NRSG 122 CH 32,33,34,35 PART2

During which phase of the menstrual cycle is progesterone secreted by the corpus luteum?

Luteal

A patient in her mid-30s has sought advice from her nurse because she has heard conflicting advice about the usefulness of breast self-examination (BSE). What should the nurse teach the patient about the use of BSE as a cancer screening tool?

"BSE can be a useful tool in detecting cancer because you're most familiar with your own breasts."

The nurse educator, who is teaching a class on sexually transmitted infections, recognizes that teaching has been effective when students indicate which statement is true about the difference between colonization and infection?

"Colonization becomes infection when the host and organism interact."

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 trouble getting started when I urinate, often straining to do so."

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?

"Inform all potential sexual partners about the infection, even if it is inactive."

The nurse is seeing a client who came into the sexual health clinic after discovering condylomata along her labia. The client states, "This makes no sense, I don't even know who I got this from and I have been so careful!" What is the nurse's best response?

"It sounds like you are feeling angry. Let's talk more about human papillomavirus (HPV) and strategies to stay healthy while you are being treated."

A woman with a 3-cm breast tumor is scheduled for a lumpectomy followed by 5 to 7 weeks of radiation therapy. The patient asks the nurse if this procedure would cure her. What is the nurse's best response?

"Lumpectomy, followed by radiation, has the same predicted long-term survival rates as a mastectomy."

The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self-examinations at home. The nurse is most correct to respond stating which of the following?

"Mammograms can detect cysts or tumors too small to palpate."

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."

Which nursing question is essential when caring for a client prior to a pelvic examination?

"Would you like to void at this time?"

The nurse educator is teaching a group of nursing students in a reproductive health class. The students are correct in identifying that a woman is most likely to be unable to become pregnant at what age?

49 years old

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?

Cryptorchidism as an infant

The nurse instructs a female client about contraceptive options. The nurse explains that the intrauterine device (IUD) is a good contraceptive option for women who:

Are in a monogamous relationship.

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?

Assist the client to pump the breasts to remove breast milk.

A nurse in a campus medical clinic is meeting with a 23-year-old student who states that she has been experiencing malodorous vaginal discharge over the past several days. The nurse should recognize that this patient is describing a sign that is characteristic of:

Bacterial vaginosis (BV)

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? You Selected:

Cervical cancer

The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted disease would the nurse focus the client education on curative goals?

Chlamydia

A nurse is providing care to a female client with infertility. Testing reveals a problem with hypothalmic stimulation of the pituitary gland to release hormones. Which agent would the nurse expect to be prescribed?

Clomiphene

Which of the following describes microorganisms present without host interference or interaction?

Colonization

Which term describes a procedure in which cervical tissue is removed because abnormal cells are detected?

Cone biopsy (conization)

Patients who have had pelvic inflammatory disease (PID) are prone to which of the following complications?

Ectopic pregnancy

Which of the following diagnostic tests is used for severe bleeding that is unresponsive to other therapies?

Endometrial ablation

The nurse, who is conducting a Papanicolaou (Pap) smear, performs which actions to promote client comfort during the procedure? Select all that apply.

Ensure warming of the speculum Lubricate the blades of the speculum Explain to the client that some discomfort is normal

A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged IV pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow?

Evaluating patency of the drainage lumen

A group of nursing students are reviewing information about the structure and function of the female reproductive system in preparation for an examination. The students demonstrate understanding when they identify which of the following as an internal structure?

Fallopian tube

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

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

Genital herpes

A nursing midwife delivered a baby whose mother had a sexually transmitted disease. The nurse knows that of the six sexually transmitted diseases, only two can be transmitted via the perinatal route. What are those two diseases?

Herpes simplex and syphilis

Which of the following should nurses teach all men, especially those who have had cryptorchidism?

How to perform a testicular self-examination

A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor?

Hypertension

Which of the following are dominant findings related to a transurethral resection syndrome? You Selected:

Hyponatremia Hypervolemia Hypo-osmolality

A female patient comes to the clinic with the complaint that she is having a greenish-colored discharge from the nipple and the breast feels warm to touch. What does the nurse suspect these symptoms may indicate?

Infection

Which statement is accurate regarding sildenafil? You Selected:

Its side effects include headache, flushing, and dizziness.

The expert nurse is assisting a novice nurse insert a Foley catheter. The novice nurse has tried unsuccessfully to insert the catheter, and the expert nurse is providing verbal guidance while spreading which area to reveal the urethral opening?

