Module 19 sexuality

The nurse instructs a married couple on the importance of treatment for a chlamydia infection. Which statement or statements indicate that teaching was effective? Select all that apply. A) "He could get an infection in the tube that carries the urine out." B) "She could have severe vaginal itching." C) "It could cause us to develop rashes." D) "She could develop a worse infection of the uterus and tubes." E) "She could become pregnant."

A) "He could get an infection in the tube that carries the urine out." D) "She could develop a worse infection of the uterus and tubes."

A client wants to use the vaginal sponge as a method of contraception. Which statement or statements indicate that the client needs further instruction? Select all that apply. A) "I need to leave it in no longer than 6 hours." B) "I need to use a lubricant prior to insertion." C) "I can insert the sponge no longer than 24 hours prior to having intercourse." D) "I need to add spermicidal cream prior to intercourse." E) "I need to moisten it with water prior to use."

A) "I need to leave it in no longer than 6 hours." B) "I need to use a lubricant prior to insertion." D) "I need to add spermicidal cream prior to intercourse."

A female client tells the nurse that she does not want to have children because there is a history of Down syndrome in the family. What should the nurse respond to this client? A) "That is a common genetic defect caused by an extra chromosome." B) "Babies born with Down syndrome do not live very long." C) "It is probably best to not give birth to a baby with birth defects." D) "Down syndrome only occurs in the babies of women who are over the age of 40."

A) "That is a common genetic defect caused by an extra chromosome."

A client experiencing menopause voices an interest in using alternative and complementary therapies to manage symptoms. What initial response by the nurse is indicated? A) "What types of therapies are of interest to you?" B) "Those seldom work." C) "Have you discussed this with your physician?" D) "Many women report success with these measures."

A) "What types of therapies are of interest to you?"

During a health history, the nurse learns that a female client has been trying to conceive for 2 years and does not understand why she cannot become pregnant. For which causes of infertility should the nurse assess in this client? Select all that apply. A) Amount of alcohol consumed each day B) Dietary eating pattern C) Amount of exercise D) Employment status E) History of sexually transmitted infections

A) Amount of alcohol consumed each day B) Dietary eating pattern C) Amount of exercise E) History of sexually transmitted infections

A client with syphilis is allergic to penicillin. Which medication would the client need to be prescribed to treat the infection? Select all that apply. A) Doxycycline B) Amoxicillin C) Tetracycline D) Gentamicin E) Erythromycin

A) Doxycycline C) Tetracycline

The nurse is evaluating care provided to a client experiencing menopause. Which observation indicates that the client is successfully managing menopausal symptoms? A) Weight loss of 5 pounds in 4 months after starting an exercise program at the local gym B) Client's stated desire to stay at home and limit social activities C) Weight gain of 10 pounds in 3 months D) Client's stated loss of interest in recreational activities

A) Weight loss of 5 pounds in 4 months after starting an exercise program at the local gym

A client with a history of breast cancer who is entering menopause is seeking information about how to manage hot flashes. What information can be provided to the client? A) Soy and black cohosh can be used to manage the hot flashes associated with menopause. B) The client should be advised that she will have to wait until menopause has finished for the hot flashes to cease. C) Estrogen is the only reliable method of treatment for hot flashes. D) Olive oil and black cohosh are effective in the management of hot flashes.

A) Soy and black cohosh can be used to manage the hot flashes associated with menopause.

During a physical assessment, a client tells the nurse that his penis "hurts" when the shaft is touched. What should the nurse suspect is occurring with this client? A) Urethral stricture B) Acute orchitis C) Inflammatory disease D) Acute epididymitis

A) Urethral stricture

A client who is postmenopausal confides in the nurse about pain experienced during intercourse. What should the nurse instruct the client to do? A) Use vaginal lubricants during intercourse. B) Avoid intercourse. C) Tolerate this problem because it is a normal part of aging. D) Decrease the frequency of intercourse to decrease the pain.

A) Use vaginal lubricants during intercourse.

A female client tells the nurse about wanting to wait to start a family even though the spouse has been "hinting" about it for some time. What is the best response by the nurse? A) "Maybe you should babysit a friend's child for a while to see if you really want children." B) "You and your spouse need to discuss the decision to start a family." C) "If you don't want to start a family then you don't have to." D) "What would you do if you became pregnant now?"

B) "You and your spouse need to discuss the decision to start a family."

The nurse is planning care to address pain in the client with genital herpes. Which intervention would be appropriate for this client? A) Increase the intake of cranberry juice. B) Clean lesions 2 or 3 times a day with warm water and soap. C) Dry lesions with a hair dryer turned to the hot setting. D) Wear tight cotton clothing.

B) Clean lesions 2 or 3 times a day with warm water and soap.

