Med Surg II Study for final
A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should the nurse include? (Select all that apply)
-Avoid heavy lifting for approximately 2 weeks after the procedure -Avoid the use of tampons for 2 weeks after the procedure
A nurse is instructing a client how to perform Kegel exercises. Which of the following instructions should the nurse include? (Select all that apply)
-Perform exercises about 50 times each day -Contract the circumvaginal and/or perirectal muscles -Gradually increase the contraction period to 19 seconds -Perform while sitting, lying, and standing
A nurse is reviewing a journal article about the menstrual cycle. The nurse demonstrates understanding of the article by identifying which hormone as being elevated at the time of ovulation? Select all that apply.
-estrogen -luteinizing hormone
A group of students are reviewing material in preparation for a test on the male and female breasts. The students demonstrate understanding of the material when they identify which of the following?
A primary function of the female breast is to produce milk.
A nurse is preparing a presentation about contraception for a young adult community group. Which of the following would the nurse expect to address as the most effective means of contraception?
Abstinence
The nurse is educating a group of women at the YMCA about breast cancer. What does the nurse understand is the current trend that should be focused on rather than BSE?
Breast Self-awareness
A client who underwent an anterior colporrhaphy 6 hours ago has not voided. She reports some discomfort in her suprapubic area. Which of the following would the nurse expect to do?
Catheterize the client
A woman in her late 30s has been having unusually heavy menstrual periods combined with occasional urine and stool leakage over the past few weeks. Upon further enquiry, she reveals that she also has postcoital pain and bleeding. To which diagnosis will the investigation most likely lead?
Cervical cancer
A female patient experienced a severe reduction in body fat by extreme caloric restriction and exercise. Which of the following female reproductive abnormalities could she acquire as a result of the reduction in body fat?
Cessation of menstruation
A nurse is providing instructions to a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure?
Do not use or apply any deodorant the day of the exam
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 painful menstruation?
Dysmenorrhea
A nurse in a provider's office is reviewing the medical record of a client who has fibrocystic breast condition. Which of the following findings should the nurse expect?
Palpable rubberlike lump in the upper outer quadrant
A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include?
Sound waves will be used to create a picture of your prostate
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
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
A client with HIV has recently completed a 7-day regimen of antibiotics. She reports vaginal itching and irritation. In addition, the client has a white, cheese-like vaginal discharge. Which condition is the client most likely experiencing?
Vulvovaginal candidiasis
A nurse in a provider's office is obtaining a history from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? (Select all that apply)
-Frequent urinary tract infections -hematuria -urinary incontinence
A nurse is providing discharge instructions to a client who is postoperative following a TURP. Which of the following instructions should the nurse include? (Select all that apply)
-If urine appears bloody, stop activity and rest -Avoid drinking caffeinated beverages -Take a stool softener once a day
A nurse at a provider's office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow-up is needed in regard to the prostate gland? (Select all that apply)
-Prostate specific antigen (PSA) is 7.1 ng/mL -A digital rectal exam (DRE) reveals an enlarged and nodular prostate -The client reports a weak urine stream
Which client has the highest risk of ovarian cancer?
45-year-old woman who has never been pregnant
The nurse is educating a patient about the best time to perform breast self-examination (BSE). When does the nurse inform her is the best time after menses to perform BSE?
5 to 7 days
Assessment of a client reveals evidence of a cystocele. The nurse interprets this as which of the following?
Bulging of the bladder into the vagina
A 39-year-old woman with a diagnosis of endometriosis has met with her care provider to discuss treatment options. The nurse who is planning this woman's care should prioritize which of the following nursing diagnoses?
Chronic pain related to endometriosis
A nurse practitioner is assessing the size and position of a patient's uterus and ovarian structures. To perform this assessment, the nurse has informed the patient that bimanual palpation will be performed. How will the nurse perform this assessment?
Insert fingers of one hand into the vagina and palpate outside with the other hand
A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?
It calls for a biopsy as soon as possible.
A patient is diagnosed with the most common type of uterine fibroid, an intramural fibroid. The nurse includes which information in teaching the patient about this type of fibroid?
It grows within the wall of the uterine muscle
The nurse is assessing an older adult female who has not seen her physician in 2 years. The nurse is assisting the patient into a gown and notices that the patient has edema and pitting of the skin on the right breast. What does the nurse understand is the significance of this finding?
It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer.
A client has a history of dysmenorrhea. During monthly menses, the client experiences incapacitating cramping and passes large clots. The client's primary care physician initiates conservative treatment. What interventions would the physician to recommend?
NSAIDs
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.
A nurse in a clinic is reviewing the facility's testing process and procedures for human immune deficiency virus (HIV) with a new employee. Which of the following information should the nurse include?
The Western blot assay is used to confirm diagnosis of HIV
The nurse is providing preoperative instruction for a patient who will be having an excisional breast biopsy. The patient asks the nurse what type of bra should be used after the procedure. What should the nurse inform the patient?
The patient should wear a supportive bra after the procedure
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.
An obstetrical nurse is performing labor support for a 30-year-old woman who is experiencing her first pregnancy. The nurse has read in the patient's admission record that she experienced a sexual assault by a neighbor early in her pregnancy. What possible implication for this woman's care should the nurse identify?
