Repro

The nurse is teaching breast self-examination (BSE) to a group of women. The nurse should recommend that the women perform BSE:

between days 5 and 7 after menses.

At a public health fair, a nurse teaches a group of women about breast cancer awareness. Possible signs of breast cancer include:

nipple discharge and a breast nodule.

Which abnormality is not considered a structural abnormality?

pelvic inflammatory disease

A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed?

"This vaccine will prevent human papilloma virus (HPV) from occurring."

Following a laparoscopic-assisted vaginal hysterectomy, which client assessment finding would warrant nursing intervention? Select all that apply.

Peri-pad changed every shift/ Dorsal recumbent positioning with knee bend

A client has been diagnosed with an enlarged prostate. What information should the nurse explain to the client about the effects of an enlarged prostate?

Retention of urine

Which position occurs when the uterus turns posteriorly as a whole unit?

Retroversion

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)?

Saw palmetto

The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test?

Self-administer an enema prior to arrival.

A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?

Seminal vesicles

The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy?

Family history of breast cancer

Which assessment finding will most likely influence the treatment regimen selected by a client with endometriosis?

Family planning

A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse?

"A TURP is a removal of only a portion of the prostate gland."

The nurse is providing teaching to a client who is scheduled for a mammogram. Which of the following would the nurse include as a way to avoid artifacts on the x-ray film?

"Avoid using a deodorant with aluminum hydroxide."

The nurse is discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification?

"HPV is spread during sexual intercourse."

The public health nurse has been talking to a group of community members about sexually transmitted infections. Which statement by one of the participants demonstrates an understanding of methods during sexual intercourse to decrease the risk of a sexually transmitted infection?

"I will make sure and wash my genital area before and after having sexual intercourse."

The nurse is caring for a client who has been diagnosed with a breast lump. The physician states that studies indicate a cancerous tumor in situ. The client is anxious and wants to know what may come next. The nurse is most correct to support physician instruction of which of the following?

"Since your tumor appears localized, removal of the tumor is indicated."

A client who wishes to preserve childbearing asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse?

"Symptoms of endometriosis are increased during normal menstrual cycle."

The nurse is scheduling an appointment for Pap test with a client. What information should the nurse provide to the client to ensure the test is accurate? Select all that apply.

"Use a sanitary pad instead of tampon 2 to 3 days prior to the test."/ "Avoid sexual intercourse for at least 2 days prior to the test."

A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?

"What concerns you most about having surgery?"

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

"What do you do to prevent sexually transmitted infections?"

The nurse is preparing a client for a pelvic examination. Which nursing question is essential for the nurse to ask?

"Would you like to void at this time?"

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?

12 ng/mL

Which client has the highest risk of ovarian cancer?

45-year-old woman who has never been pregnant

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?

A 56-year-old African American man

A suspicious breast lump is noted on a mammogram. The client asks the nurse which diagnostic test confirms if the lump is cancerous or benign. Which response by the nurse is most correct?

A biopsy

The nurse is caring for four clients in an oncology unit. Following report on diagnosis and treatment, which client would the nurse identify as having the most life-threatening diagnosis?

A client with stage IV cancer receiving palliative care

The nurse is providing shift report related to a client newly received back to the unit from the post anesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis major and minor muscles removed. The oncoming nurse documents which procedure completed?

A radical mastectomy

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

Abandon biases that older adults are sexually inactive.

A client is being discharged to home following a modified radical mastectomy. The nurse is providing discharge instructions and making arrangements for home care. Which interventions will be included in the instructions? Select all that apply.

Advise the client that blood pressure measurements, injections, blood donations, and IV infusions are lifelong restrictions on the side of the mastectomy./ Recommend wearing gloves while doing yardwork or housework.

Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?

Age of menarche

A client with challenging menopausal symptoms has discussed treatment options with the physician and now has some questions for the nurse. The client asks, "What are the potential risks of hormone replacement therapy?" What is the best answer?

All options are correct.

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?

Alprostadil

The client with prostatitis presents with low back pain, dysuria, and unusual sensation following ejaculation. Which of the following treatments will the nurse anticipate being ordered for this client?

Antibiotics

Which pharmacologic agents pose the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?

Antihistamines

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

The nurse is caring for a client with erectile dysfunction. Because the client has coronary artery disease (CAD), the nurse anticipates the provider will prescribe which medication for ED?

