EAQ ch 71

The nurse is planning education for a patient diagnosed with stage I endometrial cancer. Which common treatments for this stage of the disease does the nurse include in the teaching plan? Select all that apply. -Radiation -Chemotherapy -Total hysterectomy -Radical hysterectomy -Bilateral salpingo-oophorectomy

-Total hysterectomy -Bilateral salpingo-oophorectomy

The nurse is caring for a patient with a new diagnosis of a leiomyoma. Which are classifications of this benign tumor? Select all that apply. -Intramural -Subserosal Endometrial -Submucosal Colporrhaphy

-Intramural -Subserosal -Submucosal

The nurse is caring for a patient diagnosed with noninfectious vulvovaginitis. What are the possible causes of noninfectious vulvovaginitis? Select all that apply. -Candidiasis -Lichen planus -Herpes genitalis -Atrophic vaginitis -Urinary incontinence

-Lichen planus --Atrophic vaginitis -Urinary incontinence

A patient has been prescribed brachytherapy for gynecologic cancer. What does the nurse teach the patient? -Report low-grade fever below 100°F. -Report for the procedure once a week. -Maintain bed rest and avoid excessive movement in bed. -Avoid interaction with others between treatment sessions.

-Maintain bed rest and avoid excessive movement in bed.

Which condition can be caused by menstruation and tampon use? -Vulvovaginitis -Ovarian cancer -Pelvic organ prolapse -Toxic shock syndrome

-Toxic shock syndrome

What is the most common type of tumor? -Melanoma -Adenocarcinoma -Leiomyosarcoma -Squamous cell carcinoma

-Adenocarcinoma

What teaching does the nurse provide to the community during a class on prevention of toxic shock syndrome (TSS)? -Wash hands before inserting a tampon. -Use superabsorbent tampons during the day. -Change tampons at least once every 8 hours. -Use tampons instead of sanitary napkins at night.

-Wash hands before inserting a tampon.

Which is the priority concern for a patient diagnosed with lichen planus? -Infection -Social isolation -Impaired skin integrity -Ineffective health management

Infection

A patient reports an itching sensation in the vagina and thick, white vaginal discharge. Upon further assessment, the nurse finds that the patient has pediculosis pubis and scabies . The nurse anticipates that what medication will be prescribed? -Lindane -Leuprolide -Medroxyprogesterone acetate -Estrogen, progestin combination pills

Lindane

Which stage of endometrial cancer is confined to the endometrium? Stage I Stage II Stage III Stage IV

Stage I

A patient is being discharged from the hospital after a total vaginal hysterectomy. Which self-management measures does the nurse teach the patient? -Avoid climbing stairs. -Walk for exercise until fatigued. -Participate in aerobic exercises after a week. -Avoid crossing legs at the knees when sitting.

-Avoid crossing legs at the knees when sitting.

Which is a benign, slow-growing solid tumor of the uterine myometrium? -Erythema -Rectocele -Cystocele -Leiomyoma

-Leiomyoma

The nurse is caring for a patient after posterior repair surgery. What care can the nurse delegate to the unlicensed nursing personnel? -Providing a sitz bath -Assessing the patient's pain -Inspecting the patient's incision -Administering a saline enema

-Providing a sitz bath

What risk factor is associated with cervical cancer? Hypertension Late menopause Diabetes mellitus African American

African American

Which tumor arises from the glandular part of the endometrium and usually follows endometrial hyperplasia? -Melanoma -Adenocarcinoma -Leiomyosarcoma -Squamous cell carcinoma

Adenocarcinoma

The nurse is caring for a patient who underwent an anterior colporrhaphy. What does the nurse tell the patient about postoperative care? -Avoid lifting any weight heavier than 2 pounds. -Start routine activities, including driving, within a week. -Report to the outpatient department to have sutures removed. -Use a moist heating pad or apply warm compresses to the abdomen.

Use a moist heating pad or apply warm compresses to the abdomen.

