Reproductive

A nurse in a provider's office is reinforcing teaching to a client who is at high risk for ovarian cancer. Which of the following statements by the client indicates an understanding of the teaching?

"My doctor will perform pelvic exams to detect for ovarian cancer."

A nurse is providing discharge teaching to a client following a right mastectomy. Which of the following statements should indicate to the nurse that the client has a healthy body image?

"The incision looks like it is healing."

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an herbal supplement clients might use to treat menopause-related hot flashes?

Black cohosh

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Dorsal recumbent

A nurse is collecting data for a female client who has genital herpes. Which of the following findings should the nurse expect?

Dysuria

A nurse is collecting data from a client who has a urinary tract infection. Which of the following findings should the nurse expect? (Select all that apply.)

Dysuria Urinary frequency Hematuria

A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Leuprolide

A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

Venereal disease research laboratory (VDRL)

The nurse is contributing to the plan of care for a client who is 4 hr postoperative following a vaginal hysterectomy. Which of the following interventions should the nurse include in the plan of care?

Provide tub baths for perineal comfort.

A nurse in a clinic is caring for a client who is postmenopausal and has risk factors for osteoporosis. The nurse anticipates the client will be prescribed which of the following medications?

Raloxifene hydrochloride

A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

Replace the device after a 20% weight loss.

A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?

Report of dryness with vaginal intercourse

A nurse is reinforcing teaching with a client who reports urinary urgency and frequency. The nurse should identify that the client can use which of the following herbal supplements to treat the symptoms of an enlarged prostate?

Saw palmetto

A nurse at a community-based health fair is promoting having a routine Papanicolaou test (Pap smear) to young adult women. Which of the following types of preventive care is the Pap smear?

Secondary level

A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?

St. John's wort

A nurse is collecting data from a client who requests a prescription for a diaphragm. Which of the following findings should the nurse identify as a contraindication to the client's use of a diaphragm?

The client has more than one sex partner.

A school nurse is reinforcing teaching to a group of teenage clients about prevention of sexually transmitted infections (STIs). Which of the following practices is the most effective form of protection to include in the teaching?

The use of latex condoms

A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?

Three to seven days after menses stops

​A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

​"Before I can help you with that question, I need to know more about your sexual activity."

A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?

​History of breast cancer

A nurse is reinforcing discharge teaching with a client who is postoperative from a mastectomy. Which of the following instructions should the nurse include?

"Avoid using deodorant on the affected side until the incision is healed."

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

"Do you sleep well at night?"

A nurse is reinforcing teaching to a client who has endometriosis. Which of the following statements should the nurse include in the teaching?

"Endometriosis may be associated with painful bowel movements."

A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

"Give the medication intramuscularly."

A nurse is reinforcing teaching to a client who is at high risk for breast cancer and is prescribed tamoxifen citrate for prophylaxis. Which of the following statements should the nurse make regarding adverse effects of the medication?

"Hot flashes are a common side effect of this drug."

A nurse manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?

"Human papillomavirus can lead to cancer of the cervix."

A nurse is reinforcing teaching about diaphragms with a client. Which of the following statements by the client indicates an understanding of the teaching?

"I will leave the diaphragm in for at least 6 hours after vaginal intercourse."

A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?

"I will take a tub bath instead of a shower."

A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

"Tell me more about your concerns."

A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?

"The best day to perform BSE is 7 days after the menstrual cycle begins."

A nurse is reinforcing teaching with a client who has genital herpes. Which of the following client statements should the nurse identify as understanding of the teaching?

"The lesions can spread to other areas of my body."

A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

"Vaginal yeast infections present as a thick, white discharge."

A nurse is reinforcing teaching with a male client about a semen analysis to be done for suspected infertility. Which of the following information should the nurse include?

"You should abstain from ejaculation for at least 2 to 3 days prior to the test."

A nurse is reinforcing teaching to a client who is to undergo a breast biopsy by needle aspiration. Which of the following statements should the nurse make?

"You should wear a well-fitting bra to minimize bruising following the procedure."

A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

"You will need to empty your bladder just before the exam."

A nurse in a provider's officer is collecting date from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?

Abdominal bloating

A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

Abnormal vaginal bleeding

A nurse is assisting with the care of a client who is returning to the medical unit from the PACU following an abdominal hysterectomy. Which of the following data should the nurse collect first?

Airway patency

A nurse is reinforcing teaching with a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at which of the following times?

Before menstruation begins

A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in in the teaching? (Select all that apply.)

Close male relatives are at increased risk for the disease. It typically occurs between ages 15 to 40.

A nurse is caring for a client whose Papanicolaou (Pap) test cytology results are abnormal. Which of the following procedures should the nurse anticipate for this client?

Colposcopy with directed biopsy

A nurse is reinforcing teaching with a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following information should the nurse include in the teaching?

Decreased libido is an adverse effect of the medication.

A nurse is reinforcing teaching with a 55-year-old client who is experiencing menopause and is prescribed estrogen/progestin therapy (EPT). The nurse should tell the client that which of the following is a benefit of estrogen/progestin therapy in women who are postmenopausal?

Estrogen prevents fractures from osteoporosis.

A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?

Every morning before arising

A nurse is caring for a client who is to start taking tamoxifen as a treatment for breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication?

Hot flashes

A nurse is reinforcing teaching with a client who has a new prescription for an estrogen-progestin combination contraceptive. Which of the following instructions should the nurse include in the teaching?

If a pill is missed, take the missed dose along with the next dose.

A nurse is caring with the plan of care for a client who is scheduled for a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care?

Inform the client to expect insertion of a large indwelling urinary catheter following surgery.

A nurse is reinforcing teaching with an older adult male client about sildenafil. Which of the following information should the nurse include in the teaching?

Ingestion of the medication with nitrates causes hypotension.

A nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?

Obtain information about the client's recent sexual partners.

​A nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which is an appropriate response by the nurse?

Papanicolaou test