During an assessment, the nurse suspects a client is experiencing genital herpes. What did the nurse assess in this client? Select all that apply. A) Low blood pressure B) Headache C) Fever D) Back pain E) Vaginal discharge

B) Headache C) Fever D) Back pain E) Vaginal discharge

A nurse is caring for a client who is perimenopausal who states that she has recently had frequent bacterial vaginal infections. The nurse understands that the reason this has occurred is likely due to which of the following? A) Decreased vaginal pH B) Increased vaginal pH C) Increased estrogen level D) Decreased vasomotor stability

B) Increased vaginal pH

A client diagnosed with a sexually transmitted infection reports having "no idea" how the illness was contracted. Which nursing diagnosis would be appropriate for the client at this time? A) Anxiety B) Knowledge Deficit C) Ineffective Coping D) Sexual Dysfunction

B) Knowledge Deficit

A college student is being treated for Chlamydia. What should the nurse teach this student to decrease the risk of transmitting another sexually transmitted infection? A) Unprotected sex is acceptable if you know the partner well. B) Latex condoms should be used for all sexual activity. C) Birth control pills will help to decrease the risk of pregnancy and STDs. D) Condoms should be used with petroleum jelly.

B) Latex condoms should be used for all sexual activity.

The nurse is planning care for a client with a history of sexually transmitted infections. What should be included in this plan of care? A) Instruction to limit sexual contact until recovered from illness B) Plan for the client to contact sexual partners regarding the diagnosis C) Need to increase fluids and rest D) Importance of adequate nutrition

B) Plan for the client to contact sexual partners regarding the diagnosis

A female client is prescribed an androgen medication to treat an estrogen-sensitive type of breast cancer. What should the nurse instruct this client about the medication? Select all that apply. A) There is an increased risk of multiple births. B) Secondary male sex characteristics may develop. C) Monitor weight weekly. D) Report calf pain or dyspnea. E) It must be taken with food.

B) Secondary male sex characteristics may develop. C) Monitor weight weekly.

During an evaluation for infertility, a male client is asked to provide a sperm sample. What information from the client's health history could impact the client's sperm? Select all that apply. A) Activity level B) Smoking C) Use of over-the-counter analgesics D) Mumps after adolescence E) Number of siblings

B) Smoking C) Use of over-the-counter analgesics D) Mumps after adolescence

A female client complains of having a "strange discharge" from the vagina and "stinging" when voiding urine. Which diagnostic test(s) would be useful to aid in the diagnosis of this client's disorder? Select all that apply. A) Biopsy B) Urinalysis C) Complete blood count D) Serum hormone levels E) Papanicolaou smear

B) Urinalysis E) Papanicolaou smear

A nursing working in an outpatient women's health clinic is caring for a client in menopause. When discussing hormone replacement therapy (HRT) with the client, the nurse should include which statement? A) "Most healthy, recently menopausal women should not use HRT for relief of hot flashes and vaginal dryness." B) "HRT is the least effective treatment of menopausal hot flashes and vaginal dryness." C) "If vaginal dryness and painful intercourse are the only symptoms, then low-dose vaginal estrogen is preferred." D) "The risk of blood clots in the legs or lungs is further increased by using transdermal patches, gels, or sprays."

C) "If vaginal dryness and painful intercourse are the only symptoms, then low-dose vaginal estrogen is preferred."

A nurse instructor is teaching a group of student nurses regarding problems of infertility and genetic inheritance of disease. Which statement made by the nurse indicates that teaching has been effective? A) "A person's genotype is the observable expression of the traits." B) "The total genetic makeup of an individual is referred to as the phenotype." C) "In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected." D) "An individual is said to have an autosomal dominant inherited disorder if the disease trait is homozygous."

C) "In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected."

The nurse is teaching a client with infertility about the medication clomiphene (Clomid). Which client statement indicates that teaching has been effective? A) "This medication stimulates gonadotropin-releasing hormone." B) "This medication stimulates follicle-stimulating hormone (FSH)." C) "This medication stimulates luteinizing hormone (LH)." D) "This medication increases my estrogen levels so I can ovulate."

C) "This medication stimulates luteinizing hormone (LH)."

A nurse who is working at an obstetrics clinic is caring for a client who desires more information regarding fertility awareness-based contraceptive methods. Which statement made by the nurse provides the client with correct information? A) "Maximum fertility for the woman occurs approximately 2 days before ovulation and decreases rapidly the day after." B) "The calendar rhythm method is based on the assumption that ovulation tends to occur about 7 days before the start of the next menstrual period." C) "To use the calendar rhythm method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles." D) "The calendar method is the most reliable of the fertility awareness methods."

C) "To use the calendar rhythm method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles."

A public health nurse is educating a group of adults regarding sexually transmitted infections. Which is an appropriate statement by the nurse? A) "Males have higher rates of gonorrhea and Chlamydia, whereas women have higher rates of syphilis." B) "Men are disproportionately affected by STIs compared to women and infants." C) "Women often experience few early manifestations of the infection, delaying diagnosis and treatment." D) "The incidence of STIs is highest among young Caucasian females."