Apomorphine (Uprima)

The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications?

Apomorphine (Uprima)

Which discharge instructions would be provided to a client following a vasectomy? Select all that apply.

Apply ice packs to the scrotum to reduce swelling./ Resume usual activities in 2 to 3 days.

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 female patient is scheduled to undergo a Papanicolaou test. The nurse should advise the patient of which of the following?

Avoid intercourse for 2 days prior to the procedure.

A client is diagnosed with prostatitis. Which of the following is the most important teaching point for the management of this disorder?

Avoid prolonged sitting.

A nurse is describing the advantages and disadvantages associated with tamoxifen therapy as a means of breast cancer prevention. The nurse would identify that the drug has a beneficial effect on which of the following?

Bone mineral density

A community health nurse is leading a health education session addressing menopause and other aspects of women's health. What dietary supplements should the nurse recommend to prevent morbidity associated with osteoporotic fractures?

Calcium and vitamin D

A client has vaginitis identified through tests as caused by a fungus. The nurse recognizes that the likely causative organism is which of the following?

Candida albicans

The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom?

Candida albicans

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

Candidiasis

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 client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The diagnosis of prostatitis is confirmed. What teaching should the nurse include? Select all that apply.

Complete the prescribed antibiotic treatment./ Avoid prolonged sitting./ Regularly drain the gland.

A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse?

Contact precautions

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

Cryptorchidism as an infant

A client with erectile dysfunction has been prescribed a PDE5 inhibitor. What would the nurse include in the client education?

Depending on the drug, most are taken "on demand" 15 minutes, 1/2 hour, to 1 hour before sexual activity.

The nurse is preparing a woman for an abdominal ultrasound. Which instruction would be appropriate for the nurse to include?

Drink at least 1 quart of water an hour before the test.

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 term refers to difficult or painful sexual intercourse?

Dyspareunia

A client is scheduled for an abdominal ultrasound as a follow up to her pelvic examination. Which action by the nurse would be most appropriate?

Ensuring that the client has a full bladder

A nurse is using a diagram to educate a client with a pelvic organ prolapse. Which condition would the client have based on the illustration?

Enterocele

A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?

Escherichia coli

A 20-year-old client comes to the clinic for a routine examination. The client reports that she has just started having sexual intercourse. The nurse would recommend that the client have a Pap smear at which frequency?

Every 3 years

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

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

A client has just received a diagnosis of premature ovarian failure. How would this diagnosis be confirmed?

FSH level determination

The client with benign prostatic hyperplasia (BPH) is considering use of medication in the management of symptoms. Which of the following drugs reduces the size of the prostate without lowering circulating levels of testosterone?

Finasteride (Proscar)

Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess?

Fishy smelling watery discharge

The nurse is instructing an adolescent female who is not sexually active on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?

Human papilloma viral (HPV)

A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client?

Infertility

A client is ordered a vaginal cream for the treatment of a yeast infection. What teaching should the nurse include for inserting the vaginal medication?

Insert the medication into the vagina using an applicator.

The nurse understands that a single dose of azithromycin as treatment for a chlamydia infection is prescribed by the health care provider for what reason?

It can be administered to the client at the health care provider's office.

A client with fibrocystic breast disease has been receiving treatment with danazol (Danocrine) therapy for the past 6 months. In anticipation of the drug being discontinued, the nurse instructs the client to inform the healthcare provider about which of the following?

Lack of return of regular menses within 90 days after discontinuing the drug

The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago. Which assessment finding(s) does the nurse expect? Select all that apply.

Large amounts of amber-colored urine in the drainage bag/ Reports of the urge to void from the client/ Drainage tube secured to the inner thigh

A client is scheduled to undergo a procedure to lift her breasts that have drooped because of significant weight loss. The nurse identifies this procedure as which of the following?

Mastopexy

Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?

Medication use

A 59-year-old African American man has opted for hormonal androgen deprivation therapy (ADT) to treat his prostate cancer. Which surgical procedures is the client most likely to undergo?

Orchiectomy

Which term refers to the surgical removal of one or both testes?

Orchiectomy

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?

Painful swelling

The nurse is caring for a client diagnosed with fibrocystic disease and prescribed danazol (Danocrine). Which is essential before drug therapy is initiated?

