Female & Male Reproductive problems DYNAMIC ATI

A nurse is providing discharge teaching to the guardian of an infant following a hypospadias repair. Which of the following instructions should the nurse include? A. Clamp the infant's catheter for 30 minutes each day B. Give the infant a tub bath once per day C. Apply antibacterial ointment to the infant's penis once per day D. Decrease the infant's fluid intake for 3 days

C. Apply antibacterial ointment to the infant's penis once per day

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy? a. Anemia b.Frequent urinary tract infections C. Previous cesarean birth D. Pelvic inflammatory disease (PID)

D. Pelvic inflammatory disease (PID)

A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons? A. Long-term use to reduce the risk of breast cancer B. Short-term use to stimulate the endometrium C. Long-term use to prevent osteoporosis D. Short-term use to control urogenital atrophy

D. Short-term use to control urogenital atrophy

A nurse is caring for a postmenopausal client who is concerned that she might have an elevated risk of breast cancer. After conducting a risk assessment, the nurse should identify which of the following factors as increasing the client's breast cancer risk? (Select all that apply.) a. Increased breast density b. BMI of 32 c. Having given birth to 5 children D. Undergoing hormonal replacement therapy for 10 years e. having 1-2 alcoholic drinks per week

a. Increased breast density b. BMI of 32 D. Undergoing hormonal replacement therapy for 10 years

A nurse is performing a breast examination for a female client. Which of the following techniques should the nurse use first? a. Inspect both breasts simultaneously b. Squeeze the nipples c. Palpate the breast and tail of Spence d. Palpate the axillary lymph nodes

a. Inspect both breasts simultaneously

A nurse is obtaining a client's health history who has cancer of the cervix. Which of the following manifestations should the nurse expect? A. Weight gain B. Oliguria c. Vaginal bleeding D. Back pain

c. Vaginal bleeding

A client who has stage Il breast cancer asks the nurse about sites of metastasis for this cancer. Which of the following responses should the nurse provide? a. "It's too soon to worry about something that might not happen." b. "Breast cancer tends to metastasize to the stomach." c. "Metastasis is unlikely since we detected your cancer early." d. "Breast cancer tends to metastasize to the bones."

d. "Breast cancer tends to metastasize to the bones."

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. Anti-estrogenic В. Antimicrobial C. Androgenic D. Anti-inflammatory

A. Anti-estrogenic

A nurse is planning an educational program for a group of young adults about reducing the risk of cervical cancer. Which of the following interventions should the nurse include? A. Get the human papillomavirus (HPV) immunization B. Avoid the use of tampons on a routine basis C. Avoid drinking alcohol D. Get a Papanicolaou test every year starting at age 30

A. Get the human papillomavirus (HPV) immunization

A nurse is providing postoperative discharge teaching to a client following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse include in the teaching? A. "You will need to continue to use some form of birth control for 6 months! B. "You might experience manifestations of menopause." C. "Do not lift anything heavier than 15 lb." D. "Pain or burning with urination is an expected outcome of this surgery."

B. "You might experience manifestations of menopause."

A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching? A."I need to lie still in bed during my brachytherapy treatment." B. "I will have an implant placed once a month during my brachytherapy treatment." C. "I must stay at least 3 feet away from others between brachytherapy treatments." D. "I should expect some blood in my urine after each brachytherapy treatment."

A."I need to lie still in bed during my brachytherapy treatment."

A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription states "clear liquids; advance diet as tolerated." Which of the following responses should the nurse make? A. "Lunch trays should be here within the hour." B. "I am going to listen to your abdomen." C."I'll get you some water to drink." D. "Let's wait a bit so you don't feel sick."

B. "I am going to listen to your abdomen."

A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client asks. "Do vou think the doctor will find cancer?" Which of the following responses should the nurse make? A. "Most tumors in the testicles are benign." B. "It must be difficult for you not to know what the doctor will find." C. "I think that you should discuss this with your doctor." D. "Why are you worried about cancer?"

B. "It must be difficult for you not to know what the doctor will find."

A nurse is teaching a client who had a vaginal hysterectomy with a bilateral oophorectomy. Which of the following pieces of information should the nurse include in the teaching? A. "Plan to use some type of birth control for up to 6 weeks after surgery." B. "Use a water-based lubricant when having sexual intercourse." C. "Expect to have an increase in bloody vaginal drainage during the first 10 days after surgery." D. "Plan to start some type of aerobic exercise such as swimming within a week after surgery."

