sexuality
which client statement supports the nurse's conclusion that teaching about osteoporosis was effective? 1. "I know that certain illnesses can affect my body's calcium level" 2. "I think I can eat all the calcium I need rather than taking medication" 3. "I will begin to actively monitor my risk for this disease after menopause" 4. "I'm glad that drinking a little wine every day is advised to maintain calcium levels"
1
which response would the nurse provide during a routine yearly physical to an older adult who states, "I haven't had sex lately because I cannot get an erection anymore"? 1. "let's discuss this concern a little more" 2. "be sure to tell your healthcare provider about this problem" 3. "there is medication available for erectile dysfunction" 4. "this is an expected physiological response to getting older"
1
which criteria indicates that a client on a cardiac monitor is in sinus rhythm? select all that apply 1. the RR intervals are relatively consistent 2. one P wave precedes each QRS complex 3. the ST segment is higher than the PR interval 4. four to eight complexes occur in a 6 second strip 5. the QRS duration ranges from 0.12 to 0.2
1, 2
sildenafil is prescribed for a man with erectile dysfunction. which side effects of this medication would the nurse mention in teaching? select all that apply 1. flushing 2. headache 3. dyspepsia 4. constipation 5. hypertension
1, 2, 3
which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? select all that apply 1. report worsening symptom 2. refrain from sexual relations 3. use barrier protection devices 4. contact partners to be tested 5. take the entire course of antibiotics
1, 2, 3, 4, 5
which recommendation would the nurse suggest to a menopausal client experiencing insomnia? select all that apply 1. drink chamomile tea 2. avoid caffeine after dinner 3. restrict liquids in the evening 4. sprinkle lavender oil on a pillow 5. use the bed for sleeping and sex only
1, 2, 3, 4, 5
the nurse is teaching a client who has decreased production of estrogen because of menopause about self-management and prevention of complications. which actions performed by the client would help reduce the complications? select all that apply 1. walking or 30 minutes per day 2. performing weight-bearing activities 3. dressing warmly in cool or cold weather 4. urinating immediately after sexual intercourse 5. keeping within 10 pounds of ideal body weight
1, 2, 4
which statements would the nurse include when teaching a client who is considering medroxyprogesterone injections as a form of hormonal birth control? select all that apply 1. it lasts for 3 months 2. it can cause nausea and vomiting 3. it contains both progestin and estrogen 4. it decreases the risk of age-related loss of bone density 5. side effects include drowsiness or insomnia and depression 6. the most severe undesirable effects are liver dysfunction and thromboembolic disorders
1, 2, 5, 6
which sexually transmitted infection is caused by bacteria? select all that apply 1. syphilis 2. hepatitis 3. gonorrhea 4. herpes simplex 5. trichomoniasis
1, 3
which instructions would the nurse give to an adolescent to prevent sexually transmitted infections? select all that apply 1. "use condoms or barrier methods every time" 2. "abstain from any kind of sexual activity" 3. "be sure to stay up-to-date with your vaccinations" 4. "it is safest if you and your partner are monogamous" 5. "remember to have regular screenings for sexually transmitted infections"
1, 3, 4
which suggestion would the nurse share to help relive the discomfort when an adolescent female presents with menstrual cramps? select all that apply 1. gentle exercise 2. use of an ice pack 3. lower back massage 4. progressive relaxation 5. increasing dietary intake of salt
1, 3, 4
which action would the nurse implement when assessing a client with a new diagnosis of syphilis? select all that apply 1. ask the client about medication allergies 2. use the fingers of one hand to palpate lesions 3. examine the client's lymph nodes for enlargement 4. gather information about any ulcers or rashes 5. perform a papanicolaou (pap) test (smear) of the cervix 6. ask about the clients sexual activity and protection methods
1, 3, 4, 6
which factors contribute to development of osteoporosis in female clients? select all that apply 1. cigarette smoking 2. moderate exercise 3. use of street drugs 4. familial predisposition 5. inadequate intake of dietary calcium
1, 4, 5
a client asks the nurse about the most common side effects associated with the use of a copper intrauterine device (IUD). which answer would the nurse provide? 1. irregular or absent menstrual periods 2. heavier menstrual periods 3. discomfort associated with coitus 4. development of vaginal infections
2
