Reproductive 64, 65, 66
Which statement by the pt scheduled for a colposcopy indicates the need for further teaching about this procedure?
"This test requires general anesthesia"
Which statement by the pt using a hormone releasing patch for birth control indicates the need for further teaching?
"This type of birth control has a low risk of blood clots"
The nurse is reviewing data collected during a health history and physical assessment and determines that a pt is at risk for developing breast cancer. Which data support this pts risk for developing breast cancer? SATA
- age 60 - sister had breast cancer - menopause at age 58
The nurse links the increased risk of blood clot formation in the pt who uses which type of birth control? (SATA)
- combination birth control pills - estrogen patch - vaginal ring
In planning an educational presentation for a high school class, the nurse indicates info about which risk factors for HPV? SATA
- douching - smoking - multiple sex partners
The nurse correlates an increased incidence of which complications in the 55 yr old female who is post menopausal? SATA
- osteoporosis - hyperlipidemia -HTN -insulin resistance
To which female pts does the nurse provide edu regarding genetic testing for breast cancer? SATA
- the pt who has a personal history of ovarian cancer - the pt whose mother was diagnosed with ovarian cancer - The pt whose sister was diagnosed with bilateral breast cancer at age 35
In planning an educational session about risk factors of uterine cancer, the nurse includes which info? SATA
-estrogen therapy - tamoxifen therapy - obesity
A pt with a history of breast cancer who is entering menopause is seeking info about how to manage hot flashes. What info can be provided to the pt?
Black cohosh can be used to manage the hot flashes associated with menopause
The nurse correlates which complication to the pt who develops bladder outlet obstruction (BOO) secondary to untreated ureteral obstruction?
Bladder infection
In planning an educational session on testicular trauma, the nurse includes which information in the presentation?
Blunt trauma is more prevalent than penetrating trauma.
The nurse correlates which finding in the health history of a female pt to an increased risk of ovarian cancer?
Body mass index of 34
The nurse monitors the results of which hormonal levels to confirm pregnancy to help quantify gestational age?
Human chorionic gonadotropin (HCG)
The nurse correlates which finding in a pts health history as the greatest risk factor for the development of endometriosis?
Identical (monozygotic) twin with a history of endometriosis
What is the priority nursing diagnosis for the patient recently diagnosed with benign prostatic hyperplasia (BPH)?
Impaired Urinary Elimination
In developing a teaching session for a group of young women about strategies to relieve menstrual cramping, the nurse includes what content as the focus of these strategies?
Increase of blood flow to the uterine muscle
In completeing an assessment on an older adult female, the nurse correlates which finding to an age- related change to the reproductive system?
Increased risk for painful intercourse
Which hormone is responsible for the decreased secretion of luteinizing hormone
Inhibin
Which hormone plays the major role in the production of testosterone
Luteinizing hormone
In administering antiestrogen medications to a male patient diagnosed with hormone receptor-positive breast cancer, the nurse correlates the effectiveness of this medication based on which mechanism of action?
Slows growth of cancer cells
The nurse is conducting a health history with a patient diagnosed with erectile dysfunction (ED). Which finding could provide a possible cause for the patient's problem?
Smokes one pack of cigarettes per day
The nurse monitors for which clinical manifestation in the pt diagnosed with uterine cancer?
Vaginal bleeding
The nurse monitors for which clinical manifestations in the patient diagnosed with local (noninvasive) prostate cancer?
Weak urine stream
The nurse correlates secretion of breast milk to which hormone?
Prolactin
Which statement by the patient diagnosed with stage T2 testicular cancer indicates correct understanding of this diagnosis?
―My tumor invades outside the capsule of the testicle.‖
In preparing edu for a pt diagnosed with endometriosis, what info does the nurse include as a first line tx option?
oral contraceptives
In administering an anticholinergic medication to a patient diagnosed with benign prostatic hypertrophy, the nurse correlates the mechanism of action of this medication to which physiological response?
relaxes the smooth muscles of the prostate
A nursing instructor is teaching a group of student nurses about the risk factors related to prostate cancer and includes which statements?
―Approximately 81% of males are diagnosed with localized prostate cancer.‖
Which statement by the patient diagnosed with erectile dysfunction (ED) indicates the need for further teaching regarding management of this disorder?
―Because I take nitroglycerin for angina, I am not a candidate for a vacuum device.‖
Which statement from the patient receiving brachytherapy for the treatment of prostate cancer indicates the need for further teaching?
