Chapter 53, Nursing Management: Female Reproductive and Genital Problems

The primary health care provider has prescribed metronidazole for a woman diagnosed with trichomoniasis. Which statement should be included in the nurse's instructions? "It will turn your urine orange." "Alcohol does not need to be avoided." "This medication may produce drowsiness." "Both partners must be treated with the medication."

"Both partners must be treated with the medication."

The risk of infertility increases in a woman after what age? 20 30 40 50

40

A patient confides in the nurse that she has started experiencing dyspareunia and asks, "Is there anything I can do about this?" What is the nurse's best response? "No, it is part of the aging process." "Water-soluble vaginal lubricants may provide relief." "You need to be evaluated for a sexually transmitted infection (STI)." "You may have vaginal scar tissue that is producing the discomfort."

"Water-soluble vaginal lubricants may provide relief."

Recurrent vaginitis may be classified as severe when a patient experiences more than how many episodes per year? Two Four Five Six

4

A pregnant female is experiencing amenorrhea, morning sickness, and breast tenderness. In the ninth week after her last menstrual period she is rushed to the hospital with severe left shoulder pain, blood pressure of 90/60 mm Hg, and heart rate of 112 beats/minute. What is the best diagnostic test to determine the cause of her problem? Serum hemoglobin 12-lead electrocardiogram A transvaginal ultrasound Serial β-human chorionic gonadotropin levels

A transvaginal ultrasound

The nurse is caring for a patient who has experienced a tubal rupture as the result of an ectopic pregnancy. Which nursing interventions will help reduce the patient's risk for hypovolemia? Select all that apply. Administering intravenous fluid Preparing for blood transfusions Applying heat to the lower abdomen Recording the characteristics of the vaginal discharge Asking the patient to sleep in the semi-Fowler's position

Administering intravenous fluid Preparing for blood transfusions

An older adult female patient taking hormone replacement therapy (HRT) is admitted to the unit with unexplained weight loss and ascites of her abdomen. The health care provider drains 500 mL of ascites fluid from the abdominal cavity using ultrasound-guided aspiration. What assessment questions should the nurse include in the documentation? Select all that apply. Has the patient ever had gallstones? When was the patient's last physical exam? Did the patient have her appendix removed? At what age did the patient begin menstruation? What type of diet does the patient follow at home? Does the patient have a family history of breast cancer?

At what age did the patient begin menstruation? What type of diet does the patient follow at home? Does the patient have a family history of breast cancer?

A patient has a history of familial sexual abuse and was the victim of a sexual assault three weeks prior. This week, the patient misses an appointment. Which of the following is the priority nursing intervention? Ask the health care provider how to handle this situation. Call the patient during break to offer verbal support by phone. Ensure the patient is scheduled for an appointment the following week. Call the patient expediently to assess why they missed the appointment.

Call the patient expediently to assess why they missed the appointment.

A patient is diagnosed with a vesicovaginal fistula and is to be discharged. What instructions should the nurse give to this patient? Select all that apply. Reduce fluid intake. Change perineal pads frequently. Take a warm sitz bath once a day. Cleanse the perineum every four hours. Perform Kegel exercises several times a day.

Change perineal pads frequently. Cleanse the perineum every four hours.

A known sex worker is brought into the emergency department (ED). She had been working and arrived with facial trauma including a laceration to the lip and eyebrow, and swelling of the right eye. What is the most appropriate nursing action? Cleanse and treat the facial injuries. Obtain fresh clothing and discard clothing she is wearing. Call the patient's boyfriend to transport her upon discharge. Consult sexual assault nurse examiner (SANE) for rape examination.

Consult sexual assault nurse examiner (SANE) for rape examination.

The nurse is examining the diagnostic reports of a patient who has had a spontaneous abortion. The ultrasound reports indicate the presence of products of conception in the uterus. Which procedure does the primary health care provider perform? Hysterotomy Dilation and curettage Hypertonic saline solution Methotrexate with misoprostol

D&C

Because of the risks associated with hormone therapy (HT), a female patient does not want to take HT and asks the nurse how she can tolerate the perimenopausal symptoms of hot flashes and sweating at night. What is the best response by the nurse? Increase warmth to avoid chills. Maintain good nutrition to avoid osteoporosis. Decrease heat production and increase heat loss. Take vitamin B complex and use vaginal lubrication.

Decrease heat production and increase heat loss.