What physical changes can a patient who has undergone a total vaginal hysterectomy expect? -Should use birth control -Can conceive after six months -Will tire easily and requires more sleep -Can expect vaginal discharge for a few months

Will tire easily and requires more sleep

A 32-year-old patient has a laparoscopic removal of endometrial adhesions at a same-day surgery center. What does the nurse tell her to expect postprocedure? -'You may have referred pain in your chest and shoulders due to the carbon dioxide (CO 2) used in the procedure.' -'This procedure will guarantee that you and your partner will be able to get pregnant within the next year.' -'Do not expect to get your menstrual period for at least 3 months; this procedure really gets your hormones out of balance.' -'You will likely have a fever and a strong-smelling vaginal discharge for several days after the procedure.'

-'You may have referred pain in your chest and shoulders due to the carbon dioxide (CO 2) used in the procedure.'

What are the symptoms that may result when an enlarged fibroid presses on other organs? Select all that apply. -Constipation -Pelvic pressure -Swollen breasts -Urinary retention -Nausea with or without vomiting

-Constipation -Pelvic pressure -Urinary retention

How is painful intercourse documented in a patient's medical record? -Dysuria -Alopecia -Hematuria -Dyspareunia

-Dyspareunia

What is a key assessment finding in a patient with uterine prolapse? -Dyspareunia -Hemorrhoids -Stress urinary incontinence -Difficulty in emptying the bladder

-Dyspareunia

What is the other name for leiomyomas? -Fibroids -Intramural -Subserosal -Submucosal

-Fibroids

Which is the most common gynecologic malignancy? -Cervical cancer -Adenocarcinoma -Endometrial cancer -Squamous cell cancer

-Endometrial cance

How many layers of classification are there for the leiomyomas in the uterus? -5 -8 -3 -6

3

The nurse is providing education to a group of women about ovarian cancer. Which risk factors identified by the women indicate that the teaching has been effective? Select all that apply. -Obesity -Nulliparity -Endometriosis -History of STDs -Multiple sexual partners

Obesity -Nulliparity -Endometriosis

What are the risk factors for endometrial (uterine) cancer? Select all that apply. -HIV/AIDS -Hypertension -Uterine polyps -Late menopause -Diabetes mellitus -Oral contraceptive use

-Hypertension -Uterine polyps -Late menopause -Diabetes mellitus

A 52-year-old patient has been diagnosed with endometrial (uterine) cancer. She says to the nurse, 'I was told that my cancer is stage II. What does that mean?' How does the nurse respond? -'The spread of your cancer is beyond your pelvic area.' -'Your cancer has spread from your uterus to your cervix.' -'It means that your cancer remains confined to your uterus.' -'Vaginal and lymph nodes are areas of involvement with your cancer.'

-'Your cancer has spread from your uterus to your cervix.'

The nurse is providing postoperative care for a patient after a total abdominal hysterectomy. What are the postoperative priorities for the nurse? Select all that apply. -Monitor vaginal bleeding. -Monitor dressing and drains. Provide oral fluids 2 hours after surgery. -Monitor and record urine output for 24 hours. -Ask the patient to use incentive spirometry from the second day.

-Monitor vaginal bleeding. -Monitor dressing and drains. -Monitor and record urine output for 24 hours.

The nurse is providing education to a young woman and her parents regarding human papilloma virus (HPV) vaccinations. What information should the nurse include in the teaching plan? Select all that apply. -Vaccinations will prevent HPV. -Possible side effects are vomiting and headache. -The medication will be given in three injections over 6 months. -Vaccination should be administered after sexual activity has begun. -The immunization may cause irritation at the area of the injection site.

-Possible side effects are vomiting and headache. -The medication will be given in three injections over 6 months. -The immunization may cause irritation at the area of the injection site.

What nonsurgical methods of treatment does the nurse teach a patient with pelvic organ prolapse? Select all that apply. -Avoid use of laxatives. -Practice Kegel exercises. -Use pessaries or spheres. -Practice bladder training. -Use oral hormone replacement therapy.

-Practice Kegel exercises. -Use pessaries or spheres. -Practice bladder training.