Pregnancy test

Following a radical vulvectomy, the nurse is preparing the client for discharge to home. Which care intervention would be considered the priority for this client?

Prevention of wound complications

A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium?

Progesterone

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

Pruritus with genital burning

A nurse is providing preoperative teaching to a client with prostate cancer who is scheduled to undergo a radical prostatectomy. When describing the surgery, the nurse would identify which structures as being removed? Select all that apply.

Seminal vesicles/ Tips of vas deferens

During a physical examination, the nurse inspects the external genitalia of a male client. Which of the following would the nurse identify as an abnormality?

Skin lesions

What would be included in client teaching for a client recovering from a prostatectomy? Select all that apply.

Tell the client to use soap and water to clean around the urethral meatus and several inches of the catheter at least twice a day./ Teach pelvic floor retraining exercises.

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer.

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

Tetracycline

A man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the client's history, what might the nurse note that contributes to erectile dysfunction? Select all that apply.

The client has a history of hypertension./ The client drinks five to six alcoholic drinks per day.

An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?

The clitoris

A parent of an adolescent female is asking the nurse for guidelines of when the daughter should have her first Papanicolaou test (Pap test) and then the subsequent frequency. The nurse is most correct to make which statement?

The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward.

The client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When assessing the breast, which assessment finding is characteristic of fibrocystic disease?

The lump is round and movable.

The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following?

Tissue biopsy

Breast cancers are usually found in which area of the breast?

Upper outer quadrant

Which instruction regarding future sexual activity should a nurse give a client with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm no longer are present

Following a vasectomy, which is the most important instruction to provide to the client?

Use another form of birth control until further notice.

The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client?

Vaginal bleeding

Which term describes an opening between the bladder and the vagina?

Vesicovaginal fistula

During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed?

Wear gloves and protective clothing to avoid any injuries.

The nurse is caring for a client who is employed as a manual laborer . The client has recovered from a recent mastectomy and is planning to return to work. Which instruction from the nurse would be most helpful?

Wear gloves to prevent injury.

Which group of clients is at high risk of developing breast cancer?

Women who are obese

An older female client reports pain during intercourse, disrupting the intimacy that she and her husband are accustomed to sharing. What might be the cause of her pain?

atrophy of Bartholin glands

A client expresses concerns about future reproduction after a surgery and treatment for cancer of the testes has proceeded without first collecting and storing sperm. Which alternatives should a nurse suggest to the client? Select all that apply.

donor insemination/ adoption/ foster parenting

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

Which structure collects the spermatocytes and nourishes them until they are able to move about spontaneously?

epididymis

While caring for a client who is being treated for severe pelvic inflammatory disease (PID), the nurse insists on keeping the client in a semi-sitting position. The nurse advises this in order to:

facilitate pelvic drainage and minimize the upward extension of the infection.

A client who has been unable to conceive is intent on discovering the reason. The client has had very scanty, infrequent menses since their onset, and has a history of type 2 diabetes and acne. What could be the reason for this client's menstrual disorder?

polycystic ovarian syndrome

A client has been diagnosed with epididymitis. What would the nurse expect to find in the lab results from this client's urinalysis?

pus and bacteria

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?P

repare for a cesarean section.

The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification?

"I consider myself protected because I am on birth control pills."

The lactation nurse is caring for a mother who is 2 weeks postpartum and has mastitis. Which statement, made by the client, requires instruction and is the probable cause of the mastitis?

"I nurse the baby on one breast each feeding."

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 caring for a client who has just been diagnosed with endometriosis. The client has been hoping to have children with her partner. Which statement by the nurse is most appropriate to provide the client with support and guidance about treatment options?

"It might help to include your partner in any of the discussions about options."

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."

A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response?

"Many times, an ultrasound is done to distinguish between a tumor and cyst."

A client who is scheduled to have a modified radical mastectomy to remove an aggressive breast tumor is concerned about having agreed to the surgery before considering alternative options. Which statement is the nurse's best response?

"Tell me more about your fears and concerns."

Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the diagnosis?

"The cancer has not spread."

A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct?

"The clinical breast evaluation will be completed with annual gynecologic examination."

A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching?

"The penis will appear longer than usual."

A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse?

"These are normal, manageable symptoms of menopause."