A female college student presents at the campus clinic reporting a headache and increased lethargy with difficulty concentrating on studying. Which of the following questions should the nurse include during the focused assessment? Select all that apply. Does the patient practice birth control? When was the patient's last self-breast exam? Does the patient wear contact lenses or glasses? Does the patient have a history of menstrual cramps? Did the patient bump or receive any hits to her head?

Does the patient practice birth control? Does the patient wear contact lenses or glasses? Did the patient bump or receive any hits to her head?

Normal vaginal pH is typically lower than 4.5 as a result of sufficient levels of which combined substances? Estrogen and lactobacillus Estrogen and progesterone Progesterone and lactobacillus Testosterone and lactobacillus

Estrogen and lactobacillus

A patient arrives at the clinic to have a Papanicolaou (Pap) test done. What information should the nurse give to this patient? Select all that apply. Get this test done annually until the age of 65 years. Get this test done three times a year until the age of 65 years. Get this test done once in three years until the age of 65 years. This test is not required for women who have undergone hysterectomy. After 65 years, this test is not required if two or three consecutive negative Pap tests are received in two years.

Get this test done once in three years until the age of 65 years. This test is not required for women who have undergone hysterectomy. After 65 years, this test is not required if two or three consecutive negative Pap tests are received in two years.

The nurse admits a female patient of childbearing age who reports severe abdominal pain, abnormal uterine bleeding, and constipation. For which diagnostic tests should the nurse anticipate preparing the patient? Select all that apply. Myomectomy Hysteroscopy Hysterectomy Pelvic exam and ultrasound Complete blood count (CBC) Uterine artery embolization (UAE)

Hysteroscopy Pelvic exam and ultrasound Complete blood count (CBC)

The nurse is talking with a couple that are unable to have children. What information should the nurse include? Select all that apply. Tobacco and illicit drug use do not cause infertility. In certain cases, the cause for infertility may be unidentified. The cause for infertility may occur either in the male or the female. Assisted reproductive technologies (ARTs) can be used to bear children. Presence of infection such as cervicitis may cause infertility even if treated.

In certain cases, the cause for infertility may be unidentified. The cause for infertility may occur either in the male or the female. Assisted reproductive technologies (ARTs) can be used to bear children.

when teaching a group of postmenopausal women about the risk of osteoporosis, what information should the nurse include? Select all that apply. Inform that raloxifene prevents bone loss. Emphasize the need for estrogen replacement. Inform that Bisphosphonates enhance bone mineral density. Emphasize the need for adequate intake of calcium and vitamin E. Encourage avoidance of weight-bearing exercises, because they can cause bone loss.

Inform that raloxifene prevents bone loss. Emphasize the need for estrogen replacement. Inform that Bisphosphonates enhance bone mineral density.

The nurse is providing care to a female patient that experienced a sexual assault. What is the priority nursing action for this patient? Administering a pregnancy test Close monitoring of the patient's vital signs Ensuring the patient is left alone when possible Informing the patient about possible financial support

Informing the patient about possible financial support

A patient with polycystic ovary syndrome (PCOS) is prescribed metformin. The patient seeks an explanation, as the drug is usually prescribed for diabetes. What explanation should the nurse provide to this patient? Select all that apply. It restores ovulation. It reduces ovarian cysts. It reduces plasma insulin. It increases plasma insulin. It improves hyperandrogenism.

It restores ovulation. It reduces plasma insulin. It improves hyperandrogenism.

Which nonhormonal measures should the nurse teach to a postmenopausal patient experiencing hot flashes to decrease heat production and increase heat loss? Select all that apply. Limit intake of alcohol. Increase intake of caffeine. Use heavy quilts when sleeping. Promote air circulation in the room. Avoid wearing clothes with tight necks.

Limit intake of alcohol. Promote air circulation in the room. Avoid wearing clothes with tight necks.

A patient has been diagnosed with pelvic inflammatory disease (PID). What is a priority topic that the nurse should discuss with the patient? The importance of contraception Benefits of hormone therapy (HT) Manifestations of further infection The importance of maintaining hygiene

Manifestations of further infection

A patient is diagnosed with an unruptured ectopic pregnancy. What medication does the nurse anticipate educating the patient about to treat this condition? Tamoxifen Leucovorin Gemcitabine Methotrexate

Methotrexate

A patient seen in the clinic reports a fishy-smelling, thin, white, watery vaginal discharge and is diagnosed with bacterial vaginosis (BV). The patient reports an allergy to sulfa. Which medication does the nurse expect to administer? Doxycycline 100 mg PO BID for one week. Metronidazole 500 mg PO BID for one week. Penicillin G, 2 million units intramuscularly (IM) one time. Azithromycin 1 gram by mouth (PO) twice a day (BID) for two weeks.

