Reproductive Group Questions

The nurse is caring for a group of clients. Which clients are at the highest risk to develop breast cancer? Select all that apply.

*A client who had their first menses at age 12. *A client who had ovarian cancer 10 years ago. *A client who had their first pregnancy after age 30.

SATA: Risk factors for HIV/AIDS?

African American, older adult, infant born to an HIV+ mother

The nurse is caring for a client who underwent an abortion. Which of the following warrants notification to the health-care provider?

Clots larger than a quarter

An HIV patient has been invited to a cookout at the park. In order to avoid foodborne infections, which of the following foods should she avoid?

Freshly prepared Kool-Aid made with water from a newly installed tap

A child is diagnosed with Isotonic Dehydration. What would the nurse expect caused this type of dehydration?

Hemorrhages

A newly licensed nurse assisting in a reproductive procedure expect that a radio opaque dye will be used in which of the following procedures?

Hysterosalpingogram

A new mother on the Labor and Delivery (L&D) unit asks a nursing student on her clinical rotations what part of the body is responsible for the release of breast milk. The nursing student would be correct in answering that which of the following structures is correct?

Posterior pituitary

The female client has a mother who died from ovarian cancer and a sister diagnosed with ovarian cancer. Which recommendations should the nurse make regarding early detection of ovarian cancer?

The client should have a transvaginal ultrasound and a CA-125 laboratory test every 6 months.

A patient is diagnosed with severe hypokalemia. The nurse is ordered to start infusing potassium replacements to the child. What action is a priority for the nurse before infusing?

Urine output

The menstrual cycle begins with the loss of

endometrium

A postmenopausal client says that she is experiencing difficulty with vaginal dryness during intercourse and wonders what might be causing this. Which is the nurse's best response?

"Estrogen deficiency causes the vaginal tissues to become drier and thinner."

A 14-year-old is seen in the sexually transmitted disease (STD) outpatient department and diagnosed with gonorrhea. The client tells the nurse of having sexual relations with only a 19-year-old partner. What is the best response by the nurse?

"Has your partner been evaluated and treated by a health care provider?"

A client with diabetes mellitus is admitted to the surgical unit after a vaginal hysterectomy. The client received 6 units of regular insulin subcutaneously and metoprolol 50 mg by mouth in the post-anesthesia care unit. Which statement by the unlicensed assistive personnel would require immediate action by the nurse?

"I changed the client's perineal pad 3 times in the last 2 hours."

The nurse is reinforcing instructions to a client being discharged from the clinic with a diagnosis of acute prostatitis. Which statement by the client indicates an understanding of the instructions?

"I should take docusate to prevent straining."

The nurse is teaching self-care management to a client experiencing an outbreak of genital herpes. Which statement by the client indicates a need for further teaching?

"I will be sure we use condoms during intercourse as long as I have lesions."

The nurse reinforces education to a female client about the use of a cervical cap to prevent pregnancy. Which statement by the client indicates a need for further teaching?

"I will remove and clean the cervical cap as soon as possible after intercourse."

The nurse is providing teaching about contraception to a group of clients. Which statement by the nurse is appropriate to include?

"Over-the-counter emergency contraceptives should be taken within 3 days of unprotected intercourse."

After six months of unprotected intercourse and failing to conceive, a 37-year-old female client reports feeling anxious and depressed because of her situation. Which response by the nurse is most appropriate?

"Tell me more about how this has affected you and your family in the last six months."

A 28- year-old client is seeking advice from the nurse about why she has not been able to conceive. The client is discouraged and states that she has been "trying to get pregnant for 4 months." Which statement by the nurse is best?

"Using an over-the-counter urine ovulation detector kit to time sexual intercourse may improve your chances of conceiving."

The nurse is caring for an adolescent newly diagnosed with a chlamydial infection. After administering a one-time does of azithromycin, the nurse understands that which of the following client statements indicate a correct understanding of client teaching? Select all that apply.