The nurse is discussing transvaginal repair for pelvic organ prolapse (POP) using surgical vaginal mesh with a patient who plans to have the procedure. What teaching does the nurse include? Select all that apply. -Incisional care instructions -Signs and symptoms of infection -Manufacturer's labeling and information -When to contact the surgeon after the procedure -Statements from women who have had successful outcomes

-Signs and symptoms of infection -Manufacturer's labeling and information -When to contact the surgeon after the procedure

The nurse is caring for a patient experiencing dyspareunia. What action by the nurse is priority ? -Measure urine output -Assess bowel sounds -Discuss sexuality issues -Administer PRN pain medication

-Discuss sexuality issues

Which polyps are pedunculated (on stalks) tumors that arise from the mucosa lining of the intestinal wall and extend through the opening of the cervical? -Cervical polyps -Endometrial polyps -Pedunculated polyps -Endocervical polyps

-Cervical polyps

The nurse is caring for a patient with vulvovaginitis. What intervention does the nurse teach the patient? -Change detergents. -Use cold compresses. -Use dry heat application. -Have sitz baths for 10 minutes once a day.

-Change detergents.

A patient has a pelvic organ prolapse. What symptom indicates the possibility of a cystocele? -Constipation -Fecal impaction -Feelings of vaginal fullness -Difficulty in emptying the bladder

-Difficulty in emptying the bladder

During a review of family medical history, the nurse learns that a patient's mother had a cystocele when she was the patient's age. The patient voices concerns that this will happen to her if she is not careful and wants to know how to prevent it. What is the best response by the nurse? -'Avoid using muscle relaxants to prevent a cystocele.' -'Performing Kegel exercises will help prevent a cystocele.' -'Preventing a cystocele is not possible, but early treatment helps.' -'Using progesterone supplements after menopause will help prevent a cystocele.'

'Performing Kegel exercises will help prevent a cystocele.'

A 42-year-old woman with an intramural leiomyoma (myomas or fibroids) has been taking estrogen replacement therapy for menopausal symptoms. What does the nurse tell her about estrogen replacement therapy and how it relates to her fibroids? -'The fibroids may continue to grow.' -'Estrogen will help shrink your fibroids.' -'Your estrogen dosage will not change.' -'Increasing the amount of estrogen you are taking will be necessary.'

'The fibroids may continue to grow.'

The nurse is teaching a group of young boys and girls about getting vaccinated for HPV (human papilloma virus). Which statement by one of the girls needs to be clarified? -'The vaccine is for girls; a different one is available for boys.' -'Having the vaccine will help keep me from getting cancer of my cervix.' -'I will need to have all three injections to be protected from the disease.' -'It is better to have the vaccination before I start having sexual relations.'

'The vaccine is for girls; a different one is available for boys.'

The nurse is performing discharge teaching for a patient who is recovering from a total abdominal hysterectomy (TAH). Which patient statement indicates a need for clarification? -"I cannot jog for 2 to 6 weeks." -"I will no longer have menstrual periods." -"I will need to find a new form of birth control." -"I must take my temperature twice a day for the first 3 days after surgery."

-"I will need to find a new form of birth control."

A patient reports new onset of vulvar burning, redness, and pruritus and is diagnosed with vulvovaginitis. The patient asks the nurse how to prevent future occurrences. Which response by the nurse is best ? -'You can use a douche monthly.' -'Switch to soft nylon undergarments.' -'Use a sitz bath for 30 minutes several times a day.' -'During a bath or shower, clean your labia with water only.'

-'During a bath or shower, clean your labia with water only.'

A patient has gynecologic cancer. Which patient statement demonstrates a correct understanding of her treatment options? -'The purpose of brachytherapy will be to dissolve the cancer.' -'Chemotherapy will be used to shrink my cancer before I have my operation.' -'Brachytherapy is given on an outpatient basis for 4 to 6 weeks before surgery.' -'External beam radiation therapy (EBRT) may be used after my cancer surgery.'

-'External beam radiation therapy (EBRT) may be used after my cancer surgery.'

A patient has undergone a total vaginal hysterectomy without removal of the ovaries. What statement by the patient indicates a need for further teaching? -'I will no longer have a period.' -'I may experience hot flushes and night sweats.' -'I will no longer need to use birth control methods.' -'I may need more sleep and rest for a few weeks.'