C) "Women often experience few early manifestations of the infection, delaying diagnosis and treatment."

A female client tells the nurse about having difficulty with sexual relations because of a recent weight gain. Which interventions should the nurse include when planning this client's care? A) Sexual self-concept B) Gender identity C) Body image D) Gender-role behavior

C) Body image

A client is prescribed an oral contraceptive with estrogen and progesterone. What should the nurse instruct the client about this contraceptive? Select all that apply. A) An increase in appetite and weight gain is caused by the estrogen. B) Headaches and nausea are caused by the progesterone. C) Breast tenderness occurs because of the estrogen. D) An increase in blood pressure is caused by the progesterone. E) Acne and oily skin can occur because of the progesterone.

C) Breast tenderness occurs because of the estrogen. E) Acne and oily skin can occur because of the progesterone.

A client is experiencing dysuria, urinary frequency, and vaginal discharge. For which sexually transmitted infection(s) should the nurse prepare the client for testing? Select all that apply. A) Syphilis B) Vaginitis C) Chlamydia D) Trichomoniasis E) Gonorrhea

C) Chlamydia E) Gonorrhea

A female client asks what causes the symptoms of menopause. On which hormonal function should the nurse focus when responding to this client's question? A) Increased estrogen levels B) Increased progesterone levels C) Estrone as the major hormone D) Increased luteinizing hormone levels

C) Estrone as the major hormone

A client approaching menopause is interested in oral hormone replacement therapy to manage the symptoms. Which should the nurse include in this client's teaching plans? A) Hormone replacement therapy is linked to higher rates of deep vein thrombosis and colorectal cancer. B) Estrogen is cardio-protective for women. C) Hormone replacement therapy is useful for women who are at an increased risk for the development of osteoporosis. D) Hormone replacement therapy is associated with a reduced incidence of breast cancer and pulmonary embolism.

C) Hormone replacement therapy is useful for women who are at an increased risk for the development of osteoporosis.

A female client tells the nurse about having no interest in sex since it has become painful. Which intervention(s) would be appropriate to help the client with this problem? Select all that apply. A) Ask when the last Pap smear was performed. B) Discuss the need to be screened for sexually transmitted infections. C) Instruct on the use of artificial lubrication. D) Encourage the client to discuss with the healthcare provider because there are medications to help with this problem. E) Suggest antibiotics to treat the pain.

C) Instruct on the use of artificial lubrication. D) Encourage the client to discuss with the healthcare provider because there are medications to help with this problem.

A premenopausal client tells the nurse that she is not looking forward to menopause because it means her life is over. Which nursing diagnosis would be appropriate for the client at this time? A) Ineffective Sexuality Pattern B) Deficient Knowledge C) Situational Low Self-Esteem D) Disturbed Body Image

C) Situational Low Self-Esteem

A client plans to use oral contraceptives for birth control. Which client behavior would cause the nurse the most concern? A) The client has several sexual partners. B) The client is being treated for bipolar disorder. C) The client smokes one-half pack of cigarettes a day. D) The client drinks two glasses of wine a day.

C) The client smokes one-half pack of cigarettes a day.

During a sexual history, a female client tells the nurse that because she is in a committed relationship, sexual relations are more satisfying and frequent. What should the nurse realize the client is describing? A) Emptiness B) A lack of intimacy C) The feeling of connectedness D) Disconnection

C) The feeling of connectedness

The nurse is assessing a postmenopausal client. Which client statement should indicate further assessment by the nurse? A) "I use water-soluble lubricant to treat my vaginal dryness." B) "For some reason, I have more sexual desire than ever." C) "Sex certainly takes longer than it used to, but I'm getting used to that." D) "I am so glad that I don't need to worry about sex anymore."

D) "I am so glad that I don't need to worry about sex anymore."

A client reports an open area on the penis. Which question will help the nurse with data collection? A) "Do you think you have a disease?" B) "Have you had sexual intercourse recently?" C) "Are you promiscuous?" D) "When did you initially notice this open area?"

D) "When did you initially notice this open area?"

An older client tells the nurse that he still has erections and wants to have sex with his wife, but she does not have the same interest as he does. What should the nurse do to assist this client? A) Explain that women lose interest in sex as part of the aging process. B) Suggest that he wait awhile and the urge to have sex will pass. C) Ask what he has been doing to fulfill himself sexually. D) Encourage the client to ask his wife to discuss the lack of interest with her physician.

D) Encourage the client to ask his wife to discuss the lack of interest with her physician.

A 58-year-old female client is concerned that intercourse with her spouse has become increasingly painful. What should the nurse explain about the changes in this client's body? A) Cervical mucus is thicker after menopause. B) Estrogen levels increase after menopause. C) Sexual desire diminishes after menopause. D) Vaginal lubrication decreases after menopause.

D) Vaginal lubrication decreases after menopause.