Chapter 57: Management of Patients With Female Reproductive Disorders

A client is experiencing symptoms associated with menopause. What is a likely recommendation to increase the client's interest in sexual activity?

low-dose androgens

A client undergoing treatment for vaginitis is also counseled about measures to prevent recurrence. Which client statement tells the nurse that the client effectively understands the prevention protocol?

"My sexual partner will also need to be treated."

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 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 patient reports to the nurse that she has a sense of pelvic pressure and urinary problems such as incontinence, frequency, and urgency. The problem has gotten much worse since the birth of her third child. What does the nurse suspect the patient is experiencing?

A cystocele

Which of the following is the descent of the small intestine into the vaginal vault?

Enterocele

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

Which of the following is the preferred medication for bacterial vaginosis?

Metronidazole

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

Upon examination, the nurse practitioner notes a backward positioning of the patient's uterus. How would the nurse document this finding?

Retroversion

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

Which of the following is the most effective treatment for trichomoniasis?

Tinidazole (Tindamax)

A patient has been diagnosed with a vaginal infection and received a prescription for metronidazole (Flagyl). The nurse knows that this is the recommended treatment for a vaginal infection caused by what organism?

Trichomonas vaginalis

Which is the earliest and the most common symptom of endometrial cancer?

bleeding