-'I may experience hot flushes and night sweats.'

A patient asks the nurse about preventive measures for toxic shock syndrome (TSS). The nurse instructs the patient about the safe use of tampons. Which statement made by the patient indicates effective learning? -'I should use superabsorbent tampons.' -'I should insert the tampon firmly into the vagina.' -'I should change the tampon every 6 to 12 hours.' -'I should use sanitary napkins instead of tampons at night.'

-'I should use sanitary napkins instead of tampons at night.'

The nurse is caring for a patient who is scheduled for a magnetic resonance-guided focused ultrasound for treatment of a fibroid. What statement by the patient indicates a need for further teaching? -'Ultrasound is going to destroy the fibroid.' -'I will have to lie on my stomach for this procedure.' -'I will be given pain medication prior to the procedure.' -'I will still be able to have kids after having this procedure.'

-'I will be given pain medication prior to the procedure.'

The nurse is teaching a patient about post-surgical care following a total vaginal hysterectomy. Which statement made by the patient indicates a need for further teaching? -'I won't need to use birth control methods anymore.' -'I will avoid lifting anything heavier than 5 or 10 lb.' -'I will need someone to drive me to my post-surgical appointments.' -'I will monitor my temperature every other day for the first week after surgery.'

-'I will monitor my temperature every other day for the first week after surgery.'

The registered nurse is teaching a patient who underwent a total abdominal hysterectomy about self-care when discharged. Which statement made by the patient indicates the need for further teaching? -'I will start ambulating.' -'I will drink lots of water.' -'I will refrain from doing any strenuous activities.' -'I will refrain from coughing and deep breathing exercises.'

-'I will refrain from coughing and deep breathing exercises.'

The patient is undergoing a laparoscopic myomectomy. What statement indicates that the patient has an accurate understanding of the teaching? -'I won't be able to get pregnant after this procedure.' -'I'll be at higher risk of spontaneous uterine rupture.' -'This procedure may cause me to miscarry if I'm pregnant.' -'I'll need to give birth by cesarean section if pregnancy occurs.'

-'I'll need to give birth by cesarean section if pregnancy occurs.'

The nurse is teaching care principles to a patient who plans uterus-sparing surgery to remove uterine fibroids. Which patient statement needs clarification? -'I will be able to return to my usual activities in about 2 weeks.' -'Probably I will be able to go home on the day of the surgery.' -'Fewer complications occur with this procedure than with hysterectomies.' -'It is important to avoid having sexual intercourse for 3 weeks after surgery.'

-'It is important to avoid having sexual intercourse for 3 weeks after surgery.'

The nurse is providing teaching to a patient on hormone replacement therapy who is experiencing pain related to fibroids. What statement by the patient indicates an understanding of the teaching provided? -'I am going to need a hysterectomy very soon.' -'I will need to stop taking my hormone replacement therapy.' -'The hormones are probably making my fibroids grow larger.' -'My fibroids should start to shrink now that I have reached menopause

-'The hormones are probably making my fibroids grow larger.'

Following a transvaginal repair for vaginal prolapse, a patient calls the health care provider's office to inquire when her sutures will be removed. What statement by the nurse is appropriate ? -'They will be removed at your follow-up appointment.' -'You do not need sutures with this type of procedure.' -'They do not need to be removed; they are absorbable.' -'The doctor will discuss that with you at your two week follow-up.'

-'They do not need to be removed; they are absorbable.'

A patient is scheduled for a transvaginal repair for pelvic organ prolapse using a vaginal mesh sling procedure. The patient asks the nurse when she will be discharged. What statement by the nurse is most appropriate? -'It's normally about 2 to 3 days.' -'Sometimes it can be up to a week.' -'Usually you're discharged the same day.' -'You usually need to stay in the hospital overnight for observation.'

-'Usually you're discharged the same day.'