*"A long-term consequence of an untreated chlamydial infection is infertility." *"I can still spread the infection, even if I do not have any of the symptoms." *"I should have screening yearly for chlamydia even if I do not have symptoms." * "I will make sure my partner gets checked and treated to prevent infections."

The nurse is caring for a client with suspected pelvic inflammatory disease (PID). When the nurse is obtaining the client's health history, which of the following questions would provide pertinent data about the client's risk factors for PID? Select all that apply.

*"Do you engage in sexual intercourse with multiple partners?" *"Have you ever been diagnosed with a sexually transmitted infection?" *"Have you recently had an abortion or pelvic surgery?"

The students at LTC are about to sit for their LPN board examinations. Their instructor asks them to list the changes they would expect to see in a 71-year-old female client. Select all that apply:

*Atrophy of the urinary meatus *Risk for osteoporosis and fractures *Increased risk for Coronary Artery Disease

The emergency nurse plans care for a female victim of sexual assault. Which of the following intervention should the nurse include in the care plan? Select all that apply.

*Determine if the victim has douched or had a bath or shower since the incident. *Educate the victim regarding the need for a pelvic examination. *Obtain the date of the last menstrual period and current method of birth control. *Perform head-to-toe assessment of injuries and document injury locations. *Provide prescribed prophylactic antibiotic medications for sexually transmitted infection

1. The nurse educates a group of clients in the infertility clinic about risk factors contributing to infertility. Which factors should the nurse include in the teaching? Select all that apply.

*Endometriosis *Maternal ager >35 * Polycystic ovarian syndrome *Recurrent chlamydial infections

A nurse is teaching a client with a surgically repaired undescended testis about testicular self-examination (TSE). Which instructions should be included in the teaching? Select all that apply.

*Perform the examination during a warm bath or shower. *Perform the examination monthly on the same day. *Report if there is a hard mass over the testis. *Use both hands to feel each testis separately.

. The nurse is assessing the client diagnosed with rectocele. Which signs and symptoms should the nurse expect? Select all that apply.

*Rectal Pressure *Flatus *Fecal incontinence *Constipation

A client is being discharged home after an open radical prostatectomy. Which statement indicates a need for further teaching?

A. "If I get constipated, I will use a suppository."

The nurse is providing education to a 32-year-old female client diagnosed with human papillomavirus (HPV). Which client statement indicates a need for further instruction?

A. "My partner won't get HPV as long as we use a condom."

The emergency department nurse performs an admission assessment for a client with priapism of about 3 hours duration who also has sickle cell anemia. Which assessment finding is of most concern and warrants immediate notification of the health care provider?

Bluish discoloration of the erect penis.

A pediatric patient is transferred to the ICU, and presenting with hemolytic uremic syndrome (HUS). The nurse knows that this is a potentially fatal form of kidney failure. What is the causative agent of hemolytic uremic syndrome?

E. coli

A client at 32 weeks gestation has been diagnosed with syphilis. The client expresses to the nurse her belief that antibiotic therapy is harmful and refuses treatment. What is the nurse's appropriate response at this time?

Educate the client about potential fetal harm or death if antibiotics are refused

The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?

Gonorrhea and chlamydia

Which communicable disease typically has milder symptoms/asymptomatic for children vs adults?

Hepatitis A

An HIV patient presents to the clinic with pneumocystis pneumonia (PCP). His CD-4 T-lymphocyte cell count is 320 cells/mL. The LPN nurse on duty will be correct in expecting which of the following drugs to be prescribed by the HCP?

Trimethoprim-sulfamethxazole (TMP-SMX)

What test is used to confirm a positive diagnosis of HIV?

Western Blot

Which of the following is considered one of the most contagious communicable disease?

Whooping Cough

What is a salpingoscopy used for?

see the inside of the fallopian tubes

Which of the following body fluids DO NOT transmit HIV?

saliva

In what age children is Acute Glomerulonephritis most common in?

school-age children