29-yr-old female patient is diagnosed with Chlamydia during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says which of the following?
my partner will need to take antibiotics at the same time I do
A 22-yr-old patient tells the nurse that she has not had a menstrual period for the past 3 months. Which action is most important for the nurse to take?
obtain a urine specimen for a pregnancy test
The following male patients recently arrived in the emergency department. Which one should the nurse assess first?
a 19 yr old pt who is complaining of severe scrotal pain
The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient should the nurse see first?
a 19 yr old pt with menorrhagia who has been using superabsorbent tampons and has fever with weakness
Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
a 22 yr old pt who has noticed a firm, nontender lump on his scrotum
Which patient will the nurse plan on teaching about the Gardasil vaccine?
a 24 yr old female pt who has not been sexually active
The nurse in the outpatient clinic notes that the following patients have not received the human papillomavirus (HPV) vaccine. Which patients should the nurse plan to teach about benefits of the vaccine (select all that apply)?
a 24 yr old male pt who has a history of genital warts a 18 yr old male pt who has had one male sexual partner a 20 yr old female who has a newly diagnosed chlamydia infection
The following patients call the outpatient clinic. Which phone call should the nurse return first?
a 34 yr old pt who is short of breath after having a pelvic CT with contrast dye
The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these patients. Which patient's PSA result is not expected to be elevated?
a 48 yr old pt whose father died of metastatic prostate cancer
A 36-yr-old patient who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?
an area on the breast is hot, pink, and tender to the touch
A nursing diagnosis that is likely to be appropriate for a 67-yr-old patient who has just been diagnosed with stage III ovarian cancer is
anxiety related to cancer diagnosis and need for treatment decisions
A 49-yr-old patient tells the nurse that she is postmenopausal but has recently had occasional spotting. Which initial response by the nurse is appropriate?
are you using prescription hormone replacement therapy
The nurse is admitting a patient scheduled this morning for lumpectomy and axillary lymph node dissection. Which action should the nurse take first?
ask the patient to describe what she knows about the surgery
A 19-yr-old patient calls the school clinic and tells the nurse, "My menstrual period is very heavy this time. I have to change my tampon every 4 hours." Which action should the nurse take next?
ask the pt how heavy her usual menstrual flow is
A 27-yr-old patient who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not talk to his wife and speaks to the nurse only to answer the admission questions. Which action is appropriate for the nurse to take?
ask the pt if he has any questions or concerns about the diagnosis and treatment
A 28-yr-old patient reports anxiety, headaches with dizziness, and abdominal bloating occurring before her menstrual periods. Which action is best for the nurse to take at this time?
ask the pt to keep track of her symptoms in a diary for 3 months
A patient brought to the emergency department reports being sexually assaulted. The patient is confused about where she is and she has a laceration above the right eye. Which action should the nurse take first?
assess the pts neurologic status
Which nursing actions can the nurse working in a women's health clinic delegate to experienced unlicensed assistive personnel (UAP) (select all that apply)?
assist the HCP with performing a pap test draw blood for CA-125 levels for a pt with ovarian cancer
Which action will the nurse include in the plan of care for a patient with right arm lymphedema?
assist with application of a compression sleeve
During a well-woman physical examination, a 43-yr-old patient asks about her risk for breast cancer. Which question is most pertinent for the nurse to ask?
at what age did you start having menstrual periods?
The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should
avoid douching for at least 24 hours before the exam
A patient in the sexually transmitted infection (STI) clinic tells the nurse that she is concerned she may have been exposed to gonorrhea. To determine whether the patient has gonorrhea, the nurse will plan to
obtain secretions for a nucliec acid amplification test (NAAT)
A young patient who is trying to become pregnant asks the nurse how to determine when she is most likely to conceive. The nurse explains that
ovulation prediction kits can provide accurate information about ovulation
A healthy 24-yr-old patient who has been vaccinated against human papillomavirus (HPV) has a normal Pap test result. Which information will the nurse include in patient teaching when calling the patient with the results of the Pap test?
pap testing is recommended every 3 years for women your age
A patient undergoes an anterior and posterior (A&P) colporrhaphy for repair of a cystocele and rectocele. Which nursing action will be included in the postoperative care plan?
perform urinary catheter care
A 19-yr-old patient visits the health clinic for a routine checkup. Which question should the nurse ask to determine whether a Pap test is needed?
have you had sexual intercourse
The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that
his interest in sexual activity may decrease while he is taking the medication
A patient tells the nurse that she would like a prescription for oral contraceptives to control her premenstrual dysphoric disorder (PMD-D) symptoms. Which patient information that contraindicates oral contraceptives should be communicated to the health care provider?
history of migraine headaches
The nurse will plan to teach the patient scheduled for photovaporization of the prostate (PVP)
how to care for an indwelling urinary catheter
After the nurse has taught a patient with a newly diagnosed sexually transmitted infection (STI) about expedited partner therapy, which patient statement indicates that the teaching has been effective?
i will make sure that my partner takes all of the prescribed medications
Which statement by a 24-yr-old patient indicates that the nurse's teaching about management of primary genital herpes has been effective?