Which symptom should the patient report immediately to the primary health care provider after undergoing total abdominal hysterectomy? -A burning sensation while urinating -A small amount of abdominal bleeding after the surgery -A small amount of vaginal leakage 4 days after the surgery -A persistent temperature of 99.5°F 4 days after the surgery

-A burning sensation while urinating

The nurse is reviewing laboratory results on a 34-year-old patient who is suspected of having endometrial (uterine) cancer. Which laboratory tests does the nurse expect to see? Select all that apply. -Serum electrolytes -Liver function tests (LFTs) -Alpha-fetoprotein (AFP) test -CA (cancer antigen)-125 test -Human chorionic gonadotropin (hCG) level -Hereditary nonpolyposis colon cancer (HNPCC) test

-Alpha-fetoprotein (AFP) test -CA (cancer antigen)-125 test -Human chorionic gonadotropin (hCG) level -Hereditary nonpolyposis colon cancer (HNPCC) test

How are leiomyomas defined? -The reduction of a rectal bulge -Tightening of the pelvic muscles for better bladder support -Benign, slow-growing solid tumors of the uterine myometrium -An alternative to surgery for a woman who does not want to become pregnant

-Benign, slow-growing solid tumors of the uterine myometrium

Which surgery requires the removal of the fallopian tubes and ovaries? -Panhysterectomy -Total hysterectomy -Radical hysterectomy -Bilateral salpingo-oophorectomy

-Bilateral salpingo-oophorectomy

The nurse is providing information to a patient who is undergoing brachytherapy for treatment of vaginal cancer. What information is priority for the patient to report to the health care provider? Select all that apply. -Headache -Blood in the urine -Fever over 100°F -Heavy vaginal bleeding -Urethral burning for more than two hours

-Blood in the urine -Fever over 100°F -Heavy vaginal bleeding

The nurse is caring for a patient diagnosed with vulvovaginitis from a secondary infection. Which conditions are the potential causes of the vulvovaginitis? Select all that apply. -Candidiasis -Lichen planus -Pediculus pubis -Herpes genitalis -Condylomata acuminata

-Candidiasis -Pediculus pubis

A patient with newly diagnosed gynecologic cancer is being discharged home. Which health care team member does the nurse contact to coordinate nursing care at home for this patient? -Hospice -Case manager -Social services -Health care provider

-Case manager

The nurse is caring for a patient who just returned from hysteroscopic surgery. What complications should the nurse observe for? Select all that apply. -Embolism -Renal failure -Fluid overload -Perforation of the uterus -Syndrome of inappropriate antidiuretic hormone (SIADH)

-Embolism -Fluid overload -Perforation of the uterus

The nurse is teaching a patient how to adapt to physical and psychological changes after surgery for ovarian cancer. What is included in the teaching plan? Select all that apply -Offering vaginal dilators -Suggesting the use of oil-based lubricants -Encouraging the expression of grief and fears -Encouraging the use of support groups and counseling -Suggesting alternatives to vaginal intercourse for 6 weeks

-Encouraging the expression of grief and fears -Encouraging the use of support groups and counseling -Suggesting alternatives to vaginal intercourse for 6 weeks

What is to be performed to help diagnose abnormalities of the uterus? -Lung biopsy -Breast biopsy -Endometrial biopsy -Bone marrow biopsy

-Endometrial biopsy

What are the gold standard tests that can be done to determine the presence of endometrial thickening and cancer? Select all that apply. -Pap tests -Genetic testing -Endometrial biopsy -Transvaginal ultrasound -Intravenous pyelography test

-Endometrial biopsy -Transvaginal ultrasound

Which is the most common female reproductive malignancy? -Vulvovaginitis -Ovarian cancer -Endometrial cancer -Human papilloma virus (HPV)

-Endometrial cancer

The nurse is caring for a pregnant patient who has been diagnosed with fibroids. What hormones are common causes of this condition? Select all that apply. -Oxytocin -Estrogen -Lactogen -Progesterone -Human chorionic gonadotropin

-Estrogen -Progesterone

Which is related to the growth of leiomyomas? Select all that apply. -Estrogen -Pregnancy -Menopause -Progesterone -Growth hormone

-Estrogen -Progesterone -Growth hormone

Which statement about cervical cancer vaccines is accurate? -Cervarix is also given to boys and men. -Gardasil is given as three injections over 6 months. -Gardasil provides longer-lasting protection than Cervarix. -Cervarix protects against human papilloma virus (HPV) strains 6 and 11.