Metronidazole 500 mg PO BID for one week.

The nurse administers mifepristone to the patient in the seventh week of pregnancy to induce abortion. Which medication would the nurse administer intravaginally to the patient after two days? Carboplast Misoprostol Methotrexate Dinoprostone

Misoprostol

The nurse is caring for a patient with an ectopic pregnancy of more than 3 cm in size. What nursing interventions should the nurse perform for this patient? Select all that apply. Monitor vital signs around the clock to identify signs of shock. Prepare the patient for either laparoscopic or laparotomy surgery. Assure the patient that with proper care she may continue the pregnancy. Inform the patient that laparotomies are associated with fewer repeated ectopic pregnancies. Inform the patient that increasing pain and vaginal bleeding indicate dislodgement of the ectopic pregnancy.

Monitor vital signs around the clock to identify signs of shock. Prepare the patient for either laparoscopic or laparotomy surgery.

The nurse is caring for a patient who has polycystic ovary syndrome (PCOS). When preparing to teach this patient, the nurse should know that which classic manifestation is associated with the severity of symptoms, including infertility? Obesity Hirsutism Amenorrhea Irregular menstrual periods

Obesity

A newly married couple is interested in using a combined oral contraceptive containing both estrogen and progesterone. What information should the nurse include when explaining about combined oral contraceptives to this couple? Select all that apply. Oral contraceptives increase risk of breast cancer. Oral contraceptives increase risk of ovarian cancer. Oral contraceptives decrease the risk of liver cancer. Oral contraceptives need to be taken after sexual intercourse. Oral contraceptives increase blood pressure and serum cholesterol.

Oral contraceptives increase risk of breast cancer. Oral contraceptives increase blood pressure and serum cholesterol.

When teaching a group of young women about pelvic inflammatory disease (PID), what information should the nurse include? Select all that apply. PID is associated with a higher risk of ectopic pregnancy. Old age and multiple sex partners are risk factors for PID. Causative organisms reach the pelvic organs through blood. PID is an infectious condition of the fallopian tubes, ovaries, and uterus. Causative organisms reach the pelvic organs through the cervix in an ascending manner.

PID is associated with a higher risk of ectopic pregnancy. Causative organisms reach the pelvic organs through the cervix in an ascending manner.

The nurse is caring for a postoperative ovarian cancer patient the day after she had a tumor debulking. The patient is crying and refusing to allow her husband of 25 years to visit. What is the most likely reason for the patient's refusal to allow her husband to visit? Experiencing too much abdominal pain for visitors Emotional and overly tired due to a noisy care environment Concerned about privacy when the nurse performs the dressing change Perceived perception of the husband's feelings about this type of surgery

Perceived perception of the husband's feelings about this type of surgery

The nurse is giving discharge instructions to a woman that had an induced abortion. What should the nurse include in the education to avoid complications related to the procedure? Select all that apply Report fever Report feelings of sadness Report abnormal vaginal bleeding Report severe abdominal cramping Report any foul smelling discharge

Report fever Report abnormal vaginal bleeding Report severe abdominal cramping Report any foul smelling discharge

A female patient is admitted to the nursing unit with dehydration related to frequent nausea and emesis. She was seen in the emergency department (ED) three weeks ago for a concussion and discharged home with instructions for physical and cognitive rest. Patient education and preparation should be done for which of the following tests? Pregnancy test Incentive spirometry 12-lead electrocardiogram (EKG) Magnetic resonance imaging (MRI) scan of the brain

Pregnancy test

A female patient reports severe back pain and abdominal cramping during her menstrual cycle, and the nurse educates the patient about taking nonsteroidal antiinflammatory drugs (NSAIDS) and using heat to relieve her discomfort. What explanation does the nurse give for how NSAIDs offer relief from this type of pain? Progesterone stimulates an increase in the uterine pain receptors. Increased estrogen results in a decrease in prostaglandin production. Prostaglandin production increases due to estrogen and progesterone. Prostaglandin production is below normal, triggering cramping in the uterus.

Prostaglandin production increases due to estrogen and progesterone.

A couple married for two years has failed to conceive. What advice should the nurse give to the couple? Select all that apply. Provide information regarding physiology of reproduction and explain various factors which result in infertility. Instruct the couple that because they have failed to conceive within two years after their marriage, it will be difficult for them to conceive. Inform the couple that infertility management is very expensive and ask them to obtain insurance coverage before they begin routine testing. Inform the couple they should directly go for assisted reproductive technologies such as in vitro fertilization and zygote intrafallopian transfer. Encourage the couple to identify the psychological problems, emotional disturbances, social distress, and frustration and anger associated with infertility and to address these issues accordingly.

