Med Surg Repro Review

A male patient seeks medical advice about intermittent erectile dysfunction. Which comment by the patient prompts the nurse to collect additional information?

"After a few drinks, I always ask my partner for sex."

The nurse is visited by a teenage neighbor who asks, "I have a friend who thinks she has an STI and she is afraid to ask anyone about it. Can you give me some information for her?" Which reply does the nurse make?

"Delayed treatment can result in serious lifelong complications."

The nurse is caring for a woman who has just had a spontaneous abortion. Which instructions do the nurse provide? (Select all that apply.) 1. "Call if you experience bleeding for more than 3 days." 2. "Call if there is more bleeding than during a heavy period." 3. "The discharge often has a foul odor due to the procedure." 4. "You can expect to pass large clots the size of golf balls." 5. "Abstain from sexual intercourse as directed by your physician."

1. "Call if you experience bleeding for more than 3 days." 2. "Call if there is more bleeding than during a heavy period." 5. "Abstain from sexual intercourse as directed by your physician."

The licensed practical nurse is providing instructions on testicular self-examination. Which statements do the nurse include in this teaching? (Select all that apply.) 1. "The testicles should be examined monthly while in the shower." 2. "The spermatic cord generally cannot be felt without deep palpation." 3. "The left side of the scrotum usually hangs a little lower than the right." 4. "If you notice any lumps or unusual changes, you should call your doctor." 5. "Hold the scrotum in one hand and massage gently to note any tenderness."

1. "The testicles should be examined monthly while in the shower." 3. "The left side of the scrotum usually hangs a little lower than the right." 4. "If you notice any lumps or unusual changes, you should call your doctor."

The nurse is collecting a medication history from a man with erectile dysfunction. For which class of medication and lifestyle substances should the nurse focus because they can cause erectile dysfunction? (Select all that apply.) 1. Alcohol 2. Caffeine 3. Antibiotics 4. Antihistamines 5. Beta-blocking agents

1. Alcohol 2. Caffeine 4. Antihistamines 5. Beta-blocking agents

The nurse reviews orders from the HCP for a patient recovering from a TURP. The patient is prescribed for bladder irrigation, antispasmodic medication, and IV antibiotics every 6 hours. Which potential complications are these orders specifically addressing? (Select all that apply.) 1. Infection 2. Blood clots 3. Bladder spasms 4. Urinary retention 5. Nausea and vomiting

1. Infection 2. Blood clots 3. Bladder spasms

The nurse is reviewing the anatomy of the reproductive tract with a female patient. Which structures do the nurse identify as being part of the vulva? (Select all that apply.) 1. Mons pubis 2. Bartholin's glands 3. Cervix 4. Clitoris 5. Vagina

1. Mons pubis 2. Bartholin's glands 4. Clitoris

A patient in labor is diagnosed with MPC. For which health problems does the nurse anticipate providing care to the newborn? (Select all that apply.) 1. Pneumonia 2. Conjunctivitis 3. Irregular heart rate 4. Flaccid extremities 5. Cyanotic extremities

1. Pneumonia 2. Conjunctivitis

After reviewing data, the nurse suspects that a young female patient is experiencing manifestations of toxic shock syndrome. Which findings does the nurse use to make this decision? (Select all that apply.) 1. Sore throat 2. Peeling skin 3. Fluid retention 4. Red palms and soles of feet 5. Muscle pain and weakness

1. Sore throat 2. Peeling skin 4. Red palms and soles of feet 5. Muscle pain and weakness

The nurse is providing care for a patient recently diagnosed with Chlamydia. Which information does the nurse recommend be included in patient teaching? (Select all that apply.) 1. "Women with Chlamydia may complain of a sore throat." 2. "Chlamydia is characterized by the development of chancres." 3. "Ophthalmia neonatorum is seen in infants born to women with Chlamydia." 4. "Chlamydia can be transmitted sexually and by blood and body fluid contact." 5. "The risk of ectopic pregnancy is increased in women with a history of Chlamydia."