-Gardasil is given as three injections over 6 months.

The nurse who is teaching a patient about ovarian cancer asks the patient to repeat the risk factors to ensure she has learned the information. Which patient response indicates a need for further teaching? -Having diabetes -Having multiple sexual partners -Eating a high fat-diet and being obese -Being older than 30 at the time of a first pregnancy

-Having multiple sexual partners

The nurse is caring for a patient diagnosed with fibroids. What information provided by the patient indicates that twisting of the fibroid at the stalk has occurred? -Anuria -Difficulty breathing -Flu-like symptoms -Heavy vaginal bleeding

-Heavy vaginal bleeding

The nurse is providing teaching for a group of women regarding symptoms of endometrial cancer. The nurse recognizes the teaching has been effective when the women identify what main symptom of endometrial cancer? -Pelvic pain -Low back pain -Heavy vaginal bleeding -Watery vaginal discharge

-Heavy vaginal bleeding

Which is the most common type of sexually transmitted infection (STI) in the United States? -Gonorrhea -Pediculosis pubis -Herpes simplex virus -Human papilloma virus (HPV)

-Human papilloma virus (HPV)

What factor would increase a patient's risk for cervical cancer? -Presence of uterine polyps -No childbirths or nulliparity -Tamoxifen therapy for breast cancer -Infection with the human papilloma virus (HPV)

-Infection with the human papilloma virus (HPV)

What differentiates an intramural leiomyoma from a submucosal leiomyomas? -Intramural leiomyomas are contained in the myometrium. -Intramural leiomyomas protrude into the cavity of the uterus. -Intramural leiomyomas grow as a single line of smooth muscle cells. -Intramural leiomyomas are benign, and submucosal leiomyomas are malignant.

-Intramural leiomyomas are contained in the myometrium.

The nurse is caring for a patient diagnosed with a vulvovaginitis. What signs and symptoms should the nurse should assess for? Select all that apply. -Itching -Lesions -Uterine prolapse -Frequent urination -Vaginal discharge

-Itching -Lesions -Vaginal discharge

What is the name of the surgery in which a very small incision is made and an organ can be removed such as an ovary, gallbladder, or appendix? -Liposuction surgery -Craniofacial surgery -Laparoscopic surgery -Oophorectomy surgery

-Laparoscopic surgery

The nurse receives a call from a patient who has been discharged after a total vaginal hysterectomy. The patient reports vaginal discharge. What action by the nurse is priority ? -Instruct the patient to go to the emergency room -Inform the patient that she may need to be checked for STDs -Let the patient know this is a normal finding for a few days after surgery -Ask the patient if she has continued to take the postoperative antibiotics

-Let the patient know this is a normal finding for a few days after surgery

The nurse is caring for a patient with a vaginal infection secondary to pediculosis. What instruction should the nurse provide to the patient? -Tepid sitz baths -Topical estrogen -Cool compresses -Lindane lotion application

-Lindane lotion application

What is a cardinal risk factor for cervical cancer? -Nulliparity -Late menopause -Multiple sex partners -Presence of uterine polyps

-Multiple sex partners

A patient is being discharged after having a total abdominal hysterectomy (TAH). What principle guides the nurse who is providing discharge planning and instructions for her? -No special home equipment will be necessary for the patient. -Psychological reactions should be evident by the time of discharge. -The patient will be able to return to normal activities upon discharge. -Patients generally adapt better if they are still in their childbearing years.

-No special home equipment will be necessary for the patient.

