sem 3 quiz 1
The nurse is teaching an adolescent client about fertility and the various phases of the menstrual cycle. The client has a 28-day menstrual cycle. Which statement is a priority for the nurse to include in the teaching?
"Day 14 of your menstrual cycle is normally when you will ovulate."
The nurse is obtaining a history from a client who states recurrent breast tenderness. The client inquires if there is something wrong with her breasts. Which question by the nurse is best?
"Does the tenderness occur around the same time each month?"
he 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."
When evaluating the therapeutic outcome of medication therapy for a client with a recurrent sexually transmitted disease, which client statement best confirms medication use?
"I seem to have less breakouts with fewer symptoms."
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."
A woman tells the nurse that both she and her husband like to continue sexual relations during her menstrual period. They have a monogamous relationship. She asks if this will harm her. Which would be the best response?
"If this is satisfying for you and your partner, then there is no harm in it."
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."
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
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
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
The nurse is assessing a client at her first prenatal visit and notes the fundal height is palpable at the level of the umbilicus. The nurse predicts the client is at which gestational age?
20 weeks
The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?
24
The nurse is preparing to assess a new client who has arrived for her initial visit with a gynecologist specializing in menopause issues. The nurse anticipates the client will be in which age group?
47 to 55
29. 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."
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 a client diagnosed with ductal carcinoma and lymph node involvement. Which diagnostic test, ordered by the physician, does the nurse identify as assessing possible metastasis?
A chest x-ray
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 postanesthesia 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 minor muscle removed. The oncoming nurse documents which procedure completed?
A modified radical mastectomy
9. 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."
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?
A) "Symptoms of endometriosis are increased during normal menstrual cycle."
Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?
A) Age of menarche
Which of the following would the nurse expect to be done to assess the size of the prostate?
A) Digital rectal examination
23. In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?
A) Frequency
The nurse is providing an educational presentation on toxic shock syndrome to a group of adolescents. Which preventative measure is a primary focus for this group?
A) If using tampons, change frequently.
The physician and nurse are completing a physical examination of the male genitalia. Which assessment findings are documented? Select all that apply.
A) Inspection for urethral drainage C) Digital rectal examination D) Transillumination E) Palpation of the testes
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?
A) Labia majora and minora
The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client?
A) Lithotomy position
The nurse cares for a pregnant client at the first prenatal visit and reviews expected changes that will occur during pregnancy. Which information will the nurse include in the education?
A. During pregnancy blood volume can increase by at least 40%.
As part of the first prenatal visit, the nurse is assessing a pregnant woman's obstetrical history, which includes an 18-month-old daughter, born 2 days after her estimated date of birth; a 3-year-old son born at 35 weeks' gestation; and two lost pregnancies, one at 12 weeks and one at 21 weeks. How should the nurse document this history?
A. G5 T1 P2 A1 L2
A client in her first trimester reports frequent urination and asks the nurse for suggestions. The nurse should teach the client that the urination is most likely related to which cause?
A. Pressure on the bladder from the uterus
The nurse is teaching a pregnant teenager the importance of proper nutrition and adequate weight gain throughout the pregnancy. What is the best response when the client refuses to eat due to fear of possible weight gain?
A. The infant will be small and could have problems.
5. 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 17-year-old client arrives for an annual examination and reports no changes since the last exam; however, the nurse assesses a positive Chadwick sign, slightly enlarged uterus, and subsequent positive urine pregnancy test. Which task should the nurse prioritize to assist this client who is denying any possibility that she is pregnant?
Accepting the pregnancy
The nurse is spending time with a client who has just learned, unexpectedly, that she is pregnant. Which initial task should the nurse assist the client to focus on?
Accepting the pregnancy
The nurse is caring for a client scheduled for a transrectal ultrasonography. Which instruction is essential in obtaining an accurate test?
Administer an enema prior to arrival.
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
A pregnant client in her second trimester reports feeling tired all the time. The nurse notes pale skin and low normal hemoglobin on assessment. Which recommendation should the nurse prioritize for this client?
An iron supplement
26. The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history?
Angina with nitrate use
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 knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications?
Apomorphine (Uprima)
23. 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?
The nurse is conducting a health history when the client states that her last menstrual period was 6 months ago. Upon further questioning, the client also states that symptoms of hot flashes and mood fluctuations. Which question should the nurse ask next?
