Ch 45

The nurse is caring for a client with lichen simplex chronicus. What assessment finding does the nurse expect?

Gray-white plaques with an irregular surface

After an office visit with her primary health provider, a female client with an elevated CA-125 test result asks the nurse if that means she has ovarian cancer. What is the nurse's best response?

"The test is not specific for ovarian cancer but suggests further evaluation to find the cause of the elevation."

A client asks the health care provider to, "Explain brachytherapy, which is recommended for my cervical cancer." Which response by the nurse is most accurate?

"They will insert a radioactive device into your vagina and position it next to the cervix, so that curative levels of radiation are directly on the cancer site."

An older female client calls and reports, "Another cyst in my private area. I had this years ago, but after 15 years it has returned. What should I do?" Which advice should the health care provider give to this client?

"You should call and make an appointment. I would like to evaluate this further."

The nurse is assessing a client with vulvodynia. What does the nurse expect to find when assessing the client? Select all that apply.

-Chronic Pain -Vulvar irritation

An older female client is diagnosed with uterine prolapse. Which factors in her history increase her risk for this condition? Select all that apply.

-Three living children -Diabetic neuropathy -Colon cancer

A 29-year-old client had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify:

Atypical cervix cellular changes

An asymptomatic client who is worried about developing breast cancer due to the fact that it runs in her family asks the nurse if she could have a mammogram to see if she has any lumps. The nurse informs the client that a tumor usually is undetectable until it has doubled 30 times and contains more than 1 billion cells. This means that at this point it measures approximately which size?

1 cm

A nurse who works in a fertility clinic is conducting a program on options for various fertility issues. The nurse judges that the participants understand the education when they identify that donor eggs are the best option for which woman

A 42-year-old

What is a primary intervention for the nurse to implement for a client with pelvic inflammatory disease ?

Administer antibiotic therapy.

Which condition would the nurse expect a female client with human papillomavirus (HPV) to exhibit?

Cervical intraepithelial neoplasia

The vulva area is especially prone to skin infections. The nurse knows that this occurs because of:

Constant exposure to secretions and moisture

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client?

Cystocele

In assessing a client with a fibroadenoma of the breast, what will the nurse find?

Firm, rubbery masses

A school nurse is providing an informational session about the prevention of cervical cancer in young girls and women. The most important information for the nurse to present would be:

HPV vaccine before becoming sexually active

There are two types of vulvar cancer. One type is found in older women, and one type is found in younger women, generally less than 40 years of age. The type found in younger women is thought to be caused by:

Human papillomavirus (HPV)

A female client is being seen in the ED with complaints of lower abdominal pain, dyspareunia, back pain, purulent cervical discharge, and the presence of adnexal tenderness and painful cervix on bimanual pelvic examination. The nurse suspects the client has pelvic inflammatory disease (PID), and will assess the client for:

Number of sexual partners

A female client presents to her primary care physician with a report of very heavy bleeding during menstrual cycles. Tests indicate the condition is not from a hormone imbalance. Which intervention option is least invasive?

Oral contraceptives

A client has been diagnosed with a Bartholin gland cyst. The nurse expects the client may experience which symptoms if this becomes infected?

Pain, tenderness, and dyspareunia

Which disorder of the female genitourinary system is most likely to result from a disruption in normal endocrine function?

Polycystic ovary syndrome (PCOS)

Which clinical manifestation is most likely to accompany a diagnosis of vulvodynia?

Vulvar pain

When explaining polycystic ovary syndrome (PCOS) to a newly diagnosed client, the health care worker states, "This ovarian dysfunction is caused by:

elevated LH."

An adult client reports persistent vaginal irritation and recurrent infections. In her history the physician notices that she recently has been prescribed antibiotics for a respiratory infection and concludes that it has affected her normal flora by:

causing the vaginal environment to be more alkaline than normal.

A client is experiencing oligomenorrhea. The nurse interprets this as:

infrequent menstruation with periods more than 35 days apart.

Which sexually active woman most likely faces the highest risk of developing an ectopic pregnancy?

A 42-year-old who has decided to try to have one more child and has had her tubal ligation reversed

The client has a Bartholin cyst that has developed into an abscess. The nurse explains to the client the plan of care, including which treatments?

A catheter may be inserted to drain the cyst for several weeks.