Labia majora and minora

The nurse is preparing a presentation for an older adult group of males at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the male reproductive system?

Men retain the ability to fertilize ova irrespective of age.

A client has a history of dysmenorrhea. During monthly menses, the client experiences incapacitating cramping and passes large clots. The client's primary care physician initiates conservative treatment. What interventions would the physician to recommend?

NSAIDs

A 49-year-old woman reports that her last known menstrual cycle occurred over 1 year ago. Her records indicate gravida 0, para 0. Upon further review of the chart, the nurse notes that the client has a positive maternal history of hypertension. Moreover, the client has a positive paternal history of diabetes. With no additional significant history noted, which of the nurse's findings is consistent as a risk factor for breast cancer for this client?

Nulliparity

A 45-year-old woman comes into the Ob-Gyn clinic for her yearly check-up. The woman mentions to the nurse that she has a dimpling of the right breast that has occurred in the last few months. What assessment would be appropriate for the nurse to first make?

Palpate the area for a breast mass

While caring for a client who is being treated for severe pelvic inflammatory disease (PID), which nursing action minimizes transmission of infection?

Performing hand hygiene when entering the room

A nursing student is doing clinical hours in the emergency department (ED) and is assisting in the care of a patient who presented to the ED with priapism of the penis. The student nurse is aware that this condition is classified as a urologic emergency because of the potential for what?

Permanent damage to the penis

Which is an age-related change affecting the male reproductive system?

Plasma testosterone levels decrease

Which is an age-related change affecting the male reproductive system?

Plasma testosterone levels decrease.

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?

Prepare for a cesarean section.

A postmenopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort?

Water-based lubricant

A client is considering use of chemoprevention because she is at high risk for developing breast cancer. What can the nurse do to assist the patient with her decision?

Provide the patient with information regarding the benefits, risks, and possible side effects.

Which of the following is an early symptom of vulvar cancer?

Pruritus with genital burning

At a follow-up visit, the client is informed that her breast cancer has recurred. The nurse knows that which situation places the client at risk for developing bone metastases?

Recurrence within 2 years of the original diagnosis

A nurse is obtaining health history from a young adult woman. Which of the following would alert the nurse to a possible problem?

Reports of dyspareunia

A client comes to the emergency department reporting severe testicular pain that started about 1 hour ago. Examination reveals a thickened spermatic cord, an elevated testis, and testicular tenderness. The nurse would interpret these findings to suggest which of the following?

Testicular torsion

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?

Uterine prolapse

A group of students are reviewing the female reproductive system in preparation for a test. Which of the following if identified by the students as an internal structure indicates successful learning?

Vagina

A patient is receiving chemotherapy with paclitaxel as treatment for ovarian cancer. The patient arrives at the facility for laboratory testing prior to her next dose of chemotherapy. The results are as follows:

White blood cell count

A nurse is preparing a presentation about STIs for a local community group. When describing chlamydia, which age group would the nurse identify as being at greatest risk for this infection?

Women younger than 24 years of age

A patient has been diagnosed with a Trichomoniasis vaginal infection. The nurse would expect which color of discharge?

Yellow-green

A nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 47. Following the American Cancer Society guidelines, the nurse should recommend that the women:

have a mammogram annually.

Which external reproductive structure is removed by circumcision?

prepuce

A 20-year-old male client comes to the clinic for an evaluation. During the visit, the client mentions that he wants to make sure that he is using condoms properly. When reviewing the steps, which client statement would warrant additional instruction?

"I should put the condom on my penis before it becomes erect."

Which nursing interventions would a nurse be expected to do when caring for a client with syphilis? Select all that apply.

All options are correct.

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?

Antihypertensives

A client has undergone a total abdominal hysterectomy and bilateral salpingo-oopherectomy as treatment for endometrial cancer. When providing postoperative care to this client the nurse would be alert for signs and symptoms of which of the following?

Bladder dysfunction

A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?

Burning on urination

A patient with an abnormal Pap test has a colposcopy. The test indicates small areas of mild to moderate dysplasia. The nurse advises the patient that the next procedure that should be done is a:

Cryotherapy.

Which term refers to a failure of one or both or both of the testes to descend into the scrotum?

Cryptorchidism

A perimenopausal woman informs the nurse that she is having irregular vaginal bleeding. What should the nurse encourage the patient to do?

See her gynecologist as soon as possible.

A client is concerned about the lumps that have developed in her breasts and is fearful of cancer. The client reports variability in the size of the lumps. What could be causing this condition?

cyclical hormonal changes