Are you taking any hormone replacement therapy?"
Immediately following a transurethral resection of the prostate (TURP), which is the best method to determine if active bleeding is occurring?
Assess catheter tubing.
A female client is diagnosed with breast abscess. She would like to continue to breast-feed he
Assist the client to pump the breasts to remove breast milk.
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.
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."
Which assessment finding will most likely influence the treatment regime selected by a client with endometriosis?
B) Family planning
A client is receiving chemotherapy as adjuvant therapy in the management of testicular cancer. The nurse also notes that the client is ordered filgrastim (Neupogen) and knows that the client is at greatest risk for which assessment finding?
B) Fever
21. The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?
B) Fever, sore throat, lymph node enlargement
A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief for this client with the least risk?
B) Hormonal contraceptives
A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium?
B) Progesterone
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?
B) The clitoris
10. A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?
B) The malignancy is localized.
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?
B) Tissue biopsy
The nursing 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 completed before the surgery can be done?
B) Tissue expansion
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?
B) Wear gloves and protective clothing to avoid any injuries.
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?
B) Wear loose fitting underwear instead of tight ones.
A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect?
B) Weight gain
A client at 40 weeks' gestation informs the nurse that she is tired of being pregnant. What is the best response from the nurse?
B. "That is a very normal feeling, especially at this point in pregnancy."
A client in her first trimester is concerned about how weight gain will affect her appearance and questions the nurse concerning dietary restrictions. How much weight gain should the nurse point out will be safe for this client with a low BMI?
B. 28 to 40 pounds (13 to 18 kilograms)
The nurse will be assisting a client during an amniocentesis. Which nursing intervention should the nurse prioritize?
B. Be certain she is aware of potential complications.
The nurse is assessing a client at 12 weeks' gestation who reports enjoying her usual slow, long daily walk. The nurse should point out which recommendation to this client?
B. Continue this as long as she enjoys it.
A 25-year-old client at 27 weeks' gestation reports waking up with leg cramps. Which suggestion should the nurse point out to the client to help relieve this discomfort?
B. Dorsiflex the foot while extending her leg during the cramp.
A client arrives to the clinic very excited and reporting a positive home pregnancy test. The nurse cautions that the home pregnancy test is considered a probable sign and will assess the client for which sign to confirm pregnancy?
B. Fetal movement felt by examiner
The nurse is assisting a pregnant client who underwent a nonstress test that was ruled reactive. Which factor will the nurse point out when questioned by the client about the results?
B. The fetal heart rate increases with activity and indicates fetal well-being.
The nurse takes a call from a worried client who was seen several hours earlier for her 35- weeks' gestation visit, which included a pelvic examination. Which instruction should the nurse prioritize if the client is reporting a small amount of vaginal spotting?
B. Watch it and report if heavy increase in bleeding.
11. The nurse is meeting with a client at 28 weeks' gestation. To prepare her for the final trimester, which factor should the nurse prioritize in the teaching session?
B. decreasing shortness of breath
The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago. The client insists she is not pregnant due to a negative home pregnancy test. Which assessment should the nurse use to assess confirm the pregnancy?
B. fetal heartbeat
The nurse is assessing a client at 30 weeks' gestation who reports increased constipation. Which suggestion should the nurse prioritize for this client?
B. increasing fluid intake
12. A pregnant client reports difficulty sleeping well. Which suggestion for sleeping should the nurse prioritize to assist this client?
B. on her side with the weight of the uterus on the bed
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
16. The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam?
C) "My menstrual period began yesterday."
4. While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which of the following?
C) Cervical cancer
10. Which of the following instructions would be appropriate to include when preparing a woman for an abdominal ultrasound?
C) Drink at least 1 quart of water an hour before the test.
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?
C) Family history of breast cancer
32. 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?
C) Further evaluation is needed for potential malignancy.
14. 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?
C) Painful swelling
The nurse is caring for a client who states having an irregular menstrual period. Which diagnostic test provides information of the body's ability to ovulate?
C) Serum follicle-stimulating hormone
A client complains of having tender and painful breasts, often feeling multiple lumps within her breast tissue. The nurse would need to gather additional information about which of the following?
C) Timing of symptoms in relation to the menstrual cycle
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?