4. "Chlamydia can be transmitted sexually and by blood and body fluid contact." 5. "The risk of ectopic pregnancy is increased in women with a history of Chlamydia."

The nurse is collecting information from a female patient who is 55 years of age. The patient is postmenopausal for 8 years. The patient is also small boned, Caucasian, and has never been pregnant. Which type of bone testing does the nurse suggest to the patient?

A dual energy x-ray absorptiometry (DEXA) scan

A 60-year-old patient receives information that a prostate-specific antigen (PSA) laboratory value is 11 ng/mL. Which intervention by the health care provider (HCP) does the nurse expect?

A prostatic acid phosphatase test

The nurse is providing care for a patient admitted for pneumonia. Which discovery made during admission will cause the nurse to notify the RN or HCP immediately?

An open, but painless ulcer on the penis

A female patient is diagnosed with premenstrual dysphoric disorder (PMDD). The HCP prescribes, along with hormonal contraceptives, supplements of calcium, magnesium, and vitamins E and B6. Which information is most important for the nurse to provide to the patient?

Instructions that vitamin increases need HCP approval

The nurse is preparing a presentation about the normal reproductive system of the male. Which statement is incorrect?

The arterioles of the penis constrict to hold blood in the penis for an erection.

The nurse is providing information on breast self-examination to a female patient. Which palpation pattern does the nurse instruct the patient to use when performing this examination?

Any pattern that is consistent and thorough

The nurse is providing care for residents in an extended-care facility. An oriented, older adult female states to the nurse, "I think my boyfriend made me sick. My private parts itch and hurt." Which action by the nurse is appropriate?

Ask permission for the RN to do a physical examination.

The nurse is collecting health history on a female client who is considered a high-risk pregnancy. Which information will the nurse record if the patient has had four pregnancies, a miscarriage at 16 weeks, one 22-week stillborn delivery, and delivery at term to a set of twins and a single birth?

G4P2A1 (The patient has four pregnancies (G), two deliveries resulting in live births (P), and one spontaneous abortion (A). The birth at 22 weeks is not considered an abortion, but is also not a live birth. The patient has three children from two pregnancies.)

The parent of a newborn male is informed of a condition called cryptorchidism. The HCP states if the condition does not resolve within a few months, surgery will be required before the age of 1 year. The parent asks the nurse why surgery is so important. Which reason does the nurse provide in support of the surgery?

Lack of correction can result in infertility.

The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which information is the nurse basing this teaching?

Men and women may be asymptomatic and still transmit the infection.

A female patient is scheduled for laparoscopy for determination of endometriosis. Following the procedure, which nursing care will the nurse perform?

Monitor the patient for pain in the neck, shoulders, and upper back.

The nurse is providing care for a male patient diagnosed with acute prostatitis. Which intervention is unnecessary for the nurse to discuss with this patient?

Need for surgery intervention

The nurse is preparing a presentation about the normal reproductive system of the female. Which condition is incorrect?

Normal pH of the vagina is alkaline to prevent microbial growth.

A male patient is unable to achieve or maintain a penile erection long enough for ejaculation. The erectile dysfunction is considered the reason for the patient's infertility. Which treatment does the nurse expect the HCP to prescribe initially?

Oral doses of tadalafil

A patient who is pregnant is being treated for MPC. Which information is correct when the patient asks the nurse about the cause of the condition?

Presence of organisms that cause STIs

The nurse is contributing to patient teaching for a patient who is not circumcised and diagnosed with penile cancer. The small red lesion was removed by laser surgery. Which postprocedure information does the nurse recognize as being least beneficial?

The benefits and complications related to adult circumcision

The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. For which reason is a mastectomy patient at risk for pulmonary complications?

The chest incision makes the patient hesitant to deep-breathe and cough.

The nurse is discussing menstruation with a patient who is present for her yearly physical. The patient is 11 years of age and states, "I have not had a period yet and I hear so much at school it is confusing." Which detail about the function is unnecessary at this time?

