Repro Review

A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment would physician prescribe?

IV penicillin G; single dose

Which hormone is primarily responsible for stimulating the production of progesterone?

Luteinizing hormone

The nurse is discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification?

"HPV is spread during sexual intercourse."

The lactation nurse is caring for a mother who is 2 weeks postpartum and has mastitis. Which statement, made by the client, requires instruction and is the probable cause of the mastitis?

"I nurse the baby on one breast each feeding."

The public health nurse has been talking to a group of community members about sexually transmitted infections. Which statement by one of the participants demonstrates an understanding of methods during sexual intercourse to decrease the risk of a sexually transmitted infection?

"I will make sure and wash my genital area before and after having sexual intercourse."

The nurse is preparing a client for a pelvic examination. Which nursing question is essential for the nurse to ask?

"Would you like to void at this time?"

When a female client reports a frothy, yellow-green vaginal discharge, the nurse suspects the client has a vaginal infection caused by which organism?

Trichomonas vaginalis

The nurse is caring for a client with erectile dysfunction. Because the client has coronary artery disease (CAD), the nurse anticipates the provider will prescribe which medication for ED?

Apomorphine (Uprima)

Which discharge instructions would be provided to a client following a vasectomy? Select all that apply.

Apply ice packs to the scrotum to reduce swelling. Resume usual activities in 2 to 3 days.

A female patient is scheduled to undergo a Papanicolaou test. The nurse should advise the patient of which of the following?

Avoid intercourse for 2 days prior to the procedure.

A client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The diagnosis of prostatitis is confirmed. What teaching should the nurse include? Select all that apply.

Complete the prescribed antibiotic treatment . Avoid prolonged sitting. Regularly drain the gland. Avoid caffeine products

A client was recently diagnosed with premenstrual dysphoric disorder and is meeting with a nurse to discuss lifestyle changes that will aid in relieving symptoms. Which interventions will the nurse suggest? Select all that apply.

Consume complex carbohydrates and foods high in calcium. Eliminate alcohol prior to menstruation

A client requesting a chlamydia test asks why it is necessary to receive a test for gonorrhea and syphilis at the same time. Which response from the nurse is the correct explanation?

It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point is most important for the nurse to emphasize?

Many people are asymptomatic and show no symptoms contributing to the spread of the disease.

A client is scheduled to undergo a procedure to lift her breasts that have drooped because of significant weight loss. The nurse identifies this procedure as which of the following?

Mastopexy

A client is diagnosed with polycystic ovarian syndrome. Which of the following findings would the nurse expect to assess? Select all that apply.

Hirsutism Impaired glucose tolerance Sleep apnea

A client seeks medical attention for symptoms of a sexually transmitted infection (STI). Which information will the nurse collect when completing the client's sexual history? Select all that apply.

History of sexual practices Number of sexual partners Past history of STIs Prevention of pregnancy method used

When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems? Select all that apply.

Hypertension Hyperlipidemia Infertility

An older client underwent a lumpectomy for a breast lesion that was determined to be malignant. Which factors increase the risk for breast cancer? Select all that apply.

Daily alcohol intake Increased age Nulliparity Obesity

A nurse is assessing an uncircumcised male. Which client symptoms would the nurse expect to find when assessing a client with phimosis? Select all that apply.

Difficulty cleaning under the foreskin Painful erections

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.

Do not delay the urge to void. Schedule digital rectal exams.

A client is scheduled for an abdominal ultrasound as a follow up to her pelvic examination. Which action by the nurse would be most appropriate?

Ensuring that the client has a full bladder

A 20-year-old client comes to the clinic for a routine examination. The client reports that she has just started having sexual intercourse. The nurse would recommend that the client have a Pap smear at which frequency?

Every 3 years

The nurse is reviewing laboratory results from clients who received care in the community health clinic. Which sexually transmitted infection (STI) does the nurse need to report to the Centers for Disease Control and Prevention (CDC)? Select all that apply.

syphilis chlamydia gonorrhea hepatitis B

A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?

tetracycline

A client with a painless, firm, nontender lump in the breast is being scheduled for diagnostic testing. Which test would the nurse expect the physician to order?

ultrasound

Which structure collects the spermatocytes and nourishes them until they are able to move about spontaneously?

epididymis

Which client has the highest risk of ovarian cancer?

45-year-old woman who has never been pregnant

A client undergoing treatment for vaginitis is also counseled about measures to prevent recurrence. Which client statement tells the nurse that the client effectively understands the prevention protocol?

"My sexual partner will also need to be treated."

The nurse educator is planning a health promotion class with a focus on sexually transmitted infections. What points regarding risk factors for chlamydia and gonorrhea should the nurse educator include? Select all that apply.