Provide information regarding physiology of reproduction and explain various factors which result in infertility. Encourage the couple to identify the psychological problems, emotional disturbances, social distress, and frustration and anger associated with infertility and to address these issues accordingly.

The nurse is working in the emergency department (ED) and caring for a woman admitted for reports of terrible nightmares and nausea accompanied by frequent diarrhea. She has a history of rape during a street mugging. Which of the following would most likely explain the patient's signs and symptoms? Contraction of H1N1 Rape trauma syndrome Experience of an additional rape Gastroesophageal reflux disease

Rape trauma syndrome

The nurse is providing care to a patient who has been admitted for surgical removal of the fallopian tubes. How does the nurse document this surgical procedure in the patient's medical record? Myomectomy Salpingectomy Oophorectomy

Salpingectomy

A college student accompanied by a roommate presents to the emergency department (ED) to seek treatment for worsening depression. What further assessment from the nurse should be considered as a cause of the depression? Select all that apply. Conflicts with roommate Week-long sinus infection Sexual assault on campus Difficulty in college courses Family history of depression

Sexual assault on campus Difficulty in college courses Family history of depression

The nurse is caring for a patient with polycystic ovarian syndrome. What nursing interventions are appropriate for this patient? Advise absolute bed rest. Instruct to take diet rich in carbohydrates and fat. Explain the advantages of early surgical intervention. Suggest use of a depilating agent or electrolysis to remove unwanted hair.

Suggest use of a depilating agent or electrolysis to remove unwanted hair.

A patient is diagnosed with endometriosis after having pain for many years. After having 2 children via in vitro, she is seeking a cure for this problem. What treatment should the nurse educate the patient regarding? Danazol Leuprolide Nonsteroidal antiinflammatory drugs Surgical removal of endometrial implants

Surgical removal of endometrial implants

A patient is determined to have a second-degree uterine prolapse. Which assessment finding by the nurse correlates with this diagnosis? The cervix is at the vaginal opening. The cervix is at lower part of the vagina. The vagina and rectum have no support. The uterus protrudes through the introitus.

The cervix is at the vaginal opening.

A couple who failed to conceive under infertility management has been asked to go for in vitro fertilization (IVF). When explaining the procedure, what information should the nurse include? Select all that apply. The procedure requires two to three hours. The procedure cannot be done if the partner has low sperm count. This procedure is done for patients with tubal obstruction and diminished sperm count. This procedure is financially costly, but a single attempt provides successful implantation. With this procedure, the embryo develops outside the body and is later transplanted into the patient's uterus.

This procedure is done for patients with tubal obstruction and diminished sperm count. With this procedure, the embryo develops outside the body and is later transplanted into the patient's uterus.

Which diagnostic test does the nurse question when it is prescribed for a patient diagnosed with pelvic inflammatory disease (PID)? Rapid plasma reagin (RPR) Throat culture for streptococcus A Vaginal culture for Neisseria gonorrhea Complete blood count (CBC) with differential

Throat culture for streptococcus A

Human chorionic gonadotropin is prescribed to an infertile patient. What explanation will the nurse provide when the patient asks why they will be taking this? To induce ovulation To promote the development of follicles To suppress the release of follicle-stimulating hormone To prevent the premature release of luteinizing hormone

To induce ovulation

The nurse at a women's clinic is providing education to a woman with a history of a cystocele. Which symptom does the nurse include as a reason to contact the primary health care provider? Backache Constipation Urinary stress incontinence Urinary frequency and dysuria

Urinary frequency and dysuria

The nurse is assisting the health care provider with a routine vaginal exam on a female patient. The patient has erythema of the vulva, and during the breast exam, scratches were noted. The patient is withdrawn and reluctant to answer many questions about her health history except to volunteer she is tired after attending a party the previous night. Which of the following is acceptable without patient consent? Using an unlubricated speculum Sending a cervical culture for gonorrhea Clipping a pubic hair sample to send to the lab Sending a blood specimen for a pregnancy test

Using an unlubricated speculum

Which of the following factors may increase the severity of injuries a woman experiences following a sexual assault? Select all that apply. Location of the assault Woman's age at time of assault Season in which assault occurred Use of a weapon during the assault Type of clothing the woman was wearing The perpetrator being known to the victim

Woman's age at time of assault Use of a weapon during the assault The perpetrator being known to the victim

The sexual assault nurse examiner (SANE) has been asked to facilitate a college campus orientation breakout session. Which item would the SANE cover during this breakout session? Do not leave your laptop open and unattended. Exercise daily to promote blood flow to the brain. Yell "Fire" if you are attacked, and run toward a lit area. Eat protein-rich snacks and vegetables during exam week.