i will take the acyclovir every 8 hours for the next week
The nurse will plan to teach the female patient with genital warts about the
importance of regular pap tests
A patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy should the nurse implement first?
insert a urinary retention catheter
A patient is diagnosed with primary syphilis during her eighth week of pregnancy. The nurse will plan to teach the patient about the
intramuscular injection of penicillin
The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure
is similar to a speculum examination of the cervix and should result in little discomfort
A 32-yr-old patient who is diagnosed with Chlamydia tells the nurse that she is very angry because her husband is her only sexual partner. Which response should the nurse make first?
it is understandable that you feel angry about contracting an infection
Which nursing assessment finding in a patient who recently started taking hormone replacement therapy (HRT) requires discussion with the health care provider about a change in therapy?
left calf swelling
After a transurethral resection of the prostate (TURP), a 64-yr-old patient with continuous bladder irrigation complains of painful bladder spasms. The nurse observes clots in the urine. Which action should the nurse take first?
manually instill and then withdraw 50 mL of saline into the catheter
An 18-yr-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which information may alter the plans for the x-rays?
positive result of hCG test
Which nonhormonal therapies will the nurse suggest for a healthy perimenopausal patient who prefers not to use hormone replacement therapy (HRT) (select all that apply)?
reduce caffeine intake exercise several times a week take black cohosh supplements increase intake of dietary soy products
When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate, which action could the nurse delegate to unlicensed assistive personnel (UAP)?
report any complaints of pain or spasms to the nurse
A patient with pelvic inflammatory disease (PID) is being treated with oral antibiotics as an outpatient. Which instruction will be included in patient teaching?
return for a follow up appointment in 2-3 days
A 31-yr-old patient who has been diagnosed with human papillomavirus (HPV) infection gives a health history that includes smoking tobacco, taking oral contraceptives, and having been treated twice for vaginal candidiasis. Which topic will the nurse include in patient teaching?
risk factors for cervical cancer
A patient tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his wife "is losing patience with the situation." The nurse's follow-up questions should focus on the man's identified concern with
role performance
Which action should the nurse take when a 35-yr-old patient has a Pap test result of minor cellular changes?
schedule another pap test in 4 months
A patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to
schedule the pt for annual prostate specific antigen testing
When performing discharge teaching for a patient after a vasectomy, the nurse instructs the patient that he
should continue to use other methods of birth control for 6 weeks
Which topics will the nurse include when preparing to teach a patient with recurrent genital herpes simplex (select all that apply)?
sitz bath may be used to relieve discomfort caused by lesions recurrent genital herpes episodes usually are shorter than the first episode the virus can infect sexual partners even when you do not have symptoms
A patient with endometriosis asks why she is being treated with medroxyprogesterone, a medication that she thought was a contraceptive. The nurse explains that this therapy
suppress the menstrual cycle by mimicking pregnancy
A 19-yr-old patient has been diagnosed with primary dysmenorrhea. How will the nurse suggest that the patient manage discomfort?
take nonsteroidal anti inflammatory drugs (NSAIDs) when her period starts
A 32-yr-old patient has oral contraceptives prescribed for endometriosis. The nurse will teach the patient to
take the medication every day for the next 9 months
A patient requests a prescription for birth control pills to control severe abdominal cramping and headaches during her menstrual periods. Which action should the nurse take first?
take the patients personal and family health history
A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse's best response to the patient's concern?
tell me more about how your sexual response has changed
A patient who is scheduled for a lumpectomy and axillary lymph node dissection tells the nurse, "I would rather not know much about the surgery." Which response by the nurse is best?
tell me what you think is important to know about the surgery
A 58-yr-old woman tells the nurse, "I understand that I have stage II breast cancer and I need to decide on a surgery, but I feel overwhelmed. What do you think I should do?" Which response by the nurse is best?
tell me what you understand about the surgical options that are available
Which information will the nurse plan to include when teaching a young adult who has a family history of testicular cancer about testicular self-examination?
testicular self exam should be done in a warm room
A patient is scheduled for an induced abortion using instillation of hypertonic saline solution. Which information will the nurse plan to discuss with the patient before the procedure?
the expulsion of the fetus may take 1-2 days
The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin) that
the pt should call if she notices ankle swelling
A 50-yr-old patient is diagnosed with uterine bleeding caused by a leiomyoma. Which information will the nurse include in the patient teaching plan?
the symptoms may decrease after teh pt undergoes menopause
A patient diagnosed with breast cancer asks the nurse what "triple negative" means. An accurate response from the nurse about triple-negative breast cancer should include that
the tumor is not likely to be responsive to hormone therapy
A patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse explains to the patient that this combination is prescribed to
treat any coexisting chlamydial infection
The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of
undescended testicles
A patient is on the surgical unit after a radical abdominal hysterectomy. Which finding requires a report to the health care provider?
urine output of 125 mL in the first 8 hours after surgery
A patient who has a large cystocele was admitted 10 hours ago but has not yet voided. If the patient reports no urge to void, which action should the nurse take first?
use an ultrasound scanner to check for urinary retention
