med/surg final (prepU review)

A nurse is reviewing a client's medical history. Which factor indicates the client is at risk for candidiasis?

use of corticosteroids

The nurse is demonstrating the technique for performing a self examination (TSE) to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse?

"it should begin in adolescence."

A client has been diagnosed with genital herpes. Knowing that education is an essential part of nursing care of the client with a genital herpes infection, the nurse plans to include which methods to minimize HIV transmission? (select all that apply)

-avoid unprotected sexual intercourse -avoid IV drug use -avoid multiple sexual partners

A ductal carcinoma in situ (DCIS) is considered to be which stage of breast cancer?

0 - ZERO.

A client is being seen at the local community-based clinic where you practice. Her healthcare provider has diagnosed the client with candidiasis and prescribed clotrimazole cream daily for 7 days. You are providing education on how to administer the prescribed medication. Which of the following techniques will the client use to administer this medication?

Administer cream at bedtime high into vaginal canal.

which client has the highest risk of ovarian cancer?

45 yr old woman who has never been pregnant

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?

56 yr old african american man

A client is undergoing treatment for prostate cancer. He has chemotherapy sessions regularly. However, of late he is showing symptoms of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation?

Ask the client to keep a diet diary.

A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigation after a TURP. What is the first action the nurse should take?

Discontinue the irrigations

A nurse is discussing the importance of testicular self-examinations with a client who had cryptorchidism. What should the nurse exclude from the discussion?

Regular testicular self-examinations should be performed by all men.

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer.

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?

Timing of symptoms in relation to the menstrual cycle.

A client underwent a TURP 24 ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?

Use sterile technique when irrigating the catheter.

A client with stage IV prostate cancer is to receive hormone therapy. The nurse would inform the client about possible adverse effects including...

breast tenderness

A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:

cryptorchidism

A client is concerned about the lumps that have developed in her breasts and is fearful of cancer. The client reports variability in the size of the lumps. What could be causing this condition?

cyclical hormonal changes

The client has been diagnosed with breast cancer and is awaiting cytology results of a biopsy. During the client education, the nurse discusses the possible types of breast malignancies. Which is the most common type?

ductal

What should a male client older than 50+ do to help ensure early identification of prostate cancer?

have a digital rectal examination and prostate-specific antigen test done yearly

The diagnosis of prostate cancer is confirmed by which of the following?

histologic examination of the tissue

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

After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first?

kegel exercises

Which of the following is the obstructive and irritative symptom complex caused by benign prostatic hypertrophy?

prostatism

A client is receiving leuprolide as part of his treatment for prostate cancer. The nurse would be alert for which of the following as a possible adverse effect?

Gynecomastia

The nurse is assessing the breast of a female patient. Upon assessment, the nurse notices that the patient's skin of the breast thick and hard and that the skin pores are enlarged. The patient states that she thinks it looks like an "orange peel". How would the nurse document this assessment finding in her notes?

peu d'orange

A nurse is speaking to a local women's group about various types of cancers affecting the female reproductive system. The nurse explains that ovarian cancer is the leading cause of death from gynecologic malignancies based on the understanding that this type of cancer does what...

typically manifests with vague symptoms resulting in late diagnosis

A nurse who works in a gynecologist's office frequently cares for patients who are diagnosed with vulvovaginal candidiasis. The nurse \hould teach the patients how to manage and treat the most common symptom of:

vulvar pruritis

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, cheeselike vaginal discharge. Which condition is the client most likely experiencing?

vulvovaginal candidiasis

A patient 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 wbc count: 2200 platelets: 250000 rbc count: 4400,000 which lab result is cause for concern?

white blood cell count

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?

Family history of breast cancer.

The nurse is providing education regarding sexually transmitted infections. Which statement regarding herpes virus 2 (herpes genitalis) is accurate?

In pregnant women with active herpes, babies delivered vaginally may become infected with the virus.