Chapter 42

Promptly report the situation to the RN or physician and document the patient's chart

A 38-year-old patient had a reduction mammaplasty four days ago. When changing her dressing the home care nurse notes redness swelling and some thick yellow drainage escaping from areas of the incision line around her nipple. Which of the following nursing inventions is appropriate

I am glad that barrier methods are hundred percent effective

A nurse is teaching to patient about use of a condom with spermicide for contraception. Which statement by the patient indicates the need for further teaching?

Amenorrhea

Absence of menstrual periods for six months or three previous cycle lengths once cycles have been established

Cystocele

Bladder sags into vaginal space

Anteversion

Forward turning

Cryotherapy

Freezing of tissue

Douching can wash away evidence of the pathogen, making diagnosis difficult

How will a douche effective vaginal examination to determine the type of pathogen present?

Hormonal therapy

If patient with breast cancer is being tamoxifen citrate,which deprives cancer cells of the estrogen that makes them grow. This is an example of which motive therapy?

Hypomenorrhea

Less than expected amount of menstrual bleeding

Polymenorrhea

Menses more often than every 21 days

Imperforate

Not having expected opening

Dyspareunia

Painful intercourse

Dysmenorrhea

Painful menstruation

Menorrhagia

Passing more than 80ml of blood per menses

Rectocele

Rectum sags into the vagina

Oophorectomy

Removal of the ovaries

Mastopexy

Surgery to change the position of the breast

Reduction mammoplasty

Surgery to decrease the size of the breast

Augumentation mammoplasty

Surgery to increase the size of the breast

Reconstructive mammoplasty

Surgery to rebuild a breast after mastectomy

Mastectomy

Surgery to remove a breast

Colporrhaphy

Surgical repair of a part of the vagina

Agenesis

Undeveloped

Multiple sexual partners

Which of the following is a known risk factor for cervical cancer?

High-fat diet

Which of the following is a risk factor for development of breast cancer?

Smoking, drinking coffee, avoiding exercise before menses

Which of the following lifestyle habits are most likely to increase premenstrual syndrome symptoms?

Raising the affected arm above the heart on pillows

Which of the following nursing interventions will help prevent swelling after a radical mastectomy with lymph node removal?