PREP U CH 53 Caring for Clients with Disorders of the Female Reprodu

A client is being treated for trichomoniasis. The client has received instructions about the prescribed drug therapy. The nurse determines that the client needs additional teaching when she states which of the following?

"My partner will not need any treatment."

A client has been diagnosed with cancer of the cervix. In what age group would the nurse expect the client to be?

35 to 50 years

Which client has the highest risk of ovarian cancer?

45-year-old woman who has never been pregnant

A client has been diagnosed with endometriosis. When planning this client's care, the nurse should prioritize what nursing diagnosis?

Acute pain related to misplaced endometrial tissue

The nurse is planning health education for a client who has experienced a vaginal infection. What guidelines should the nurse include in this program regarding prevention?

Avoid commercial feminine hygiene products, such as sprays.

Over the past 2 months, a client has been receiving treatment for multiple ear infections and tonsillitis. The client reports a curdy white vaginal discharge and burning with urination. What is the most likely cause of these symptoms?

Candida albicans

Which type of yeast infection is manifested by white, cheese-like discharge?

Candidiasis

A 31-year-old client has returned to the postsurgical unit following a hysterectomy. The client's care plan addresses the risk of hemorrhage. How should the nurse best monitor the client's postoperative blood loss?

Count and inspect each perineal pad that the client uses.

Which condition is a downward displacement of the bladder toward the vaginal orifice?

Cystocele

The nurse documents the following history obtained from a female patient: No known allergies Douching 2 to 3 times per week Use of barrier methods for contraception Recent viral upper respiratory infection Estrogen levels within acceptable parameters Which of the following would the nurse identify as a risk factor for the patient developing a vulvovaginal infection?

Douching

An adolescent patient comes to the clinic with complaints of "terrible pain" during menstruation. What should the nurse document this subjective data as?

Dysmenorrhea

Which of the following nursing interventions would a nurse be likely to employ for a client with premenstrual syndrome? Select all that apply.

Encourage the client to follow a regular schedule for meals. Explain how to maintain an accurate menstrual diary. Teach the client to reduce caffeine consumption.

When teaching clients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor?

Human papillomavirus (HPV)

Which of the following is a term used to describe excessive menstrual bleeding?

Menorrhagia

Which is the main cause of anemia in a client with active uterine leiomyoma?

Menorrhagia Uterine leiomyomas or fibroids cause menorrhagia, which in turn can cause anemia. Poor dietary intake of iron does not cause anemia but aggravates the problem. Though there can be a feeling of pressure in the pelvic region, this does not cause anemia.

Which drug is the most effective treatment for trichomoniasis?

Metronidazole

A client has returned to the postsurgical unit after vulvar surgery. What intervention should the nurse prioritize during the initial postoperative period?

Monitoring the integrity of the surgical site

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 nurse is examining a client's breasts. Which of the following would alert the nurse to a possible problem? Select all that apply.

Spontaneous nipple discharge

A client with heart failure is admitted to an acute care facility and is found to have a cystocele. When planning care for this client, the nurse is most likely to formulate which nursing diagnosis?

Stress urinary incontinence

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is most appropriate for the nurse to tell this client?

The warts may require surgical removal or cryotherapy

A client is being discharged home after a hysterectomy. When providing discharge education for this client, the nurse has cautioned the client against sitting for long periods. This advice addresses the client's risk of what surgical complication?

Venous thromboembolism

A client with HIV has recently completed a 7-day regimen of antibiotics. She reports vaginal itching and irritation. In addition, the client has a white, cheese-like vaginal discharge. Which condition is the client most likely experiencing?

Vulvovaginal candidiasis

Over the past 2 months, a client has been receiving treatment for multiple ear infections and tonsillitis. The client reports vaginal discharge and itching. What is likely the cause of the client's vaginitis?

antibiotics

Over the past two months, a client has been medicated for multiple ear infections and tonsillitis. The client reports vaginal discharge and itching at this appointment. What could the client do to prevent future vaginitis?

eat yogurt