C) Vaginal bleeding
A client at 39 weeks' gestation calls the OB triage and questions the nurse concerning a bloody mucus discharge noted in the toilet after an OB office visit several hours earlier. What is the best response from the triage nurse?
C. "A one time discharge of bloody mucus in the toilet might have been your mucus plug."
A pregnant client in her third trimester, lying supine on the examination table, suddenly grows very short of breath and dizzy. Concerned, she asks the nurse what is happening. Which response should the nurse prioritize?
C. Blood is trapped in the vena cava in a supine position.
A pregnant client arrives for her first prenatal appointment. She reports her previous pregnancy ended at 19 weeks, and she has 3-year-old twins born at 30 weeks' gestation. How will the nurse document this in her records?
C. G3 T0 P1 A1 L2
The nurse is assessing a pregnant client at 12 weeks' gestation and the client reports some new bumps on the dark part of her nipples. What is the best response from the nurse when questioned by the client as to what they are?
C. Montgomery glands (Montgomery tubercles); secrete lubricant for the nipples
The nurse is assessing a client who believes she is pregnant. The nurse points out a more definitive assessment is necessary due to which sign being considered a probable sign of pregnancy?
C. Positive home pregnancy test
A pregnant client is planning a vacation to a different state and questions the nurse concerning precautions. Which suggestion should the nurse prioritize for this client who will be traveling by automobile?
C. Stop and walk every 2 hours.
The health care provider has prescribed an over-the-counter antacid for a pregnant client in her first trimester who is having ongoing nausea, vomiting, and heartburn. Which instruction concerning the antacid should the nurse prioritize after noting the client is also prescribed a multivitamin supplement?
C. Take antacid 1 hour after the multivitamin.
The nurse is assessing a 24-year-old pregnant client who reports excessive vaginal discharge that is messy and unpleasant but without a strong odor, itching, or irritation present. Which response should the nurse prioritize?
C. Use sanitary pads.
A 38-year-old client and partner are carriers of the Tay-Sachs gene, have one child with Tay- Sachs, and are concerned to learn she is pregnant again. The nurse predicts the health care provider will order which test if the couple wants to knowif this baby will also be born with Tay-Sachs?C. chorionic villus sampling
C. chorionic villus sampling
The nursing instructor is teaching a class on the nutritional needs of the pregnant client. The instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of CNS birth defects?
C. folic acid
The nurse advises a pregnant client to keep a small high-carbohydrate, low-fat snack at the bedside. The nurse should point out this will assist with which condition?
C. slowed GI transit time
A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness and dizziness and lying on her side results in no sleep. Which suggestion for sleeping should the nurse prioritize for this client?
C. with a pillow under her right hip
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
Because ovarian cancer has nonspecific symptoms and can result in lethal outcome, diagnostic testing may be indicated for some women. Which risk factors support the need for screening?
Carrying genetic mutation for the disease Being nulliparous
The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection?
Chlamydia
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 syphilis HIV gonorrhea
The nurse is providing dietary instruction for the client with fibrocystic breast disease. Which of the client's favorite foods are discouraged? (Select all that apply.)
Chocolate pudding Cola products
The nurse is providing discharge instructions to a female client following inpatient therapy for a gonorrhea infection. The client is being discharged on doxycycline (Vibramycin) for 7 days. Which nursing instruction is essential for a therapeutic outcome?
Complete all prescribed medication.
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
12. Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?
Cryptorchidism as an infant
During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?
D) "What do you do to prevent sexually transmitted infections?"
Which is the primary assessment finding in identifying the possible cause of repeated episodes of vaginitis in a female client?
D) Type 2 diabetes mellitus
A client is ordered a vaginal cream for the treatment of a yeast infection. As the nurse provides instruction, which step for inserting vaginal medications should be highlighted?
D) Wash applicator after each use.
The nurse is assessing a pregnant client at 20 weeks' gestation and obtains a hemoglobin level. Which result would be a cause for concern?
D. 10.6 g/dL
Charlene McCoy, who has several children already, reports for a first prenatal visit. She seems preoccupied and withdrawn, and she makes consistently negative remarks about the pregnancy. Reviewing her records, you note that she is receiving a serotonin reuptake inhibitor. What should you do?
D. Alert the RN or health care provider.
A client at 27 weeks' gestation still walks daily but reports "terrible" heartburnat night. Which action should the nurse point out will best address this situation?