The process is related to fluctuating estrogen and progesterone hormones.

The nurse is providing care for a female patient diagnosed with stage II breast cancer. The patient states, "I have done some research about targeted therapies and I'm not sure it is the best option." Which information does the nurse provide?

They target cancer cells and are less toxic to normal body cells.

A female patient who is in the last trimester of pregnancy is considering sterilization as a permanent method of birth control. The patient states, "I know this is what I want, but I don't want to do this until the baby is a little older." Which information does the nurse provide?

Tiny implants can be nonsurgically placed later.

A female patient has not achieved pregnancy after 8 months of attempting to do so and is undergoing hormone testing. Which additional reason other than infertility does the nurse identify for hormone testing?

To assess hormone-producing tumors

The nurse is providing care and support to a female client who tested positive for the BRCA 1 and BRCA 2 genes. Which statement by the patient indicates that additional information from the nurse is necessary?

"The only choice I have at this point is to have a bilateral mastectomy."

The nurse is collecting data from a female patient regarding normal function baselines of the reproductive system. Which question is appropriate for the nurse to ask?

"Has sexual functioning and desire changed?"

The nurse is collecting data on a patient in a HCP's office. The patient tells the nurse he or she has the flu. The nurse notices a skin rash on the palms of the hands and soles of the feet, mouth sores, and lymphadenopathy. Which question is most important for the nurse to ask?

"Have you had any painless sores lately?"

The nurse is presenting information about preventing STIs to a group of female students. The nurse identifies that teaching is ineffective if which statement is made by a student?

"I know my boyfriend loves me and will always keep me safe."

The nurse is providing care for a female patient who is pregnant and tests positive for genital HSV-2 (herpes simplex virus type 2). Which comment by the patient indicates to the nurse that patient teaching is effective?

"I know that an active lesion will mean a cesarean section."

The nurse is collecting health information from a client who has presented with penile condyloma. Which comment by the patient indicates the greatest need for additional information from the nurse?

"I only have oral sex with my sexual partner."

The nurse is involved with a follow up visit for a female patient who contracted and had been self-treating for pubic lice. Which comment by the patient indicates that patient teaching is effective?

"I plan to be much more discriminate about who I have sex with."

The nurse is reviewing discharge teaching for a patient who has undergone laparoscopic surgery. Which patient statement indicates that discharge teaching is effective?

"I will report feelings of dizziness to my physician."

The nurse is gathering information from a male patient who is presenting with difficult, painful, and frequent urination and a clear penile discharge. Which additional information supports urethritis?

"My partner also has some of the same symptoms."

The nurse is providing preoperative care for an 80-year-old patient who is scheduled to have prostate surgery. The patient says, "I know a man who was impotent after this surgery. Will that happen to me?" Which response by the nurse is most appropriate?

"Prostate surgery can cause erectile dysfunction. I'll ask your surgeon to explain the risks to you."

A patient at age 23 reports severe pelvic and back pain, which increases during her menses. After testing, she is diagnosed with endometriosis. Which information provided by the nurse is likely to be considered premature?

"Removal of the ovaries is the most effective treatment."

The nurse is reviewing a patient's understanding about a scheduled vasectomy. Which statement by the patient indicates the need for additional teaching?

"Sperm will no longer be produced once healing is completed."

The nurse is assisting with teaching to a woman who is having difficulty conceiving. Which instruction does the nurse provide about keeping a basal body temperature chart?

"Starting with the first day of your period, record your temperature first thing each morning."

A patient has just returned from a transurethral resection of the prostate (TURP). Which explanation does the nurse provide if the patient asks why he needs a urinary catheter?

"The catheter is keeping pressure on the surgery area to prevent bleeding."

A female patient who is 40 years of age is scheduled for a baseline mammography. The patient becomes concerned when she learns a digital mammography is planned. The client states, "I thought that test was for high risk women." Which answer by the nurse is most appropriate?