Yell "Fire" if you are attacked, and run toward a lit area.

A patient has a vesicovaginal fistula and undergoes colporrhaphy to prevent further complications. What instruction should the nurse provide to the patient after the procedure? "You should avoid taking stool softeners." "You should reduce fluid intake throughout the day." "You should avoid taking a warm sitz bath frequently." "You should ensure that a catheter is in place for 10 days."

"You should ensure that a catheter is in place for 10 days."

A patient has undergone induced abortion. The nurse is evaluating the patient after teaching about necessary interventions to avoid complications. Which statement made by the patient indicates effective learning? "I should perform vaginal douching." "I should avoid oral contraceptive pills." "I should avoid intercourse for two weeks." "I should perform exercise for one hour every day."

"I should avoid intercourse for two weeks."

After assessing a pregnant patient, the nurse anticipates that the patient has a risk of spontaneous abortion. Which advice given by the nurse is beneficial for the patient? "You should move frequently." "You should avoid intercourse." "You should avoid high-fiber foods." "You should increase folic acid supplements."

"You should avoid intercourse."

A patient has pelvic organ prolapse and is instructed to perform Kegel exercises. What does the nurse instruct the patient about Kegel exercises for an effective outcome? "You should perform exercise once a day." "You should avoid voiding before performing the exercises." "You should pull in as if you are trying to stop the urine flow." "You should breathe continuously while performing the exercises."

"You should pull in as if you are trying to stop the urine flow."

The nurse is educating a postmenopausal woman who is not receiving hormone replacement therapy (HRT) about calcium supplementation. How many milligrams (mg) per day is the recommended dose? 500 mg 1,000 mg 1,500 mg 2,000 mg

1,500 mg

The term "child sexual abuse" is used for children under what age? 12 years 14 years 18 years 21 years

14

A woman is scheduled for an induced abortion on her 40th day of gestation. What instructions should the nurse give to the patient about the procedure? Select all that apply. Contraception can be started a month after the procedure. The abortion drugs must be given within the first 59 days of pregnancy. Fever and foul-smelling drainage postprocedure may indicate complications. Abnormal vaginal bleeding and severe abdominal cramping need to be reported to the health care provider. Intercourse and vaginal insertions should be avoided until postprocedure reexamination, which needs to be in two weeks.

Fever and foul-smelling drainage postprocedure may indicate complications. Abnormal vaginal bleeding and severe abdominal cramping need to be reported to the health care provider. Intercourse and vaginal insertions should be avoided until postprocedure reexamination, which needs to be in two weeks.

A patient has a third-degree uterine prolapse but denies observing anything unusual. The patient's husband recently passed away from pancreatic cancer and was cared for at home by the patient. What are the most plausible reasons the nurse identifies for this lack of self-awareness? Select all that apply. The cervix was only at the vaginal opening. The patient didn't attend to hygiene of the urogenital area. The patient was overwhelmed by caring for her husband. The cervix was only resting in the lower part of the vagina. The patient was embarrassed about not having noticed the prolapsed uterus.

The patient was overwhelmed by caring for her husband. The patient was embarrassed about not having noticed the prolapsed uterus.

A patient who is postmenopausal comes to the clinic reporting unexpected vaginal bleeding. What should the nurse tell the patient about diagnosing the cause of this bleeding? "It is probably only the end of menopause." "You will need a hysterectomy to treat this bleeding." "You will need a Pap smear to see if you have endometrial cancer." "You will need an endometrial biopsy to determine the cause of bleeding."

"You will need an endometrial biopsy to determine the cause of bleeding."

Spontaneous abortion is the term used to describe the natural loss of a pregnancy prior to how many weeks of gestation? 10 12 20 25

20

The diagnostic reports of a patient who has infertility problems indicate the presence of tubal obstruction due to the growth of endometrial tissue. Which medication would be most beneficial for the patient? Select all that apply. Pergonal Nafarelin Repronex Humegon Leuprolide

Nafarelin Leuprolide

A nurse in a family planning clinic is completing the admission intake on a woman who has decided to get an abortion for an unwanted pregnancy. The patient tells the nurse that she is struggling with her decision because she is concerned that God will punish her for this decision and that she will not be able to reconcile this decision as she continues with life. What is the most appropriate response from the nurse? "God is forgiving; forgiveness will be given and your spirit will heal over time." "I understand why you feel that way, but this is the best decision at this point." "Would you like to speak with someone about these concerns before the procedure?" "Spirituality concerns should have been considered before scheduling of the appointment."