The nurse is counseling a client who has been diagnosed with two sexually transmitted infections. The client is shocked and states not knowing how this has happened. Which of the following statements is most appropriate by the nurse?

"Your partner could have been asymptomatic at that time."

A client comes to the emergency department complaining of moderate to severe testicular pain and tenderness. Both testicles are swollen and a penile discharge is present. The client is diagnosed with viral orchitis. Which of the following would the nurse include in this client's plan of care?

Applying ice to the scrotum

Following a recent history of dyspareunia and lower abdominal pain, a client has received a diagnosis of pelvic inflammatory disease (PID). When providing health education related to self-care, the nurse should address what topics? Select all that apply.

Appropriate use of antibiotics/ Use of condoms to prevent infecting others

The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?

Are you allergic to penicillin?

Which of the following types of condoms is appropriate only if the client is in a long-standing relationship?

Natural membrane condom

The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply.

Chlamydia/ Hepatitis B/ Syphilis/ HIV/ Gonorrhea

The nurse is providing dietary instruction for the client with fibrocystic breast disease. Which of the client's favorite food(s) does the nurse discourage? Select all that apply.

Cola products/ Chocolate pudding

A client has been diagnosed with epididymitis after examination and diagnostic tests. What treatments would the nurse expect the healthcare provider to order? Select all that apply.

Cold compresses/ Comfort measures/ Scrotal elevation

An older client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which factors increase the risk for breast cancer? Select all that apply.

Daily alcohol intake/ Increased age/ Nulliparity/ Obesity

A client was recently diagnosed with premenstrual dysphoric disorder and is meeting with a nurse to discuss lifestyle changes that will aid in relieving symptoms. Which interventions will the nurse suggest? Select all that apply.

Eliminate alcohol prior to menstruation/ Consume complex carbohydrates and foods high in calcium

The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?

Fever, sore throat, lymph node enlargement

A patient informs the nurse that she believes she has premenstrual syndrome and is having physical symptoms as well as moodiness. What physical symptoms does the nurse recognize are consistent with PMS? Select all that apply.

Fluid retention/ Low back pain/ Headache

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?

Frequency

A client with a normal prostate-specific antigen (PSA) level is reporting painful urination and the presence of blood in urine and semen. The nurse understands that the best option for management of this client includes which of the following?

Further evaluation

The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following?

Further evaluation is needed for potential malignancy.

A nurse is teaching a male client who is older than 50 years about prostate cancer. What teaching should be included by the nurse?

Have a digital rectal examination.

A client, age 42, visits the gynecologist. After examining the client, the physician suspects cervical cancer. The nurse reviews the client's history for risk factors for this disease. Which history finding is a risk factor for cervical cancer?

Human papillomavirus infection at age 32

When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems? Select all that apply.

Hypertension/ Hyperlipidemia/ Infertility

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?

Ibuprofen

The nurse is providing an educational presentation on toxic shock syndrome (TSS) to a group of adolescents. Which preventive measure does the nurse focus on for this group?

If using tampons, change frequently.

A family member asks the nurse of the benefits of immunotherapy. The nurse would be most correct to state which of the following?

Immunotherapy stimulates the immune response to attack and rid the body of cancer cells.

The nurse is relating health education to male students when asked where sperm is actually made. Which location is most correct?

In the testes within the scrotum

A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse?

Keep the client NPO.

A 16-year-old patient comes to the free clinic and is diagnosed with primary syphilis. The patient states that she contracted this disease by holding hands with someone who has syphilis. What is the most appropriate nursing diagnosis for this patient?

Knowledge deficit related to modes of transmission

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 notes that a patient has a history of "fibroids" and is aware that this term refers to a benign tumor of the uterus. What is a more appropriate term for a fibroid?

Leiomyoma

A client is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. What color of output should the nurse expect to find in the drainage bag?

Light pink

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following?

Lymphedema

In educating a patient with PMS about changing her dietary practices, what would the nurse recommend that she increase her intake of?

Magnesium

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

Maintaining optimal bladder emptying

A client receives a sealed radiation implant for the treatment of cervical cancer. What should the nurse do when caring for the client?

Notify the healthcare provider if the vaginal packing is dislodged.

Following a client's breast augmentation surgery, the nurse meets with the client and her husband to discuss discharge instructions. Discharge instructions include all of the following except:

Notify the surgeon if you hear squishing or sloshing sounds around the breast.