"The image is computerized, allowing the radiologist to look more closely at specific areas."

A patient has just received a new prescription for a transurethral suppository for erectile dysfunction. Which instruction should the nurse provide regarding the use of this medication?

"Urinate before you insert the suppository into your urethra."

A male patient in an HCP's office, tells the nurse, "I am impotent and cannot have a fulfilling sex life with my spouse." In which way can the nurse support the patient?

"We no longer use negative terms as reference to erectile dysfunction."

A 50-year-old woman states, "It is such a relief not to need birth control any more. I haven't had a period in 3 months." Which response by the nurse is correct?

"Without confirmation, you are still considered to be perimenopausal and should continue birth control."

A male patient reports that manifestations of benign prostatic hyperplasia (BPH) have been occurring for several years. On which problems related to this condition does the nurse focus when collecting health information? (Select all that apply.) 1. Urosepsis 2. Bladder cancer 3. Renal insufficiency 4. Evidence of hydronephrosis 5. Recurrent urinary tract infections

1. Urosepsis 3. Renal insufficiency 4. Evidence of hydronephrosis 5. Recurrent urinary tract infections

The nurse works in the office of an HCP specializing in female health. Which patient does the nurse identify as being at greatest risk due to prescribed oral contraceptives?

A 45-year-old patient who smokes and is treated for diabetes and hypertension

The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the registered nurse (RN) or physician?

Sharp pain at the base of the ribs

The nurse is in the initial stage of physical examination with a male patient. Which observation by the nurse is most likely unrelated to a hormone imbalance?

Short stature

A female reports being conflicted between the effectiveness of a condom versus a diaphragm for contraception. Which information does the nurse provide regarding effectiveness?

Spermicide is a good addition to both.

The nurse is collecting data from a female patient with a possible Bartholin gland cyst. Which data does the nurse need to validate?

Difficulty when attempting to sit

The nurse is providing care for a female patent diagnosed with displacement disorders currently being treated with placement of a pessary. Which nursing care is the most important for the nurse implement?

Discuss how to perform Kegel exercises.

A male patient reports that he is uncircumcised and has been having a problem retracting his foreskin for several months. The penis now looks reddened with a noticeable discharge. Which is the most likely reason the patient has delayed reporting the condition?

Embarrassment about such a personal issue

The nurse is providing care to a female patient who just received a diagnosis of agenesis of the ovaries. Which nursing care is most appropriate for the patient?

Express a willingness to listen if the patient wishes.

A patient with frequent recurrent episodes of proctitis is diagnosed with rectal cancer. The patient is distraught and asks how cancer could develop. Which answer by the nurse is best?

Frequent inflammation of the anus and rectum causes cellular changes.

A patient with hepatitis B virus (HBV) delivers a 6-pound, 2-ounce baby. Which action does the nurse anticipate will be needed for the infant?

HBV-immune globulin before 12 hours and HBV vaccine series

The nurse is providing care for a patient who presents with redness, itching, pain, and burning of the vulva and vagina. Which additional manifestation will support the nurse's suspicion of vulvovaginitis?

History of treatment for multiple sexually transmitted infections (STIs)

A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication tamsulosin to reduce symptoms. For which side effect does the nurse monitor this patient?

Hypotension

The nurse reviews the medical record for a patient who is diagnosed with genital warts. Which method of treatment is unexpected if the patient is pregnant?

Immunity stimulation

A female patient who is experiencing symptoms related to menopause is denied hormone replacement therapy by the HCP because of a family history of breast cancer and heart disease. Which suggestion does the nurse make for management of symptoms that is likely to be ineffective?

Initiate a calcium and vitamin regimen.

A female patient is scheduled for her first pelvic examination. Which action by the nurse will provide the patient with physical comfort?

Instruct the patient to blow out a deep breath as the speculum is inserted.