The woman may be uncomfortable with removing her clothes or having pelvic exams.
A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
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 a priority?
"Does the tenderness occur around the same time each month?"
A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following?
"I need to use an electric shaver when shaving my right armpit."
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."
A community health nurse is participating in a health forum that has been organized by a local community group. When addressing the topic of breast cancer, what should the nurse teach participants about the risk factors for the disease?
"If your mother, grandmother, or sister had breast cancer, you likely have a higher-than-average risk."
A client returns to the recovery room following a mastectomy. An initial postoperative assessment is performed by the nurse. What is the nurse's priority assessment?
Assessing the vital signs and oxygen saturation levels
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.
The nurse working on a cancer treatment floor assesses her assigned clients. It is most important for the nurse to report which assessment finding?
Coolness and mottling of a newly constructed breast site
Which of the following is an age-related functional change of the female reproductive system?
Decreased ovulation
A nurse is preparing to discharge a client following an anterior and posterior colporrhaphy. Which of the following instructions should the nurse provide?
Do not engage in intercourse for at least 6 weeks
A nurse in a provider's office is reviewing a client's laboratory results, which shows a positive rapid plasma regain (RPR). Which of the following tests will be administered to confirm the diagnosis of syphilis?
Fluorescent treponemal antibody absorbed (FTA-ABS)
Hematoma and seroma formation are complications of breast surgery. Which of the following is the indicator that should be reported to the surgeon?
Gross swelling
The nurse is providing an educational event at the local community center on prostate cancer. A 53-year-old male attendee asks about the prevention and detection of prostate cancer. What information should the nurse provide to this man that would assist in the early identification of prostate cancer?
Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly
Which test is an x-ray study of the uterus and the fallopian tubes after injection of a contrast agent?
Hysterosalpingography
A nurse is performing a preoperative assessment for a client who is scheduled for an anterior colporrhaphy. Which of the following client statements should the nurse expect as an indication for this procedure?
I have had frequent urinary tract infections
A patient is told that she has a common form of breast cancer where the tumor arises from the duct system and invades the surrounding tissues, often forming a solid irregular mass. What type of cancer does the nurse prepare to discuss with the patient?
Infiltrating ductal carcinoma
Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which complication does this technique help avoid?
Lymphedema
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
A nurse is preparing a presentation for a health fair about preventing breast cancer. Which of the following would the nurse include?
Maintaining an ideal weight
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
Which of the following is the preferred medication for bacterial vaginosis?
Metronidazole
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 nurse is reviewing the medical record of a client who has a cystocele. Which of the following findings should the nurse identify as a risk factor for the development of this disorder?
Postmenopausal
A client is diagnosed with hypertension. The client also reports skin discoloration, weight gain, and nausea. Which contraceptive preparations would the nurse practitioner recommend for this client?
Progestin-only
A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should expect a prescription for which of the following medications?
Tamsulosin
A client is considering use of chemoprevention because she is at high risk for developing breast cancer. What can the nurse do to assist the patient with her decision?
Provide the patient with information regarding the benefits, risks, and possible side effects.
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
A patient is having a fine-needle biopsy (FNB) for a mass in the left breast. When the needle is inserted and the mass is no longer palpable, what does the nurse know has most likely occurred?
The mass may be cystic and was ruptured when the needle was inserted.
A patient is receiving chemotherapy with paclitaxel as treatment for ovarian cancer. The patient arrives at the facility for laboratory testing prior to her next dose of chemotherapy. The results are as follows: Hemoglobin: 12.9 gm/dL White blood cell count: 2,200 /cu mm Platelets: 250,000 /cu mm Red blood cell count: 4,400,00/cu mm Which result would be a cause for concern?
White blood cell count
A nurse is providing education to a client prior to an initial Papanicolaou (Pap) test. Which of the following statements should the nurse make?
You may experience some bleeding after the procedure
A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about postoperative care. Which of the following information should the nurse include in the teaching?
You might have a continuous sensation of needing to void even though you have a catheter
A fistula is an?
abnormal opening between two organs or sites.
oligomenorrhea
abnormally light or infrequent menstruation
amenorrhea
absence of menstruation
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
retroflexed uterus
bends posteriorly
metorrhagia
bleeding between periods
metrorrhagia
bleeding from the uterus at any time other than normal menstruation
Postmenopausal bleeding
bleeding that occurs 1 yr. after menopause
A rectocele is a?
bulging of the rectum into the vagina.
A cystocele results from?
damage to the anterior vaginal support structures.
Painful menstruation
dysmenorrhea
menorrhagia
excessive menstrual bleeding
Vulvodynia is a
painful condition that affects the vulva
dysmenorrhea
painful menstruation
For a cancerous tumor, a client must undergo modified radical mastectomy, which includes axillary node removal and immediate reconstruction. The nurse explains to the client that the axillary nodes will be removed to:
provide prognostic information.
On discharge, a client who underwent left modified radical mastectomy expresses relief that "the cancer" has been treated. When discussing this issue with the client, the nurse should stress that she:
should continue to perform breast self-examination on her right breast.
premenstral syndrome
symptoms that develop just prior to onset of menstrual period
Which group represents the fastest-growing segment of the population with AIDS?
women
