Chapter 4 EAQ Quiz

which will the nurse stress in teaching a woman to deal with the symptoms of premenstrual syndrome a) decrease her consumption of caffeine b) drink a small glass of wine with her evening meal c) decrease her fluid intake to prevent fluid retention d) eat three large meals a day to maintain glucose levels

a) decrease her consumption of caffeine

in a patient with endometriosis which is a consequence of adhesions around the uterine tubes that block the fimbriated ends a) the patient may not have menstruation b) the patient may not be able to conceive c) the patient may have pain during intercourse d) the patient may have excess bleeding during menses

b) the patient may not be able to conceive

a patient reports a yellow, malodorous discharge from the vagina. Which medication does the nurse expect the health care provider to prescribe a) miconazole b) tinidazole c) clindamycin d) clotrimazole

b) tinidazole

removal of the affected breast tissues, skin, and fascia of the pectoralis muscle and the dissection of the axillary nodes

modified radical mastectomy

removal of the affected breast and underlying pectoralis muscles and axillary nodes on the same side of the affected breast

radical mastectomy

Removal of the entire breast that contains the tumor

simple mastectomy

a young adolescent has been prescribed continuous combined hormone therapy for endometriosis. Which guidance will the nurse give to the patient to minimize the drug related adverse effects a) Have bone mineral density tested regularly b) have renal and liver function tested regularly c) use and absorbent sanitary pad for heavy bleeding during menses d) stop the use of nonsteroidal anti inflammatory drug (NSAIDs) for pain relief

a) Have bone mineral density tested regularly

the nurse is caring for a 16 year old female patient who appears underweight and malnourished. the patient is also lacking secondary sexual characteristics and reports not having had her period in a long time. The nurse concludes that the patient is most at risk for which reproductive disorder a) amenorrhea b) endometrios c) dysmenorrhea d) premenstrual syndrome

a) amenorrhea

which nursing intervention will be included in the treatment plan for a patient diagnosed with hepatitis A a) cautious use of hepatotoxic drugs b) restriction of intake of fiber rich foods c) provision of protein rich diet to the patient d) recommendation to intake 50 ml of 10% alcohol daily

a) cautious use of hepatotoxic drugs

which information will the nurse include when teaching a 15 year old about genital tract infection prevention (SATA) a) do not douche b) decrease sugar intake c) avoid tight fitting jeans d) wear nylon undergarments e) use floral scented bath salts f) limit time spent wearing a wet bathing suit

a) do not douche b) decrease sugar intake c) avoid tight fitting jeans f) limit time spent wearing a wet bathing suit

A 24 year old woman with endometriosis tells the nurse, "I want to have children in the future" Which treatment should the nurse expect from the primary health care provider in this case so that the patient retains the ability to bear children a) endometrial tissue removal b) total abdominal hysterectomy c) continuous combined hormone therapy d) gonadotropin releasing hormone agonist therapy

a) endometrial tissue removal

which condition may cause a breast tumor that does not change with the phases of the menstrual cycle a) fibroadenoma b) thyroid disorder c) mammary duct ectasia d) intraductal papiloma

a) fibroadenoma

Which symptom is a characteristic of premenstrual syndrome (PMS) a) i feel irritable and moody a week before my periods is supposed to start b) I have lower abdominal pain beginning the third day of my menstrual period c) I have abdominal bloating and breast pain after a couple days of my period d) I have nausea and headaches after my period starts, and they last 2 to 3 days

a) i feel irritable and moody a week before my periods is supposed to start

which would the nurse suggest to an athlete experiencing menstrual cycle irregularity a) increase intake of food and water b) undergo aromatherapy treatments c) perform aerobic exercise regularly d) no strenuous exercise for 5 months

a) increase intake of food and water

which statement is untrue about primary dysmenorrhea a) it is experienced by all women b) it is unaffected by oral contraceptive c) it occurs in young multiparous women d) it may be caused by excessive endometrial prostaglandin

a) it is experienced by all women

which surgical procedure involves the removal of a breast tumor along with surrounding tissues a) partial mastectomy b) simple mastectomy c) radical mastectomy d) modified radical mastectomy

a) partial mastectomy

which is true about the nursing care provided to a woman just diagnosed with acute pelvic inflammatory disease a) position the woman in semi-fowler position b) point out that inappropriate sexual behavior caused the infection c) tell her that antibiotics need to be taken until pelvic pain is relieved d) explain to the woman that infertility is a likely outcome of this type of infection

a) position the woman in semi-fowler position

which underlying conditions are associated with amenorrhea (SATA) a) pregnancy b) endometriosis c) tubal ligation following childbirth d) cocaine use e) stress

a) pregnancy d) cocaine use e) stress

the nurse is assessing a patient who reports no menses for the past 6 months. Which test will the nurse ask the patient to take a) pregnancy test b) blood sugar test c) thyroid function test d) toxicology blood screening

a) pregnancy test

the nurse is preparing a care plan for a patient diagnosed with hypogonadotropic amenorrhea. The patient does not provide any history of sudden weight loss, eating disorder, or involvement in heavy exercise. Which is the most important goal for this patient a) to identify the stressor b) to prepare a diet regimen c) to provide pain relief in the patient d) to rule out the possibility of an infection

a) to identify the stressor

which symptom can be present in a patient with premenstrual dysphoric disorder (SATA) a) weight gain b) painful breasts c) weight loss d) depression e) swelling in extremities

a) weight gain b) painful breasts d) depression e) swelling in extremities

which statement made by a woman indicates she understands the nurses teaching about obtaining a HPV vaccine a) I am glad it is not an injection b) I know this is given to prevent genital warts c) because I am 22, I am too old to start the series d) I know I will need two injections one month apart