a client presents with a sore throat and a generalized rash. the client reports that a chancre that had been present healed approximately 3 months ago. serological test findings indicate a diagnosis of syphilis. which stage of syphilis is the client in at this time? 1. primary 2. secondary 3. latent 4. tertiary
2
a client's trponema-specific test indicates a positive antibody for syphilis; however, the client does not exhibit any clinical manifestations of the infection. which conclusion would the nurse infer from this finding? 1. the client is in the late stage of syphilis 2. the client is in the latent stage of syphilis 3. the client is in the primary stage of syphilis 4. the alien tis in the secondary stage of syphilis
2
which birth control agent requires administration once every 3 months? 1. progestin-only pills 2. intramuscular progestin 3. combination biphasic forms 4. combination monophonic forms
2
which client would a nurse expect to be diagnosed with primary amenorrhea? 1. a 17 yo who is in her first trimester of pregnancy 2. an 18 yo with normally developed secondary sexual characteristics who has not yet reached menarche 3. a 13 yo with underdeveloped secondary sexual characteristics who has not yet reached menarche 4. a 20 yo triathlete whose menstruation ceased 3 months ago
2
which condition would the nurse conclude that the client is experiencing when the monitor shows a PQRST wave for each beat, indicates a rate of 120 beats per minute, and the rhythm is regular? 1. atrial fibrillation 2. sinus tachycardia 3. ventricular fibrillation 4. first-degree atrioventricular block
2
which response would the nurse provide to a perimenopausal woman who asks about complementary treatment options for hot flashes? 1. "complementary therapies are not usually useful for hormonal changes" 2. "try eating more soy-rich foods such as yams. cherries, alfalfa sprouts, black beans, and soybeans" 3. "you should be evaluated by the healthcare provider first, because hot flashes are uncommon during perimenopause" 4. "research has shown that ginseng is effective for treating hot flashes, but it can raise your blood pressure if you use it for a long time"
2
which test is used to diagnose trichomoniasis? 1. whiff test 2. saline wet smear test 3. normal saline smear test 4. potassium hydroxide test
2
which vaginal infection would a nurse suspect in a client who is prescribed clotrimazole? 1. chlamydia 2. candidiasis 3. trichomoniasis 4. bacterial vaginosis
2
the nurse is obtaining a health history from a client with endometriosis. which consequence can occur as a result of this disorder? select all that apply 1. menopause 2. metrorrhagia 3. impaired fertility 4. bowel strictures 5. voiding difficulties
2, 3, 4, 5
a client is scheduled for a laparoscopic bilateral tubal ligation. which information would the nurse include in preoperative teaching? 1. "menstruation will stop after the surgery" 2. "you'll need to use birth control until your follow-up visit" 3. "you will be admitted as an outpatient for same-day surgery" 4. "you can have the operation reversed if you decide to have more children"
3
which assessment after administration of diltiazem to a client with supra ventricular tachycardia (SVT) and a heart rate pf 170 bpm indicates that the medication was effective? 1. increased urine output 2. blood pressure of 90/60 mm Hg 3. heart rate of 98 bpm 4. no longer complaining of heart palpitations
3
which content would the nurse emphasize in a prepared childbirth class? 1. birth as a family experience 2. labor without the use of analgesics 3. the course of labor and coping techniques 4. hydration, relaxation, and pain control during labor
3
which practical response would the nurse provide a sexually active female client who is upset with her diagnosis of gonorrhea and asks the nurse, "what can I do to prevent getting another infection like this?" 1. douche after every sexual intercourse" 2. "avoid engaging in sexual behaviors" 3. "insist that your partner uses a condom" 4. "use a spermicidal cream with sexual intercourse"
3
which response would the nurse provide to the client who asks if contraception is needed while she is breast-feeding? 1. "as long a you aren't having periods, you won't need a contraceptive" 2. "it would be best to delay sexual relations until you have your first period" 3. "you should use contraceptives because ovulation may occur at any time without a period" 4. "Brest-feeding suppresses ovulation, so you don't need to worry about pregnancy"
3
which response would the nurse provide to the client who is asking for guidance about sexual activity in pregnancy? 1. "you should discontinue intercourse after the second trimester" 2. "this information can be given only by your obstetrician or nurse-midwife" 3. "with an uncomplicated pregnancy, there are not limitations on sexual activity" 4. "sexual activity should be avoided during the first and last 6 weeks of pregnancy"