D. Elevate the head of the bed.
A 31-year-old client at 28 weeks' gestation reports frequent low back pain and ankle edema by the end of the day. Which suggestion should the nurse prioritize for this client?
D. Rest when possible with feet elevated at or above the heart.
The community nurse is preparing a presentation for a health fair illustrating successful pregnancies. Which component should the nurse prioritize as the most critical to ensure a positive psychological experience with the pregnancy by the mother?
D. Social support
4. The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated. The nurse should prioritize which discussion with the client?
D. further testing is required
When reviewing normal menstruation with an early adolescent, the nurse would teach that during the second half of a typical menstrual cycle, the endometrium of the uterus becomes:
D. thick and purple-hued, due to progesterone stimulation.
The nurse is assessing a pregnant client at her 20-week visit. Which breast assessment should the nurse anticipate documenting?
Darkened breast areolae
The school nurse is preparing to illustrate the menstrual cycle to a group of high school students. Which change in the hormones will the nurse point out as being responsible for the onset of menstruation?
Decrease in progesterone
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.
Following a laparoscopic-assisted vaginal hysterectomy, which client assessment finding would warrant nursing intervention? Select all that apply
Dorsal recumbent positioning with knee bend peri-pad changed every shift
postmenopausal client is receiving alendronate. Which of the following would the nurse include when teaching the client about this drug?
Drink at least 8 oz of water when you take this drug."
17. The nurse at a gynecologist's office is obtaining a client history including the fact that several of the client's relatives have had breast cancer. Which general information regarding the most common type of cancer is accurate?
Ductal carcinoma
The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis?
Ejaculation
A client with history of type 2 diabetes mellitus and coronary artery disease has been diagnosed with stage III prostate cancer and opts for treatment with diethylstilbestrol (DES). Which is the most important nursing assessment finding in this client?
Elevated blood sugar
A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure?
Encourage fluid intake
The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema?
Enlargement of the arm or hand
Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
Ensure immunizations against infectious diseases such as mumps.
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
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 assessing a 16-year-old female on a routine well-child visit. Which assessment finding will the nurse predict this healthy female will report concerning her menstrual cycles?
Flow usually lasts 4 to 6 days.
A pregnant vegan reports eating lots of dark green leafy vegetables, legumes, citrus fruits, and berries. To ensure that her infant's nervous system will develop properly, what foods should the nurse recommend that she add to her diet?
Fortified cereals
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 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."
25. 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
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
How to perform a testicular self-examination
The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer
Human papilloma viral (HPV)
9. 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 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 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."
Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?
I will stop using any vaginal medications at least 48 hours before the test."
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
A client who is trying not to get pregnant calls the nurse on Saturday at 11 a.m. reporting that she had unprotected sex on Thursday at 10 p.m. She believes she has just ovulated and wants to verify that she has no risk of pregnancy. What can the nurse tell her?
If she ovulated on Saturday around 11 a.m., the egg could be fertilized any time before about 11 a.m. on Sunday.
24. 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 caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?
Impaired Skin Integrity
23. 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 client who is diagnosed with premenstrual syndrome is ordered a gonadotropin-releasing hormone (GnRH). Which is a priority teaching item in the use of this drug?
Increase calcium and vitamin D intake
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 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 is beginning doxorubicin (Adriamycin) therapy for breast cancer. When preparing the client for probable side effects, which would the nurse include?
Information regarding wigs from the American Cancer Society
The nurse has just obtained a newborn for admission and assessment in the newborn nursery. Which of the following nursing actions is done as a result of potential contamination of the neonate when descending down the birth canal?
Instilling erythromycin ointment in the eyes
When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?
It is not unusual for clients to have concurrent infections with more than one sexuallytransmittedinfection(STI).
A young male asks the nurse at the clinic about what he can do to maintain his sperm production. The nurse would instruct him to take which action?
It is recommended that men wear boxer-style underwear.
A client has just been diagnosed with endometriosis. Which of the following would be 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.
A client who is uncertain when her LMP occurred is given an EDD of April 23 after the first ultrasound. Based on this information, the nurse determines the client's LMP was probably
July 16
A client calls to cancel an appointment for the first prenatal visit after reporting a home pregnancy test is negative. Which instruction should the nurse prioritize?
Keep the appointment.