A nurse is reviewing the health history of a client who has been diagnosed with endometrial cancer. Which of the following would the nurse identify as a factor increasing this client's risk? Select all that apply.

Obesity/ Nulliparity

What are the effects of hormones on breast tissue during pregnancy?

Prolactin promotes the production of milk; progesterone stimulates the development of alveoli, which secrete the milk; and estrogen stimulates increased production of tubules and ducts to transport milk to the lactiferous

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability?

Prostate gland

A client with advanced vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?

Radiation

The nurse is caring for a client following breast reconstruction surgery using autogenous tissue. When assessing wounds from the surgical procedure, in which area would the nurse assess the wound from which tissue was taken?

Rectus abdominis

Most cervical cancers, if not detected and treated, spread to which area?

Regional pelvic lymph nodes

A nurse is caring for a group of breast cancer survivors after mastectomy. Which teaching point should the nurse reinforce about activities 6 weeks after surgery?

Resume light household work.

A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse?

Skin, cold; pulse,110 beat/minute; blood pressure, 104/64 mm Hg

The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which of the following symptoms would indicate to the nurse the need for administration of this drug? Select all that apply.

Slowed or stopped infusion rate/ Increased bladder pressure and pain

The nurse is caring for a breastfeeding client who has developed a breast abscess. When instructing on the cause of abscess formation, which organism is the most common cause?

Staphylococcus aureus

A client scheduled for a simple mastectomy in 1 week is having preoperative education provided by the clinic nurse. What educational intervention will be of primary importance to prevent hemorrhage in the postoperative period?

Stop taking aspirin.

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?

Tabes dorsalis, ataxia, and Charcot's joints

A client with vaginitis reports itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?

Take sitz baths frequently.

Significant trauma to which female reproductive part is often used as forensic evidence in rape trials?

The fourchette

A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?

Transillumination of the scrotum

When a female client reports a frothy, yellow-green vaginal discharge, the nurse suspects the client has a vaginal infection caused by which organism?

Trichomonas vaginalis

A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?

Tumor is confined to the prostate gland.

The nurse is teaching a client with acute prostatitis about measures to promote comfort and self-care. Which of the following would the nurse include in the teaching plan? Select all that apply.

Use warm sitz baths several times a day./ Avoid drinking coffee, tea, and colas./ Avoid sitting for prolonged periods.

Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?

Using a reliable method of contraception for several weeks.

A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?

Vasectomies should be considered a permanent means of birth control.

The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client?

Wear loose fitting underwear instead of tight ones.

Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?

You must inform all sexual partners.

The nurse educator is planning a health promotion class with a focus on sexually transmitted infections. What points regarding risk factors for chlamydia and gonorrhea should the nurse educator include? Select all that apply.

Your chances of contracting these infections are higher the more sexual partners you have./ Young adults and teenagers are a high risk age group for both these infections

A 9-month-old client demonstrates cryptorchidism and the surgeon and the client's parents are discussing treatment strategy. What noninvasive treatment is available for this client's condition?

hCG injections

A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?

Human papilloma virus

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?

Impaired Skin Integrity

After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction?

"A white or yellow vaginal discharge is expected and normal."

When evaluating the therapeutic outcome of medication therapy for a client with herpes simplex virus (HSV), which client statement best confirms medication use?

"I seem to have less breakouts with fewer symptoms."

A client with extensive endometriosis is scheduled for a panhysterectomy. Which statement by the client indicates a need for further teaching?

"I will not have to deal with symptoms of menopause."

An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?

"I will remove and clean it every day."

The nurse has provided teaching to a client who is scheduled to have a Pap test. Which client statement indicates that teaching was successful?

"I will stop using any vaginal medications at least 48 hours before the test."

The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?

1 week after completion of the client's menstrual cycle

A client has a suprapubic catheter following surgery to remove the prostate gland. Which interventions will be included in the client's care plan? Select all that apply.

Avoid straining to have a bowel movement./ Drink about one glass of water every hour while awake.

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.

Do not delay the urge to void./ Schedule digital rectal exams.

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis?

Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.

Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time?

Herpes infection

A client is diagnosed with polycystic ovarian syndrome. Which of the following findings would the nurse expect to assess? Select all that apply.