The nurse is caring for a patient 24 hours after uterine artery embolization for treatment of fibroids. The patient complains of muscle aches. What action by the nurse is priority ? -Notify the health care provider -Encourage increased fluid intake -Perform a neurologic assessment -Reassure the patient this is normal

-Notify the health care provider

Which patient history places a woman at highest risk for developing endometrial (uterine) cancer? -Nulliparity, smoking, uterine polyps, hypertension -Oral contraceptive use, smoking, localized pain in the thigh -Multiparity, human papilloma virus (HPV), smoking, and African-American ethnicity -Nulliparity, endometriosis, diabetes mellitus, first pregnancy at older than 20 years

-Nulliparity, smoking, uterine polyps, hypertension

Which are risk factors for ovarian cancer? Select all that apply. -Obesity -Infertility -Late menarche -Older than 20 years -Family history of breast cancer

-Obesity -Infertility -Family history of breast cancer

What are risk factors for the development of uterine cancer? Select all that apply. -Obesity -Smoking -Multiple sex partners -Diabetes mellitus -Low socioeconomic status

-Obesity -Smoking -Diabetes mellitus

Which are risk factors for endometrial cancer? Select all that apply. -Obesity -Smoking -Multiparity -Uterine polyps -Diabetes mellitus

-Obesity -Smoking -Uterine polyps -Diabetes mellitus

The nurse is caring for a patient who has had a posterior repair for a rectocele. The patient reports feeling the urge to have a bowel movement. What action by the nurse is priority ? -Prepare saline enema -Encourage the patient to ambulate -Encourage the patient to splint her abdomen -Provide pain medication prior to the bowel movement

-Provide pain medication prior to the bowel movement

What nursing interventions are appropriate when caring for a patient diagnosed with vulvovaginitis? Select all that apply. -Providing reassurance -Assessing for erythema -Obtaining vaginal smears -Bimanual pelvic examination -Performing Papanicolaou test

-Providing reassurance -Assessing for erythema

How are the uterus, cervix, adjacent lymph nodes, and the surrounding tissues (parametrium) removed? -Panhysterectomy -Total hysterectomy -Radical hysterectomy -Bilateral salpingo-oophorectomy

-Radical hysterectomy

Which gynecologic surgery involves the removal of the uterus, cervix, adjacent lymph nodes, the upper third of the vagina, and the surrounding tissues? -Panhysterectomy -Total hysterectomy -Radical hysterectomy -Bilateral salpingo-oophorectomy

-Radical hysterectomy

Who calculates the time needed for a specific dose of radiation during brachytherapy? -Radiologist -Activity therapist -Physical therapist -Cognitive therapist

-Radiologist

While assessing a febrile patient admitted with toxic shock syndrome (TSS), the nurse discovers that the patient regularly uses tampons. What other assessment findings would support this diagnosis? Select all that apply. -Constipation -Severe body aches -Excessive urination -Reddening of the mucosa of the throat -Reddening of the conjunctiva of the eyes

-Severe body aches -Reddening of the mucosa of the throat -Reddening of the conjunctiva of the eyes

A patient underwent a total abdominal hysterectomy. Which patient activity would lead to a complication after surgery? -Lifting an object of 4 lbs -Sitting for 3 hours at a time -Gradually increasing walking -Climbing stairs 2 times daily

-Sitting for 3 hours at a time

The nurse is providing discharge instructions to a patient diagnosed with a rectocele. What instruction is priority ? -Pessary care -A low-fiber diet -Stool softeners -Bladder training

-Stool softeners

Which fibroid protrudes into the cavity of the uterus and can cause bleeding and disrupt pregnancy? -Cervical fibroid -Intramural fibroid -Subserosal fibroid -Submucosal fibroid

-Submucosal fibroid

What is a cardinal sign of toxic shock syndrome (TSS)? -Hypertension -Low-grade fever -Sunburn-like rash -Increased urine output

-Sunburn-like rash

A patient with a uterine leiomyoma has been advised to have a total hysterectomy. Which organs or tissues will be removed during this procedure? -Fallopian tubes and both ovaries -The entire uterus including the cervix -Uterus, ovaries, and fallopian tubes of both sides -Uterus, cervix, adjacent lymphnodes, and part of the vagina

-The entire uterus including the cervix

What is the purpose of brachytherapy? -To lessen the pain of vaginal cancer -To lessen the pain of breast cancer -To prevent disease recurrence of breast cancer -To prevent disease recurrence of vaginal cancer