A male patient has been diagnosed with acute epididymitis. The HCP has prescribed bedrest, elevation of the scrotum on ice packs, and antibiotics. The nurse is aware that which complication is least likely to develop with the patient's diagnosis?

Orchitis

A female patient is at the HCP's office for an annual gynecological examination. When a bimanual examination is performed, the patient reports significant pain. Which medical condition is the patient likely to have?

PID

The nurse is assisting the HCP in a procedure used for cytology of the surface of the cervix. Which procedure does the nurse understand is being performed?

Papanicolaou

A patient is inquiring about the insertion of an intrauterine device (IUD) for contraception. Which information from the nurse is incorrect?

Perforation of the vaginal wall is common.

The nurse is told during a physical examination that a male patient has a curved penis during erection. Which term does the nurse use to document this observation?

Peyronie disease

A male client is scheduled for an outpatient cystourethrography to evaluate the degree of obstruction by an enlarged prostate. Which nursing care will the nurse provide after the procedure?

Place a warm moist cloth over the urethra for pain

The nurse is collecting data from a female client who is having difficulty conceiving. The nurse notes that the client has increased amounts of body and facial hair, is moderately overweight, and has acne-like lesions on the face. Which medical condition is the nurse likely to suspect?

Polycystic ovary syndrome (PCOS)

After finding a mass in the scrotum of a male patient, the nurse provides the HCP with a flashlight and turns off the lights. For which reason did the nurse perform these actions?

Preparation for transillumination of the testes

A patient is scheduled for a surgical biopsy for removal of a lesion suspected to be breast cancer. Which care by the nurse is most important?

Presenting a calm and understanding attitude

A 70-year-old male arrives in the emergency department and says, "I haven't urinated in 24 hours. I feel like I have to go, but I can't." Which care does the nurse anticipate providing first?

STAT insertion of an indwelling catheter

A 30-year-old male patient has just received a diagnosis of testicular cancer. He appears sad and states, "I always wanted to have children. Now it will be impossible." Which information does the nurse provide to assist the patient?

Share that it is possible to bank sperm before treatment.

The nurse is reviewing the report on fertility testing for a male patient who is 28 years of age. The report designates the cause of infertility as a low sperm count with no other identified physiological disorders. Which type of infertility does the nurse recognize?

Testicular

The nurse in the emergency department is providing care for a male client with priapism, which has lasted for 6 hours. For which serious condition will the nurse monitor the patient?

The ability to urinate

The nurse is participating in the care of a male patient in the emergency department for a severe episode of hypotension. The patient takes sildenafil for erectile dysfunction. Medical history indicates management of hypertension and diabetes. Which information does the nurse provide related to meeting this patient's needs?

The effectiveness of herbs for erectile dysfunction

The nurse is contributing to information for women in a fibrocystic breast disease support group. Which information does the nurse suggest including?

The manifestations of the condition usually subside with menopause.

The nurse reviews laboratory values for a male patient with an elevated PSA level and notes that the alkaline phosphatase and serum calcium levels are also elevated. Which condition do these findings suggest to the nurse?

The patient has cancer that has metastasized to the bone.

A male patient who is 60 years old is diagnosed with prostate cancer. Which condition does the nurse recognize as the best indication for a radical prostatectomy?

The patient is experiencing bone pain.

A patient arrives in the emergency department with pain in the scrotum. The scrotal skin is tender, red, and warm to the touch. Which information will cause the nurse to suspect the patient has epididymitis?

The patient started a new task on his job using a jack hammer.

A female client has been hospitalized multiple times requiring IV antibiotics for the treatment of pelvic inflammatory disease (PID). The nurse provides information to the patient emphasizing the potential for infertility from PID. Which statement by the patient indicates effectiveness of the presented information?

The patient understands the importance of antibiotic therapy.

A male patient expresses the desire to have a vasectomy reversed that was performed 5 years ago. Which information about vasectomy reversal does the nurse recognize as the most likely cause of an unsuccessful surgery?

The period of time passed may be too long.