Hirsutism/ Impaired glucose tolerance/ Sleep apnea

The nurse is caring for a young adult client who reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option does the nurse anticipate the physician will order for symptomatic relief for this client?

Hormonal contraceptives

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

How to perform a testicular self-examination

Which hormone is primarily responsible for stimulating the production of progesterone?

Luteinizing hormone

On a visit to the gynecologist, a client complains of urinary frequency, pelvic discomfort, and weight loss. After a complete physical examination, blood studies, and a pelvic examination with a Papanicolaou test, the physician diagnoses stage IV ovarian cancer. The nurse expects to prepare the client for which initial treatment?

Major surgery

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point is most important for the nurse to emphasize?

Many people are asymptomatic and show no symptoms contributing to the spread of the disease.

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

Menorrhagia

A client tells the nurse that she is struggling with symptoms of irritability and "feeling crazy" around the same time each month. Which assessment data would provide the most important information needed in the development of a treatment plan for this client?

Menstrual diary

When caring for a client experiencing metastatic cancer-related pain, which drug of choice is anticipated?

Morphine (MS Contin)

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?

Painful joints

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?

Palpate each testicle separately, following a warm shower.

While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. What is the client at high risk for developing? Select all that apply.

Pelvic inflammatory disease/ Cervical cancer

A client is diagnosed with early latent syphilis of unknown duration. Which medication treatment will the nurse expect to be prescribed for this client?

Penicillin G benzathine, three intramuscular injections at 1-week intervals

Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted disease?

Perform thorough handwashing.

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 female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?

The malignancy is localized.

A nurse is providing patient education to a patient as part of her work in a fertility clinic. The nurse explains possible reasons for infertility. When explaining how the ovaries are involved in conception what will the nurse stress?

The ovaries contain all of the ova that a woman will have at birth

The nurse is instructing clients at a prenatal class. Which term does the nurse state as the medical name of what is removed during this procedure?

The prepuce

The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction?

The procedure removes all cancer from the body.

The nurse is caring for a female client diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for women obtaining infections more frequently than men?

The vagina is more conducive to microbial growth.

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate?"

There is no cure, but drug therapy helps to reduce symptoms and recurrences."

A client with breast cancer is scheduled to undergo chemotherapy with aromatase inhibitors. Which rationale does the nurse give for the use of this group of drugs?

They prevent prehormones from becoming estrogen, blocking the tumor's ability to use it.

The nurse is caring for a client who will be having artificial implants for breast reconstruction. The client is arriving at the physician's office for which procedure to be completed before the surgery can be done?

Tissue expansion

A client with a painless, firm, nontender lump in the breast is being scheduled for diagnostic testing. Which test would the nurse expect the physician to order?

Ultrasound

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?

Underinflation or bulging of the cylinders during inflation

The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active?

Use a latex condom with a spermicide.

A nurse is reviewing the organs most commonly affected by metastatic breast cancer. Which will not be included in this review?

kidneys

A client has just received a diagnosis of carcinoma in situ, and is very upset. The nurse offers to discuss the diagnosis further. The nurse tells the client that carcinoma in situ is a:

stage 0, localized malignancy that if left untreated, will invade other areas of the uterus and adjacent tissue.

A young client who awoke with sudden, severe testicular pain with edema arrives at the ED unable to walk and nauseated. After examination, what treatment would the physician likely order?

surgery

A client with genital warts is receiving treatment with a local application of trichloroacetic acid. Which client statement indicates adequate understanding of the procedure?

"I'm temporarily not contagious once the warts are destroyed."

Which of the following nursing assessment findings would be most significant in determining sterility in a male client?

Mumps at age 15 years

The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which of the following is the main cause that statistics are underreported?

Only certain STIs are reported to the Centers for Disease Control and Prevention.

A nurse is conducting a health education class for a group of 12- to 14-year-old girls and describing the events of secretory phase. Which of the following would the nurse include?

Ovulation

What does the nurse tell the patient is the best way to decrease the risk of developing penile cancer?

Use good genital hygiene.

Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase inhibitor such as sildenafil?

Use of nitrates

A client is being admitted for suspected toxic shock syndrome (TSS). Which of the following would be most important for the nurse to determine?

Use of superabsorbent tampons

A client requesting a chlamydia test asks why it is necessary to receive a test for gonorrhea and syphilis at the same time. Which response from the nurse is the correct explanation?

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).