NCLEX Sexuality
A client is admitted to the hospital with a diagnosis of infiltrating ductal carcinoma of the breast. Which expected manifestation should the nurse assess the client for?
A fixed, irregularly shaped mass
The clinic nurse teaches a pregnant client with herpes genitalis about the measures that will be implemented during the pregnancy. Which statement by the client indicates an understanding of these measures?
"I may need a cesarean section if the lesions are present at the time of labor."
Which statement by the client diagnosed with prostatitis would indicate a need for further teaching?
"I need to avoid sexual activity for 2 weeks."
A perinatal client has been instructed about the prevention of genital tract infections. Which statement by the client indicates an understanding of these preventive measures?
"I should wear underwear with a cotton panel liner."
A young adult client diagnosed with a spinal cord injury tells the nurse, "It's so depressing that I'll never get to have sex again." Which is the realistic reply for the nurse to make to the client?
"It's still possible to have a sexual relationship, but it will be different."
A teenager returns to the gynecological clinic for a follow-up visit for a sexually transmitted infection (STI). Which statement by the teenager indicates the need for further teaching?
"My boyfriend doesn't have to come in for treatment, does he?"
A client is diagnosed with organic erectile dysfunction and the nurse is collecting subjective data from the client. After the assessment, the nurse explains to the client that which are causes of this disorder? Select all that apply.
3.Hypertension 4.Vascular disease 5.Diabetes mellitus 6.Alcohol consumption
The nurse talks to students at a high school about sexually transmitted infections (STIs). Which effective methods of preventing STIs does the nurse include in the discussion? Select all that apply.
4.Abstinence prevents transmission of STIs. 5.Proper condom use provides STI protection. 6.Multiple sex partners increase the risk of STIs.
A postmastectomy client has been found to have an estrogen receptor-positive tumor. The nurse interprets after reading this information in the pathology report that the client will most likely have which common follow-up treatment prescribed?
Administration of tamoxifen
The nurse conducting a prostate screening clinic is discussing prevention and risk factors for prostate cancer. The nurse determines that a client understands the educational information that was shared when the client shares what information with another participant?
An annual prostate examination and a prostate-specific antigen (PSA) test should be performed beginning at the age of 50 years.
On physical assessment, a 32-year-old female client tells the nurse that she has a history of fibrocystic disorder of the breasts. The nurse determines that the client understands the nature of this disorder if the client states that signs/symptoms are more likely to occur at which time?
Before menses
The nurse is asked to go to a local high school and talk to students about sexually transmitted infections (STIs). Which should the nurse plan to include during the discussion?
Avoiding casual sex with multiple partners
A client has a history of fibrocystic disorder of the breasts. The nurse determines that the client understands the nature of the disorder when the client states that symptoms are most likely to occur at which time?
Before menses
The nurse is discussing contraceptive methods with a postpartum client. The nurse tells the client that combined oral contraceptives are contraindicated if the client has a medical history of which conditions? Select all that apply.
Breast cancer. Coronary artery disease. Thromboembolic disorders
The nurse is planning to teach a teenage client about sexuality. What should the nurse do first?
Establish a relationship and determine prior knowledge.
A client has been prescribed metoprolol for hypertension. The nurse monitors client compliance carefully because of which common side effect of the medication?
Impotence
A client has a history of syphilis infection. The nurse interprets that the client has been re-infected when which characteristic is noted in a penile lesion?
Induration and absence of pain
A prenatal client has been diagnosed with a vaginal infection from the organism Candida albicans. What should the nurse expect to note on assessment of the client?
Pain, itching, and vaginal discharge
The nurse creating a plan of care for a client after a radical mastectomy includes measures that will assist in preventing lymphedema of the affected arm. What intervention should the nurse include to prevent this complication?
Place the affected arm on a pillow.
A client has undergone a mastectomy. The nurse determines that the client is having the most difficulty adjusting to the loss of the breast when which behavior is observed?
Refuses to look at the dressing
A client diagnosed with myasthenia gravis is ready to return home. The client confides that she is concerned that her significant other will no longer find her physically attractive. Which client-focused action should the nurse encourage in the plan of care?
Share her feelings with her partner.
The nurse is developing a plan of care for a young adult client newly diagnosed with testicular cancer. Which is most likely is a priority for this client?
The possibility of sexual dysfunction
A community health nurse has taught unwed teenage mothers methods to prevent sexually transmitted infections (STIs). Which action by a participant indicates to the nurse that learning most likely has occurred?
Verbalizes the importance of using condoms
The nurse at an outpatient cardiology clinic is reviewing the medical history of a 48-year-old man during a routine examination. The client reports the inability to maintain an erection. What information in the medical history indicates an increased risk of erectile dysfunction? Select all that apply.
Weight 245 lb. Total cholesterol 223 mg/dL (5.57 mmol/L). Serum creatinine 1.86 mg/dL (164 mcmol/L)