B. "Use a water-based lubricant when having sexual intercourse."

A nurse is planning a presentation at a community center about risk factors for cancer. Which of the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer? A. Skin B. Prostate C. Bone D. Bladder

B. Prostate

A nurse is caring for a client who has testicular cancer and is experiencing peripheral neuropathy as an adverse effect of chemotherapy. Which of the following client manifestations is an expected finding of peripheral neuropathy? A. Thinning of the scalp hair B. Tingling of the hands and feet C. Reduced ability to concentrate D. Sores in mucous membranes

B. Tingling of the hands and feet

A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress? A. "My parents are retired, and they have come to help with our children." B. "lam going to ask my husband to go to counseling with me." C. "I keep having nightmares about my upcoming surgery." D. "My girlfriends bought me a nice wig."

C. "I keep having nightmares about my upcoming surgery."

A nurse is caring for an adolescent client who was recently diagnosed with testicular cancer. When the nurse asks the client a question, he angrily spits in the nurse's face. Which of the following responses should the nurse provide? A."I will come back to change your linens when you are feeling better." B. "Who do you think you are to treat me like that?" C. "Why did you spit in my face?" D. "You seem to be very upset."

D. "You seem to be very upset."

A nurse is teaching a client about the prostate-specific antigen (PSA) test. Which of the following directions should the nurse provide? A. "You should fast for & hours after the PSA test." B. "Annual PSA screening should begin at age 40." C. "Expected PSA values will decrease as you get older." D. "You should not ejaculate for 24 hours prior to the PSA test."

D. "You should not ejaculate for 24 hours prior to the PSA test."

A nurse is collecting a health history from a female client who is undergoing screening for breast cancer. Which of the following factors increases the client's risk of developing breast cancer? A. Obesity в. Oral contraceptive use C. Alcohol use D. Age over 50 years

D. Age over 50 years

A nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin? A. seizures B. Tachycardia C. Bronchodilation D. Hypotension

D. Hypotension

A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. The client states she no longer wants to have the surgery. Which of the following actions should the nurse take? A. Tell the client it is too late for her to change her mind because the surgery is already scheduled. B. Telephone the operating room and cancel the surgery. c. Inform the client's family about the situation. D. Notify the provider of the client's decision.

D. Notify the provider of the client's decision.

The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include a. flushing. b. dizziness. c. infection. d. incontinence.

a. flushing.

A 28-year-old patient with endometriosis asks why she is being treated with medroxyprogesterone (Depo-Provera), a medication that she thought was an oral contraceptive. The nurse explains that this therapy a. suppresses the menstrual cycle by mimicking pregnancy. b. will relieve symptoms such as vaginal atrophy and hot flashes. c. prevents a pregnancy that could worsen the menstrual bleeding. d. will lead to permanent suppression of abnormal endometrial tissues

a. suppresses the menstrual cycle by mimicking pregnancy.

The nurse will plan to provide teaching for a 67-year-old patient who has been diagnosed with orchitis about a. pain management. b. emergency surgical repair. с. application of heat to the scrotum d. aspiration of fluid from the scrotal sac.

a.pain management.

A nurse is caring for a client who has breast cancer and is receiving a combination of chemotherapy medications. The client expresses confusion about the therapy. Which of the following explanations should the nurse provide? a. "The risk of renal toxicity is lessened when a combination of chemotherapy medications is used." b. "The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed." c. "The use of more chemotherapy medications will shorten the time you have to be in treatment." D. "The combination of chemotherapy medications will eliminate the potential for bone marrow suppression

b. "The chemotherapy medications act at different stages of cell division so more tumor cells are destroyed."

A 24-year-old patient with pelvic inflammatory disease PID) is being treated with oral antibiotics as an outpatient. Which instruction will be included in patient teaching? a. Abdominal pain may persist for several weeks. b. Return for a follow-up appointment in 2 to 3 days. c. Instruct a male partner to use a condom during sexual intercourse for the next week. d. Nonsteroidal antinflammatory drug (NSAID) use may prevent pelvic organ scarring

b. Return for a follow-up appointment in 2 to 3 days.

A 32-year-old patient has oral contraceptives prescribed for endometriosis. The nurse will teach the patient a. expect to experience side effects such as facial hair. b. take the medication every day for the next 9 months. c .take calcium supplements to prevent developing osteoporosis during therapy d. use a second method of contraception to ensure that she will not become pregnant.

b. take the medication every day for the next 9 months.

