Chapter 53: Caring for Clients with Disorders of the Female Reproductive System

A client is being treated for trichomoniasis. The client has received instructions about the prescribed drug therapy. The nurse determines that the client needs additional teaching when she states which of the following?

"My partner will not need any treatment."

Which statement by the nurse demonstrates effective communication techniques when initiating a discussion about sex with a 25-year-old female client?

"What questions do you have related to your sexual health?"

A client has been diagnosed with cancer of the cervix. In what age group would the nurse expect the client to be?

35 to 50 years

Which client has the highest risk of ovarian cancer?

45-year-old woman who has never been pregnant

A client with challenging menopausal symptoms has discussed treatment options with the physician and now has some questions for the nurse. The client asks, "What are the potential risks of hormone replacement therapy?" What is the best answer?

All options are correct.

Over the past 2 months, a client has been receiving treatment for multiple ear infections and tonsillitis. The client reports a curdy white vaginal discharge and burning with urination. What is the most likely cause of these symptoms?

Candida albicans

Which type of yeast infection is manifested by white, cheeselike discharge?

Candidiasis

A client who underwent an anterior colporrhaphy 6 hours ago has not voided. She reports some discomfort in her suprapubic area. Which of the following would the nurse expect to do?

Catheterize the client.

A woman in her late 30s has been having unusually heavy menstrual periods combined with occasional urine and stool leakage over the past few weeks. Upon further enquiry, she reveals that she also has postcoital pain and bleeding. To which diagnosis will the investigation most likely lead?

Cervical cancer

A patient is diagnosed with the most common type of uterine fibroid, an intramural fibroid. The nurse includes which information in teaching the patient about this type of fibroid?

It grows within the wall of the uterine muscle.

Amy Patterson, a 50-year-old teacher, is visiting the OB-GYN practice where you practice nursing due to unbearable symptoms of her current venture into menopause. She has discussed all the options and consequences with the physician and has some questions for you, her nurse, during the client education session. What substance could increase her interest in sexual activity?

Low-dose androgens

Which of the following is a term used to describe excessive menstrual bleeding?

Menorrhagia

Which drug is the most effective treatment for trichomoniasis?

Metronidazole

A 17-year-old high school student has a history of dysmenorrhea. Monthly she has incapacitating cramping and passes large clots. Her primary care physician instructs her and her mother that he will begin her treatment conservatively - what interventions would you expect the physician to recommend?

NSAID use

Which position occurs when the uterus turns posteriorly as a whole unit?

Retroversion

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.

A patient who is diagnosed as having endometriosis asks for an explanation of the disease. What is the nurse's best response?

Tissue similar to the lining of the uterus has implanted in areas outside the uterus.