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 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 client states a history of lymphogranuloma venereum diagnosed 6 months ago. When completing the head-to-toe assessment, which area should be a focus?
Lymph nodes of the genital area
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
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 is considering breast augmentation. Which of the following would the nurse recommend to the client to ensure that there are no malignancies?
Mammogram
The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point would the nurse place in bold letters?
Many people are asymptomatic and show no symptoms contributing to the spread of the disease.
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 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
The nurse is explaining the latest laboratory results to a pregnant client who is in her third trimester. After letting the client know she is anemic, which heme iron- rich foods should the nurse encourage her to add to her diet?
Meats
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
Medication use
12. A client is struggling with symptoms of irritability and "feeling crazy" at times. 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)
Which of the following nursing assessment findings would be most significant in determining sterility in a male client?
Mumps at age 15 years
32. Which of the following types of condoms is appropriate only if the client is in a long-standing relationship?
Natural membrane condom
26. The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?
No lifting greater than 15 lb
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
The nurse is completing the admission history for a client who is admitted for a reduction mammoplasty. Which of the following client statements is uncommon when explaining the rationale for the procedure?
Others disapprove
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.
28. Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted disease?
Perform thorough handwashing.
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
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?
Prepare for a cesarean section.
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
The nursing instructor is teaching a class on the various hormones necessary for a successful pregnancy and birthing process. The instructor determines the session is successful when the students correctly choose which hormone as being necessary after birth to ensure growth of the newborn?
Prolactin
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
The alkaline fluids secreted by the prostate and Cowper glands serve what functions related to sperm? Select all that apply.
Provide nourishment of the sperm Protect the sperm from the acidic vaginal environment Enhance sperm motility
Which of the following is an early symptom of vulvar cancer?
Pruritus with genital burning
32. The nurse is caring for a client following breast reconstruction surgery using autogenous tissue. When assessing an wounds from the surgical procedure, in which area would the nurse assess the wound from which tissue was taken?
Rectus abdominis
Male and female reproductive systems are complementary; for example, male testes and female ovaries; male scrotum and female labia majora; and maleglans penis and female clitoris. What part of the female system is homologous to the spermatic cord in the male?
Round ligaments
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
While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following
Sexually Transmitted Infections D) Cervical cancer
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
27. 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 working at an oncologist's office specializing in breast cancer. The nurse cares for individuals of varied ages, backgrounds, and stages of breast cancer. Which criteria are considered a priority when determining adjunct treatment in addition to surgery? Select all that apply.
Stage of tumor Presence of metastasis age sensitivity to estrogen
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
7. An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
Syphilis
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 complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
Take sitz baths frequently.
The nurse is caring for a client who is diagnosed with an estrogen-sensitive tumor and has undergone a mastectomy. When instructing the client on potential medications, which medication(s) are stressed?
Tamoxifen (Nolvadex) and aromatase inhibitors (Femara)
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?
Tetracycline
The school nurse is preparing a teaching session for a group of adolescent girls explaining the menstrual cycle. The nurse determines the session is successful when the young students correctly choose which fact?
The average menstrual flow lasts 4 to 6 days.
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."
34. The nurse is caring for a client in the tertiary stage of a syphilis infection. Which assessment finding is anticipated?
The client has dementia and cannot care for himself or herself.
The nurse is obtaining health histories from women at a busy low-income clinic. Which of the following clients should the nurse follow closely as being at high risk for developing breast cancer?
The client has relatives with the BRCA1 mutated gene
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."
The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization?
The fallopian tube
mother of an adolescent female is asking the nurse for guidelines of when her daughter should have her first Papanicolaou test (Pap test) and then the subsequent frequency. The nurse is most correct to state which?
The first Pap test should be no later than age 21 years and then every 3 to 5 years afterward.
The nurse is assessing a client at her first prenatal visit and notes that she is exposed to various chemicals at her place of employment. Which statement bythe client would indicate she needs additional health education to protect her and her fetus?
The gloves they provide irritate my hands, so I don't use them.
The nurse is assessing a pregnant client in her third trimester who is reporting a first-time occurrence of constipation. When asked why this is happening, what is the best response from the nurse?
The intestines are displaced by the growing fetus.
. 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.
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."
When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?
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 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 females obtaining infections more frequently than males?
The vagina is more conducive to microbial growth.