-To prevent disease recurrence of vaginal cancer

A patient underwent a magnetic resonance imaging (MRI) diagnostic exam of the abdomen that reveals a fibroid tumor larger than the size of a 16-week pregnancy. The recommended treatment is removal of uterus and cervix. Which gynecologic surgery is appropriate for this patient? -Panhysterectomy -Radical hysterectomy -Total abdominal hysterectomy -Bilateral salpingo-oophorectomy

-Total abdominal hysterectomy

Which surgery is performed for leiomyomas larger than the size of a 16-week pregnancy? -Panhysterectomy -Radical hysterectomy -Total abdominal hysterectomy -Bilateral salpingo-oophorectomy

-Total abdominal hysterectomy

Which surgery can be used to remove the entire uterus, including the cervix? -Panhysterectomy -Total hysterectomy -Radical hysterectomy -Bilateral salpingo-oophorectomy

-Total hysterectomy

What complication causes pain in women with fibroids? -Constipation -Pelvic pressure -Heavy vaginal bleeding -Twisting of the fibroid on its stalk

-Twisting of the fibroid on its stalk

What measures regarding the proper use of tampons help to prevent toxic shock syndrome (TSS)? Select all that apply. -Use superabsorbent tampons. -Use sanitary napkins at night. -Change tampons 2 to 3 times daily. -Report sudden vomiting or diarrhea. -Wash hands before inserting tampons.

-Use sanitary napkins at night. -Report sudden vomiting or diarrhea. -Wash hands before inserting tampons.

Which organs are removed in a panhysterectomy? -Uterus and cervix -Fallopian tubes and ovaries -Uterus, ovaries, and fallopian tubes -Uterus, cervix, adjacent lymph nodes, the upper third of the vagina, and parametrium

-Uterus, ovaries, and fallopian tubes

A patient with a prolapsed uterus is scheduled for anterior colporrhaphy surgery. What should the patient expect with this procedure? Select all that apply. -Driving should be avoided for 6 weeks after surgery. -Anterior colporrhaphy is a minimally invasive surgery. -Vaginal hysterectomy may accompany anterior colporrhaphy. -Sutures of the anterior colporrhaphy will not need to be removed. -It is important to avoid sexual intercourse for 4 weeks after the surgery. -It is important to avoid lifting anything heavier than 5 pounds after the surgery.

-Vaginal hysterectomy may accompany anterior colporrhaphy. -Sutures of the anterior colporrhaphy will not need to be removed. -It is important to avoid lifting anything heavier than 5 pounds after the surgery.

Where is the intramural fibroid located? -Within the wall of the uterus -In the wall of the cervix (neck of the uterus) -In the muscle beneath the endometrium of the uterus -Underneath the mucosal (peritoneal) surface of the uterus

-Within the wall of the uterus

What does the nurse teach a patient about preventing vulvovaginitis? -Avoid wearing pantyhose or tight jeans. -Cleanse the inner labial mucosa with soap. -Wipe back to front after a bowel movement. -Use safety precautions if the patient's partner has an infection.

Avoid wearing pantyhose or tight jeans.

The patient with urinary elimination problems reports urgency, a urinary tract infection, and stress urinary incontinence. What condition should the nurse suspect and assess for? -Rectocele -Cystocele -Vulvovaginitis -Vaginal prolapse

Cystocele

A patient is scheduled for a total hysterectomy with a laparoscopic vaginal approach after a diagnosis of microinvasive cervical cancer. What psychological and/or social changes does the nurse expect this patient to experience? -The patient will be actively involved in her own care in the immediate postoperative period. -The patient should demonstrate reality testing and should experience a grief reaction immediately after her surgery. -Because the surgery does not affect a visible site, altered body image issues will be fewer in number. -Sexual counseling may be needed, especially if the patient has doubts about her ability to feel like a woman and engage in sexual activities.

Sexual counseling may be needed, especially if the patient has doubts about her ability to feel like a woman and engage in sexual activities.

Which statement about uterine fibroids is correct? -Fibroids often regress in size during pregnancy. -Subserosal leiomyomas protrude into the uterine cavity. -The incidence of fibroids increases as women get older. -The most common type of fibroids is pedunculated leiomyomas.

The incidence of fibroids increases as women get older.