Patho II PrepU Chp. 45

A female client reports to the health care provider that she has noticed a release of urine when she laughs or sneezes. Which interventions should the provider implement first? a. Provide information about the estrogen ring b. Refer the client to a surgeon c. Teach the client to do pelvic floor exercises d. Insert a Foley catheter to measure daily output

c

A female client is being seen in the ED with complaints of lower abdominal pain, dyspareunia, back pain, purulent cervical discharge, and the presence of adnexal tenderness and painful cervix on bimanual pelvic examination. The nurse suspects the client has pelvic inflammatory disease (PID), and will assess the client for: a. Use of oral contraceptives b. Dietary habits c. Number of sexual partners d. Toileting habits

c

A client has been diagnosed with a Bartholin gland cyst. The nurse expects the client may experience which symptoms if this becomes infected? a. Pain, tenderness, and dyspareunia b. Distention, hyperthermia, and dyspnea c. Pain, dysphagia, and tenderness d. Pain, erythema, and dystonia

a

What will the nurse teach the client who has a cervical polyp? a. "Polyps typically are asymptomatic" b. "Polyps are most often cancerous." c. "Polyps cause extreme pain." d. "You do not need to have this removed."

a

The nurse working in a fertility clinic is assessing a client's risk for fallopian tube obstruction. Which disorder places the woman at greatest risk for fallopian tube obstruction? a. Vaginitis b. Dysmenorrhea c. Endometriosis d. Uterine prolapse

c

There are many cancers of the female reproductive system. The nursing student knows that the most readily detected and most easily cured cancer—if detected early—is: a. Vaginal b. Ovarian c. Cervical d. Vulvar

c

Which female client is at risk for amenorrhea? a. 32-year-old with hypertension b. 45-year-old with myocardial infarction c. 18-year-old with anorexia nervosa d. 25-year-old with peptic ulcer disease

c

A 38-year-old woman with proliferative breast changes of papilloma asks the nurse about her risk for breast cancer. Which statement of risk is correct? a. Low unless other relatives have cancer b. Lower as a result of your exercising c. High due to your increasing age d. Higher because of your papilloma

d

In assessing a client with a fibroadenoma of the breast, what will the nurse find? a. Hard masses b. Firm, rubbery masses c. Unmovable masses d. Extreme pain during menstruation

b

A client who has a history of untreated cervicitis tells the nurse that she is concerned about the risk of experiencing problems with fertility. The nurse explains that problems may result from: a. ascending infection of the fallopian tubes. b. development of low back pain. c. severe abdominal peritonitis. d. acute urinary tract infection.

a

A client who has been diagnosed with premenstrual syndrome (PMS) asks if there is anything to help alleviate the symptoms. The best response would be: a. Eat a diet low in simple sugars and high in protein. b. Increase intake of caffeine products during this period. c. Decrease intake of fluids to reduce fluid retention. d. Limit activities and maintain bed rest as necessary.

a

A client is experiencing oligomenorrhea. The nurse interprets this as: a. frequent menstruation with periods less than 21 days apart. b. infrequent menstruation with periods more than 35 days apart. c. bleeding that occurs between menstrual cycles. d. heavy bleeding between and during menstrual cycles.

b

Which sexually active woman most likely faces the highest risk of developing an ectopic pregnancy? a. A 14-year-old who experienced menarche 2 years earlier b. A 42-year-old who has decided to try to have one more child and has had her tubal ligation reversed c. A 22-year-old who has a history of anorexia nervosa and who has a body mass index (BMI) of 12.0 (normal BMI = 18.5-24.9) d. A 27-year-old who stopped using medroxyprogesterone contraceptive injection several months ago

b

The parents of a 9-year-old child ask the nurse for information about quadrivalent human papillomavirus recombinant vaccine. Which information is appropriate for the nurse to provide? Select all that apply. a. It prevents sexually transmitted infections. b. It can be given to boys and girls. c. It is ideally given before the child is sexually active. d. It prevents a common cause of cervical cancer. e. It produces short-term immunity.

b, c, d

A 59-year-old woman with a recent diagnosis of breast cancer has begun a course of hormone therapy. What is the goal of this pharmacologic treatment? a. Blocking the entry of malignant cells into the axillary lymph nodes b. Increasing serum hormone levels to promote tumor cell lysis c. Blocking effects of estrogen on the growth of malignant cells d. Blocking the effects of progesterone on tumor growth

c

A client of childbearing age asks the nurse about how to reduce the risk of ovarian cancer. How should the nurse respond? a. "If you take estrogen supplementation after menopause, you can reduce your risk." b. "Most ovarian tumors are malignant neoplasms, and there is no known prevention." c. "Your ovarian cancer risk can be decreased by taking oral contraceptives." d. "Your risk for developing ovarian cancer decreases greatly after menopause."

c

A client with vulvodynia tells the nurse, "This is not getting better. I just can't live like this." What is the best response by the nurse? a. "Has your partner complained about intimacy?" b. "You may need an increase in your steroid dosage." c. "What bothers you the most about your condition?" d. "Give the physical therapy a bit more time to help you."

c

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client? a. Spermatocele b. Rectocele c. Enterocele d. Cystocele

d

A female client presents to her primary care physician with a report of very heavy bleeding during menstrual cycles. Tests indicate the condition is not from a hormone imbalance. Which intervention option is least invasive? a. Dilatation and curettage (D&C) b. Endometrial ablation c. Vaginal hysterectomy d. Oral contraceptives

d

A nurse who works in a fertility clinic is conducting a program on options for various fertility issues. The nurse judges that the participants understand the education when they identify that donor eggs are the best option for which woman? a. A 33-year-old b. A 28-year-old c. A 38-year-old d. A 42-year-old

d

The client has a Bartholin cyst that has developed into an abscess. The nurse explains to the client the plan of care, including which treatments? a. Application of dry heat. b. A hysterectomy will be required. c. Antifungal cream will be administered. d. A catheter may be inserted to drain the cyst for several weeks.

d

The nurse in the ER is caring for a client with lower abdominal pain that is greater on the right side and who has light vaginal spotting. When the client's human chorionic gonadotropin (hCG) level is lower than normal, the nurse plans care for a client with: a. Appendicitis b. Cervical cancer c. Premenstrual syndrome d. Ectopic pregnancy

d

What is the most important discharge instruction for a female client with pelvic inflammatory disease (PID)? a. Eat a balanced diet b. Drink plenty of fluids c. Get adequate rest d. Take all of the antibiotic

d

Which client does the nurse determine is most likely at risk for cancer of the vagina? a. The client who is 28 years of age b. The client with diabetes c. The client who underwent multiple procedures for infertility d. The client who is 61 years of age

d