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."
A client with breast cancer is scheduled to undergo chemotherapy with aromatase inhibitors. Which of the following best reflects the rationale for using this group of drugs?
They lower the level of estrogen in the body blocking the tumor's ability to use it.
The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form asindicating ovulation has occurred?
Thin and copious
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."
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
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.
A client with a fibroadenoma is being scheduled for diagnostic testing. Which of the following would the nurse expect as most likely?
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
22. 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.
34. Following a vasectomy, which is the most important instruction to provide to the client?
Use another form a birth control until further notice
Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase (PDE5) inhibitor such as sildenafil (Viagra)?
Use of nitrates
Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)?
Use of superabsorbent tampons
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 week
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 caring for a client who is employed as a manual laborer and works with her hands. Which instruction would be most helpful?
Wear gloves to prevent injury.
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?"
Which nursing question is essential when caring for a client prior to a pelvic examination?
Would you like to void at this time?"
A client asks the nurse questions about female hygiene and wants to know if she should douche to clean her vagina. Which response by the nurse would be most appropriate?
You do not need to douche; the vagina is self-cleaning."
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 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 nurse is conducting a sexual health education class about the structures and events of semen production. Which component will the students identify as responsible for semen production if the teaching has been successful?
accessory gland alkaline fluids and sperm
. The nurse discovers a new prescription for Rho(D) immune globulin for a client who is about to undergo a diagnostic procedure. The nurse will administer the Rho(D) immune globulin after which procedure?
amneiocentesis
A young couple are very excited to discover they are pregnant and ask the nurse when to expect the baby. Based on a July 20 LMP, which day will the nurse predict for delivery?
april27
The nurse at a health fair is teaching about the various changes of puberty. Which sequence of events will be best for the nurse to present when illustrating pubertal changes in females?
breast budding, appearance of pubic hair, menarche
The nurse is assessing a 37-year-old woman, pregnant with twins in her second trimester, and notes the following over the past 3 visits: blood pressure 128/88, 134/90, and 130/86. Which nutritional supplement should the nurse suggest the client take?
calcium
The nurse is assessing a female client who is having difficulty experiencing an orgasm. Which action should the nurse point out as often being necessary for an orgasm in females?
clitoral stimulation
Decrease in progesterone
clitoris
A group of nursing students are preparing a presentation for a health fair illustrating what happens to the body during pregnancy. Which structure will the students point out is influenced the most by hormones to prepare for conception?
endometrium
The nurse is teaching a group of college students about the four phases of the sexual response. Which phase will the nurse point out as producing an elevation in heart rate, blood pressure, and respirations?
excitement
The nurse is teaching a pregnant client some nonpharmacologic ways to handle common situations encountered during pregnancy. The nurse determines the session is successful when the client correctly chooses which condition that can be minimized if she avoids drinking fluids with her meals?
heartburn
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
A nurse is conducting a sexual health education class about the structures of the female reproductive system. Which structure will the class identify as responsible for contractions during labor if the teaching has been successful?
myometrium
The nurse is answering questions from a newborn's parents concerning a circumcision. Which structure will the nurse point out is removed during the procedure?
prepuce
What information would the nurse give the client when the client inquires what makes breast milk production?
prolactin
The nurse is teaching a family planning class at a health fair. Which physiologic change during the plateau stage of sexual response will the nurse point out?
retraction of the clitoris
The nurse is preparing to administer a prescribed medication to the pregnant client. Which order should the nurse question?
rubella
A nurse is preparing a presentation on the menstrual cycle for a healthfair. Which phase will the nurse illustrate as producing progesterone?
secretory
The nurse is assessing a client at her first prenatal visit and reports her LMP started December 1. Which date will the nurse predict for the EDD?
september 8
During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality?
skin lesions
Which of the following nursing instructions is essential in the care of a postmenopausal client who is prescribed ibandronate (Boniva)?
take with 8oz water
The nursing instructor is teaching a group of nursing students about the menstrual cycle. The instructor determines the session is successful when the students correctly choose which action as responsible for the increased thickness of the endometrium?
the increasing level of estrogen
The nurse is preparing to teach a birthing class and intends to alert the couples to potential difficulties, ensuring they have as much accurate information as possible. Which area of the uterus will the nurse explain has the highest risk of rupture during labor?
uterine isthmus