3
which term would the nurse use in a report to describe the absence of menstrual periods in a 35 yo nonpregnant client? 1. rhinorrhea 2. menopause 3. amenorrhea 4. dyspareunia
3
which responses would the nurse offer a client who asks whether she should take soy supplements to decrease menopausal symptoms and improve bone density? select all that apply 1. these supplements can cause high cholesterol 2. estrasorb is applied like a lotion but can't transfer to men 3. soy supplements might interfere with thyroid hormone absorption 4. these products have fewer contraindications than other estrogen products 5. some women have reported nausea, bloating, diarrhea, and abdominal pain
3, 5
which orders would the nurse expect to receive from the primary health care provider for the client at 10 weeks' gestation who has just been diagnosed with syphilis? select all that apply 1. a wait-and-see approach 2. recommendation for elective abortion 3. screening and testing of sexual partners 4. none, because the syphilis will most likely not affect the fetus in utero 5. intramuscular benzathine penicillin G, 2.4 million units, 1 dose
3,5
a 45 yo client is scheduled to undergo a hysterectomy and expresses concern because she has heard from friends that she will experience severe symptoms of menopause after surgery, which response would the nurse give? 1. "you're right, but there are medicines you can take that will ease the symptoms" 2. "sometimes that happens in women of your age, but you don't need to worry about it right now" 3. "you should probably talk to your surgeon, because I am not allowed to discuss this with you" 4. "women may experience symptoms of menopause if their ovaries are removed with their uterus"
4
a 47 yo client comes to the clinic for a Papanicolaou (pap) smear. she tells the nurse that she has been experiencing hot flashes and that her periods have been occurring at longer, less-regular intervals, with a scanty flow. which condition would the nurse suspect to be the likely cause of thees changes? 1. uterine cancer 2. lack of estrogen 3. early cervical carcinoma 4. perimenopause
4
a client tells the nurse she has been taking oral contraceptives for years to delay having children until she and her husband are financially stable. which finding during assessment indicates a potential risk in regard to continued use of birth control pills? 1. dysmenorrhea 2. an ovulation 3. mid cycle bleeding 4. hypertension
4
an adolescent woman who has become sexually active asks the nurse, "what's the most effective way to prevent a pregnancy?" which method of preventing pregnancy should the nurse tell her is most effective? 1. birth control pills 2. spermicidal foam 3. condoms 4. an intrauterine device
4
the nurse at the fertility clinic is counseling a couple about the tests that will be necessary to determine the cause of their infertility. which test will most likely be used in the initial evaluation of the women's organs of reproduction? 1. biopsy 2. cystogram 3. laparoscopy 4. hyertosalpingogram
4
the nurse suspects risk of dysfunctional uterine bleeding in an adolescent. which statement made by the adolescent would support the nurse's suspicion? 1. "I am losing weight unintentionally" 2. "I take herbal medicine for menstrual pain" 3. "I am excited to get pregnant and can't wait" 4. "I have severe pain during my menstrual periods"
4
which body system would the nurse monitor most closely when caring for a client with tertiary syphilis? 1. respiratory 2. reproductive 3. integumentary 4. cardiovascular
4
which client statement leads the nurse to conclude that the client has been experiencing menorrhagia? 1. "it hurts when I have intercourse" 2. "I have a foul-smelling vaginal discharge" 3. "I have bleeding between my menstrual periods" 4. "I have severe bleeding during my menstrual periods"
4
which complication will occur a the result of adminierticng sildenafil to a client who takes isosorbide dinitrate? 1. constipation 2. protracted vomiting 3. respiratory distress 4. severe hypotension
4
which intervention would the nurse recommend when a client reports moodiness and anxiety a few days before her period? 1. begin ginseng supplementation 2. increase foods that are rich in soy 3. consult a mental health therapist 4. exercise three to four times a week in the luteal phase
4
which sexually transmitted infection is associated with developing gammas? 1. chlamydia trachomatis infection 2. trichomoniasis 3. gonorrhea 4. syphilis
4
which sexually transmitted infection is caused by protozoa? 1. scabies 2. chancroid 3. pediculosis 4. trichomoniasis
4
which statement made by a client supports the previous diagnosis of late-stage (tertiary) syphilis? 1. "I noticed a wart on my penis" 2. "I have sores all over my mouth" 3. "I've been having a sore throat lately" 4. "I'm having trouble with my balance"
4