"Your chances of contracting these infections are higher the more sexual partners you have." "Young adults and teenagers are a high risk age group for both these infections."

A nurse is reviewing the organs most commonly affected by metastatic breast cancer. Which will not be included in this review?

kidneys

A 29-year-old patient visits his provider because of a lump on his left testicle that is not painful. During a history and physical exam, he mentions another symptom. Which of the following is a significant diagnostic symptom that is suggestive of metastasis?

A backache

A nurse is describing the advantages and disadvantages associated with tamoxifen therapy as a means of breast cancer prevention. The nurse would identify that the drug has a beneficial effect on which of the following?

Bone mineral density

Which type of yeast infection is manifested by white, cheese-like discharge?

Candidiasis

A nurse is using a diagram to educate a client with a pelvic organ prolapse. Which condition would the client have based on the illustration?

cystocele

The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis?

ejaculation

A nurse is using a diagram to educate a client with a pelvic organ prolapse. Which condition would the client have based on the illustration?

enterocele

The nurse understands that a single dose of azithromycin as treatment for a chlamydia infection is prescribed by the health care provider for what reason?

It can be administered to the client at the health care provider's office.

A nurse is conducting a health education class for a group of 12- to 14-year-old girls and describing the events of secretory phase. Which of the following would the nurse include?

Ovulation

A client is diagnosed with early latent syphilis of unknown duration. Which medication treatment will the nurse expect to be prescribed for this client?

Penicillin G benzathine, three intramuscular injections at 1-week intervals

The nurse educator is teaching about reproductive health to a group of nursing students. The nurse educator is correct in stating which information about the menstrual cycle?

Progesterone production is low during ovulation

The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which of the following symptoms would indicate to the nurse the need for administration of this drug? Select all that apply.

Slowed or stopped infusion rate Increased bladder pressure and pain

A client seeks medical attention for a painless lump located in the upper right area of the right breast. Which additional finding indicates to the nurse that the client has advanced breast disease? Select all that apply.

Tissue dimpling Nipple retraction

What does the nurse tell the patient is the best way to decrease the risk of developing penile cancer?

Use good genital hygiene

Following a recent history of dyspareunia and lower abdominal pain, a client has received a diagnosis of pelvic inflammatory disease (PID). When providing health education related to self-care, the nurse should address what topics? Select all that apply.

Use of condoms to prevent infecting others Appropriate use of antibiotics

A client who is 4 months postpartum reports significant left breast pain, edema, redness, and an elevated temperature. What would the physician likely order? Select all that apply.

antibiotic therapy a supportive bra

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?

frequency

A female client's last pelvic examination showed that the pelvic musculature had relaxed and the uterus had dropped toward the vagina, causing back and pelvic pain. What measure would be attempted first for this client?

pessary device

The physician and nurse are completing a physical examination of the male genitalia. Which assessment finding(s) is documented? Select all that apply.

Inspection for urethral drainage Digital rectal examination Transillumination Palpation of the testes

A nurse is providing patient education to a patient as part of her work in a fertility clinic. The nurse explains possible reasons for infertility. When explaining how the ovaries are involved in conception what will the nurse stress?

The ovaries contain all of the ova that a woman will have at birth

The nurse is working at an oncologist's office specializing in breast cancer. The nurse cares for individuals of varied ages, backgrounds, and stages of breast cancer. Which criteria are considered a priority when determining adjunct treatment in addition to surgery? Select all that apply.

Stage of tumor Presence of metastasis Age Sensitivity to estrogen

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?

Tabes dorsalis, ataxia, and Charcot's joints

A client with breast cancer is scheduled to undergo chemotherapy with aromatase inhibitors. Which rationale does the nurse give for the use of this group of drugs?

They prevent prehormones from becoming estrogen, blocking the tumor's ability to use it.

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

A client is scheduled to have her first Pap test and asks the nurse why this test is necessary. The nurse should tell the client that this test is used to detect early cancer of the _____.

cervix

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

In educating a patient with PMS about changing her dietary practices, what would the nurse recommend that she increase her intake of?

magnesium

A nurse is reviewing the health history of a client who has been diagnosed with endometrial cancer. Which of the following would the nurse identify as a factor increasing this client's risk? Select all that apply.

obesity nulliparity

The nurse is providing shift report related to a client newly received back to the unit from the post anesthesia care unit (PACU). The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis major and minor muscles removed. The oncoming nurse documents which procedure completed?

A radical mastectomy

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?

painful joints

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability?

prostate gland

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 group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?

seminal vesicles

During a physical examination, the nurse inspects the external genitalia of a male client. Which of the following would the nurse identify as an abnormality?

skin lesions