―Because my wife had her tubes tied, I will not need to wear a condom with sexual intercourse.‖
What question is most important for the nurse to ask a patient who is interested in taking tadalafil (Cialis) for erectile dysfunction?
―Do you use nitroglycerine?‖
Which statement by a male patient scheduled for a radical mastectomy for an aggressive form of breast cancer indicates the need for further teaching?
―I will be able to retain my nipple.‖
Which statement by the patient with a prostate-specific antigen (PSA) of 2.0 ng/dL indicates understanding of the 2017 recommendations regarding prostate cancer screening?
―I will continue to have my PSA checked every year.‖
Which statement by the patient who experienced blunt testicular trauma indicates the need for further teaching?
―I will use a heating pad to decrease the pain.‖
Which statement by the patient being treated with intracavernosal injections for the treatment of erectile dysfunction indicates the need for further teaching?
―It is not unusual for an erection to last more than 3 hours.‖
Which statement by the pt with stage 4 uterine cancer indicates the need for further teaching?
"This will be able to be cured with surgery"
Which hormones control the monthly menstrual cycle? (SATA)
Estrogen FSH LH Progesterone
Which hormone is responsible for ovulation?
luteinizing hormone (LH)
Which pt statement about endometriosis indicates the need for further teaching?
"I should increase my intake of calcium rich food to decrease my pain"
Which statement by the pt with stage 1 breast cancer indicates understanding of this diagnosis?
"There is no lymph node involvement"
The nurse is assessing an adult pts scrotum, what are the normal assessment findings? (SATA)
- Darker skin color than rest of the body - Left testicle slightly lower than right testicle - Tiny skin folds
Which statement by the pt about factors impacting male reproductive function indicates the need for further teaching
"Alcohol consumption decreases estrogen production "
The nurse correlates an increased risk of testicular cancer in the past with which factors in their health history?
Cryptorchidism
which statement by the pt diagnosed with BPH indicates the need for further teaching about this disease process?
"An elevated PSA level indicated that I have prostate cancer"
Which statement by the pt regarding using condoms for birth control indicates the need for additional teaching
"Condoms can be used with oil based lubricants to increase lubrication during sexual intercourse
A young adolescent pt is concerned about experiencing severe cramps with menstruation. How should the nurse respond to this pt?
"Cramps happen when you first start having periods and should become less severe as you get older"
In assessing the pt who is at risk for endometrial cancer, what is the priority question for the nurse to include in the health history?
"Do you experience irregular or heavy periods?"
Which statement by the pt diagnosed wit BPH indicates the need for further teaching about the management of this disorder?
"I know I will get cancer of the prostate because of this"
Which pt statement about vasomotor symptoms of menopause indicates the need for further teaching
"I might experience central weight gain increasing my risk for diabetes"
Which statement by the pt scheduled for a laparoscopy indicates the need for further teaching about this procedure?
"I need to notify the provider if I experience bloating and shoulder pain after the procedure"
which statement by the pt scheduled for a hysteroscopy indicates the need for further teaching about this procedure?
"I will need to be on bedrest for a week after this procedure"
Which statement by the pt about dysmenorrhea indicates the need for further teaching
"I will take acetaminophen to decrease my menstrual cramps"
Which statement by the pt with stage 4 breast cancer indicates the need for further teaching?
"The tumor is large but there is not metastasis"
Which question is most important for the nurse to include in the assessment history for the patient who reports vaginal discharge with itching and mild dysuria for a week
"What is the color of the discharge "
The nurse is caring for a pt w metastatic breast cancer receiving chemotherapy. Even though the prognosis is poor, the pt tells the nurse that the plan is to do everything to survive. What is the best response by the nurse?
"You have a great attitude, and I am here to support you through education"
The nurse reinforces education to a pt who will have a fine-needle aspiration breast biopsy. Which pt statement indicates a need for additional teaching?
"although my mass is palpable, I will still require ultrasoundimaging with the biopsy"
The nurse is preparing a pt for a dilation and curettage (D&C) and includes which information about this procedure?
"this procedure allows assessment of endometrial lining"
Which statement by the pt about proper use of a diaphragm for birth control indicates the need for further teaching? (SATA)
- "this method is close to 99% effective when used properly" - "I will need to keep it in place for 12 hrs after intercourse" - "This method may not be effective when I am prescribed antibiotics"
The nurse is providing education to a pt who is scheduled for a mammogram. Which information does the nurse include in the teaching session? SATA
- "you should avoid using deodorant before testing" - " your healthcare provider will contact you with results"
The nurse monitor for which risk factors in the patient diagnosed with prostate cancer? Select all that apply.