"Would you like to speak with someone about these concerns before the procedure?"

What instruction does the nurse give to the patient with cystocele who undergoes an anterior colporrhaphy to ensure effective treatment after surgery? Select all that apply. "You should eat a low-residue diet." "You should avoid voiding frequently." "You should take a stool softener every night." "You should avoid frequent change of positions." "You should avoid intercourse until the follow up visit."

"You should eat a low-residue diet." "You should take a stool softener every night." "You should avoid intercourse until the follow up visit."

A couple who have experienced a spontaneous abortion before eight weeks of gestation visit a nurse for information about increasing their chances for successful future pregnancies. What information should the nurse provide? Select all that apply. Advise the couple that any bleeding should be reported immediately. Inform the couple that the abortion may have been due to chromosomal defects. Inform the couple that the abortion may have been due to cervical incompetence. Advise the couple that serial monitoring of serum follicular stimulating hormone (FSH) levels should be done. Advise the couple that absolute bed rest and abstention from intercourse can reduce the chance of spontaneous abortion.

Advise the couple that any bleeding should be reported immediately. Inform the couple that the abortion may have been due to chromosomal defects.

The nurse is caring for a patient that underwent colporrhaphy. Which nursing intervention would provide the most comfort to this patient? Select all that apply. Apply ice locally in the area of swelling. Provide sitz bath regularly to the patient. Administer cleansing enema in the morning. Apply vaginal cream after shaving perineal area. Ask the patient to perform perineal care twice daily.

Apply ice locally in the area of swelling. Provide sitz bath regularly to the patient. Ask the patient to perform perineal care twice daily.

A patient has a condition as depicted in the image. Which clinical manifestation does the nurse expect? Dyspareunia Difficulty voiding Protruding cervix Incomplete defecation

Incomplete defecation

A patient has been admitted for dilation and evacuation (D&E). What nursing interventions should the nurse perform for this patient? Prepare the patient both physically and emotionally for the procedure. Counsel the patient that she may fail to conceive in the future due to this procedure. Instruct the patient that postprocedure she has to avoid sexual intercourse for two months. Inform the patient that this procedure is associated with the possibility of multiple pregnancies in the future.

Prepare the patient both physically and emotionally for the procedure.

A female patient is admitted to the fertility clinic newly diagnosed with polycystic ovarian syndrome (PCOS). Which nursing action should be the priority? Provide emotional support for infertility. Address patient concerns about hirsutism. Explain why a lipid profile will be collected. Begin teaching about weight management.

Provide emotional support for infertility.

A female patient was admitted to the hospital after her mother found her sobbing in the bathroom, washing blood from her clothing and bandaging a laceration from a split eyebrow. Which health care team member would the nurse anticipate the health care provider to consult? Select all that apply. Psychiatrist Social worker Physical therapist Occupational therapist Speech and hearing specialist Sexual assault nurse examiner (SANE)

Psychiatrist Social worker Sexual assault nurse examiner (SANE)

The nurse is caring for a patient who has been sexually assaulted. What nursing actions are appropriate for this patient? Select all that apply. Refer to crisis center. Provide privacy and emotional support. Train her about self-defense techniques. Provide the primary care and admit the patient in hospital. Discuss the possibility of pregnancy and offer effective emergency contraceptive pills.

Refer to crisis center. Provide privacy and emotional support Discuss the possibility of pregnancy and offer effective emergency contraceptive pills.

The nurse is caring for a patient with pelvic inflammatory disease. The nurse knows that positioning the patient into supine position with the head of the bed to 30 degrees is known to do what? To promote circulation To prevent dehydration To reduce pelvic inflammation To promote drainage of the pelvic cavity

To promote drainage of the pelvic cavity

The nurse is providing care to a patient with frothy greenish and grey vaginal discharge. A pelvic examination reveals hemorrhagic spots on the cervix and vaginal walls. On the basis of these assessment data, which diagnosis does the nurse anticipate? Cervicitis Bacterial vaginosis Vulvovaginal candidiasis Trichomonas vaginitis infection

Trichomonas vaginitis infection