b) I know this is given to prevent genital warts

which assessment finding is anticipated for a patient diagnosed with primary syphilis a) muscle weakness and visual changes b) a firm and painless genital lesion c) sore throat and swollen lymph nodes d) rash over trunk of body

b) a firm and painless genital lesion

which is true about abnormal uterine bleeding a) it most often occurs in middle age b) it is most commonly caused by anovulation c) the most effective medical treatment involved steroids d) the diagnosis of AUB should be the first considered for abnormal menstrual bleeding

b) it is most commonly caused by anovulation

a nurse is counseling a woman with endometriosis and understands which statements as accurate regarding the management of endometriosis (SATA) a) bone loss from hypoestrogenism is irreversible b) side effects from the steroid danazol include masculinizing traits c) surgical intervention often is needed for severe or acute symptoms d) women without pain and who do not want to become pregnant need no treatment e) women with mild pain who may want a future pregnancy may take nonsteroidal anti-inflammatory drugs

b) side effects from the steroid danazol include masculinizing traits c) surgical intervention often is needed for severe or acute symptoms d) women without pain and who do not want to become pregnant need no treatment e) women with mild pain who may want a future pregnancy may take nonsteroidal anti inflammatory drugs

which assessment finding might explain absence of menses in a 15 year old high school student (SATA) a) the patient is morbidly obese b) the patient has anorexia nervosa c) the patient has a thyroid disorder d) the patient has type 1 diabetes mellitus e) the patient engages in strenuous sports

b) the patient has anorexia nervosa e) the patient engages in strenuous sports

during an assessment of a competitive gymnast who reports amenorrhea, the nurse finds that the patient has a low body mass index. Which instruction will the nurse expect from the health care provider a) to administer 1200 mg calcium and 90 mg potassium b) to suggest a healthful diet and encourage deep breathing exercises c) to administer aspirin with oral contraceptives d) to administer 200 mg narferlin by nasal spray to the athlete

b) to suggest a healthful diet and encourage deep breathing exercises

Which perimenopausal symptom is most frequently reported as a discomfort? a) Primary dysmenorrhea b) Diarrhea c) Hot flashes d) Breast tenderness

c) Hot flashes

which statement concerning personal health history indicates the need for sexually transmitted infection (STI) screening a) I cut my outer labia while shaving b) I had a positive pregnancy test yesterday c) I had a red lesion on my perineum but its gone now d) I just finished antibiotics for a urinary tract infection

c) I had a red lesion on my perineum but its gone now

which is the drug of choice to treat gonorrhea a) acyclovir (zovirax) b) penicillin G (Pfizerpen) c) Rocephin (Ceftriaxone) d) Tetracycline (achromycin)

c) Rocephin (Ceftriaxone)

which effect of danazol would cause a patient using it for treatment of endometriosis to refuse to continue the medication a) amenorrhea b) abdominal pain c) appearance of masculinizing traits d) temporary infertility

c) appearance of masculinizing traits

which advice will the nurse give a patient with a primary diagnosis of herpes simplex virus (HSV) to prevent a secondary infection in the future a) avoid sexual intercourse for 2 weeks b) undergo a Pap test at least once a year c) clean vaginal lesions twice a day with saline d) wear cotton underwear and loose fitting clothes

c) clean vaginal lesions twice a day with saline

which are risk factors for breast cancer (SATA) a) multiparity b) younger aged women c) high breast tissue density d) excessive alcohol consumption e) early menarche (before 12 years)

c) high breast tissue density d) excessive alcohol consumption e) early menarche (before 12 years)

which pregnancy outcome would be an unlikely for a patient with an untreated STI a) choriomnionitis b) preterm birth c) postterm birth d) premature rupture of membranes

c) postterm birth

which diagnostic test assists in the diagnosis of female athlete triad syndrome a) anthropometric test b) thyroid function test c) exercise tolerance test d) bone mineral density test

d) bone mineral density test

how does a heating pad over the abdomen help reduce dysmenorrheal pain a) by blocking pain perception b) by releasing endogenous opiates c) by relaxing the paravertebral muscles d) by increasing blood supply to the uterus

d) by increasing blood supply to the uterus

which is the CDC recommended medication for the treatment of chlamydia a) acyclovir b) penicillin c) podofilox d) doxycycline

d) doxycycline

which self care instructions are appropriate for women following a modified radical mastectomy a) empty surgical drains once a day or every other day b) wear clothing with snug sleeves to support the affected arm c) use depilatory creams instead of shaving the axilla of the affected arm d) expect a decrease in sensation or tingling in the affected arm as the body heals

d) expect a decrease in sensation or tingling in the affected arm as the body heals

which statement is true about primary dysmenorrhea a) it is experienced by all women b) it is unaffected by oral contraceptives c) it occurs in young multiparous women d) it may be caused by excessive endometrial prostaglandin

d) it may be caused by excessive endometrial prostaglandin

a patient reports mood disturbances emotional breakdown and irritation just before the beginning of menses for her last three cycles. After assessment, the nurse finds that the patient follows a good diet and exercise regimen. Based on the symptoms which does the nurse conclude that the patient has a) amenorrhea b) a psychological illness c) hormonal abnormalities d) premestrual dysphoric disorder

d) premestrual dysphoric disorder

Which is an effective relief measure for primary dysmenorrhea a) to reduce physical activity level until menstruation ceases b) to use barrier methods rather than oral contraceptive pill for birth control c) to begin taking prostaglandin synthesis inhibitors on the first day of the menstrual flow d) to decrease intake of salt and refined sugar about 1 week before menstruation is about to occur

d) to decrease intake of salt and refined sugar about 1 week before menstruation is about to occur

thayer martin culture

gonorrheal infection