- 70 years of age - Diet high in milk - Diet high in red meat - African American ethnicity
In preparing an educational presentation about risk factors for prostate cancer, the nurse includes which information? Select all that apply.
- Age older than 65 -Diets high in red meat -Family history of prostate cancer
What is the recommendation regarding the age that males need to begin having digital prostate exams?
50
The nurse determines which pt is at greatest risk for the development of cervical cancer?
50 yr old hispanic female
The nurse recognizes which pt as having an increased risk for diagnosis of cervical cancer in the later stages of the disease process?
55 year old African American woman with a pap smear 6 years ago
The nurse determines that which patient is at greatest risk of breast cancer?
60-year-old male with a history of mumps
The nurse determines which pt is at greatest risk of ovarian cancer?
70 yr old pt who took estrogen hormone replacement during menopause
The nurse determines which patient has the highest risk for prostate cancer?
70-year-old African American male with BMI of 30
A disorder of which gland results in decreased secretion of mucous to lubricate the vagina during sexual intercourse
Bartholin gland
A nurse recognizes than an annual pap smear is recommended to screen for which type of cancer?
Cervical
The nurse recognizes that which diagnostic test provides the most specific information regarding cervical dysplasia?
Cervical biopsy
The pt monitors for which clinical manifestation during the bimanual exam of a female pt as a sign of pelvic inflammatory disease
Cervical motion tenderness
The nurse recognizes that secretions from which gland in the male reproductive system is responsible for lubrication during sexual intercourse
Cowpers gland
Which finding in the patient after an orchiectomy for testicular cancer indicates that the surgery may not have removed all the cancer?
Elevated alpha-fetoprotein
The nurse correlates which clinical manifestations to the diagnosis of prostate cancer? Select all that apply.
Fatigue Back pain Hematuria
The nurse conducts a health history for a female pt and discusses pregnancy history. This pt has been pregnant three times, has two living children born at term, and lost one child at 12 weeks gestation to a spontaneous abortion. The GTPAL documented in the pts medical record is
G3 P2012
The nurse provides care to a female pt who has not given birth. Which term does the nurse use to document this information in the medical record?
Nulliparous
The nurse monitors for which clinical manifestations in the pt diagnosed with ovarian cancer?
Pelvic pain
In caring for a pt complaining of pain w menstruation, the nurse correlates this to which info related to the etiology and patho of this condition?
Primary dysmenorrhea begins within the first three or four menstrual periods after menarche and occurs with each ovulatory cycle during the teens and 20s of a womens life
During an assessment, the nurse notes that a pt receiving radiation txs for breast cancer has excoriated skin. What is the priority nursing dx for this pt?
Risk for infection
The nurse correlates that secretions from which gland in the male reproductive system are responsible for production of an alkaline fluid that is part of the ejaculation?
Seminal vesicles
The nurse prepares the pt who presents with galactorrhea for which diagnostic evaluation?
Serum hormone testing
How should the nurse position a pt for palpation of the breast and axillae during the physical assessment
Supine with arm of side being examined under her head
The nurse is caring for a patient with erectile dysfunction (ED). Which medication should the nurse anticipate being prescribed for this patient? Select all that apply.
Tadalafil (Cialis) Sildenafil (Viagra) Vardenafil (Levitra)
the nurse incorporates which info into the teaching plan for the pt recieving GnRH agonists for the tx of endometriosis?
Take a Vit D supplement daily
The nurse monitors for which clinical manifestations in the patient being treated for locally invasive prostate cancer? Select all that apply.
Tenesmus Hematuria Hemospermia
In reviewing the history of a patient diagnosed with erectile dysfunction who is asking about treatment with sildenafil (Viagra), which data need to be discussed with the healthcare provider?The patient takes nitrates.
The patient takes nitrates.
In planning teaching for a patient diagnosed with stage III breast cancer, the nurse includes which information in the teaching plan?
There may be proximal lymph node involvement.
The nurse conducting a genitourinary assessment for an older male pt. which is an expected finding based on the pts age?
atrophy of the penis
The nurse instructing a group of women between ages 40 and 50 about early detection of breast cancer includes which information?
have a yearly mammogram