The nurse performing a focused examination to determine possible causes of infertility will assess for a. hydrocele. b. varicocele. c. epididymitis. d. paraphimosis.

b. varicocele.

A nurse is providing teaching to a client who is scheduled to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching? a. "I will see improvement in my symptoms within a week." b. "I can expect increased libido with this medication." c. "I should see a decrease in my PSA levels." D. " must take this medication within 60 min of sexual activity."

c. "I should see a decrease in my PSA levels."

A nurse is providing discharge teaching to a client who is post-operative following a right mastectomy for breast cancer. The client will be discharged with 2 Jackson-Pratt drains. Which of the following pieces of information should the nurse include in the teaching? A. "Empty the drainage tubes once per day." B. "Showering is permitted before the drainage tubes are removed." c. "The drainage tubes often are removed at the same time as the stitches." d. "Do not begin exercising your arm until the provider removes the drainage tubes."

c. "The drainage tubes often are removed at the same time as the stitches."

A nurse is caring for a client who has breast cancer and is scheduled for a mastectomy. The client tells the nurse she is concerned about how her partner will react to the procedure. Which of the following responses should the nurse make? a. "I will inform your surgeon that you are having second thoughts." b. "I think you should postpone the surgery until you are certain you want to have it done." c. "Would you like me to have a member of a breast cancer support group visit you?" d. "This is a common concern of women who will be undergoing a mastectomy."

c. "Would you like me to have a member of a breast cancer support group visit you?"

A nurse is caring for a client with stage 4 ovarian cancer who has decided to stop treatment and enter hospice care. Which of the following ethical principles is the nurse displaying by supporting the client in her decision? A. Responsibility B. Accountability c. Advocacy D. Confidentiality

c. Advocacy

A nurse is talking with a group of women at a community center about the current recommendations for early detection of breast cancer. The nurse should explain which of the following options? a. Begin monthly breast self-examinations at age 40 b. Have a clinical breast examination each year after age 30 c. Begin annual mammograms at age 40 d. Have breast magnetic resonance imaging every 5 years after age 50

c. Begin annual mammograms at age 40

A charge nurse is observing a newly licensed nurse provide care for a client who is receiving internal radiation therapy for the treatment of cervical cancer. For which of the following actions by the newly licensed nurse should the charge nurse intervene? A. Leaving soiled linens in a container in the client's room B. Instructing visitors to remain 2 m (6 feet) away from the client c. Borrowing a dosimeter film badge from another nurse before entering the client's room D. Removing an extra IV pole from the client's room to be used for another client

c. Borrowing a dosimeter film badge from another nurse before entering the client's room

The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question? a. Instruct patient to avoid sexual intercourse until treatment is complete. b. Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain. c. Catheterize the patient as needed if symptoms of urinary retention develop. d. Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.

c. Catheterize the patient as needed if symptoms of urinary retention develop.

The nurse is caring for a 20-year-old patient with pelvic inflammatory disease (PID) requiring hospitalization. Which nursing intervention will be included in the plan of care? a. Monitor liver function tests. b. Use cold packs PRN for pelvic pain. c. Elevate the head of the bed to at least 30 degrees. d. Teach the patient how to perform Kegel exercises

c. Elevate the head of the bed to at least 30 degrees.

A nurse is teaching a client how to perform a breast self-examination (BSE). The nurse should identify which of the following findings as an indication of breast cancer? a. Lumps that are mobile and tender on palpation prior to a menstrual period b. Multiple round masses that are tender and found in both breasts c. Bilaterally darkened areolas d. A nontender, hard lump that is palpated in a breast

d. A nontender, hard lump that is palpated in a breast

A nurse is caring for a client who is receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. Which of the following dietary recommendations should the nurse share with the client? A. Eat with metal utensils b. Limit coffee c. Avoid citrus foods d. Offer mints

d. Offer mints

Which information will the nurse teach a patient who has chronic prostatitis? a. Ibuprofen (Motrin) should provide good pain control. b. Prescribed antibiotics should be taken for 7 to 10 days. с. Intercourse or masturbation will help relieve symptoms. d. Cold packs used every 4 hours will decrease inflammation.

с. Intercourse or masturbation will help relieve symptoms.