chap 45 study guide
A female client is being prepared for removal of an ovarian granulosa cell tumor. The client asks the nurse about her risk of ovarian cancer. Which statement best answers this question?
"Your ovarian cancer risk is decreased by taking oral contraceptives."
A female client with endometrial hyperplasia asks the nurse about her risk of endometrial cancer. Which statement by the nurse best answers the question?
"Your cancer risk is decreased by taking progesterone, rather than by taking oral contraceptives."
While taking a history on a female client with vague symptoms but who has a strong feeling that "something is wrong with my body," which comments make the health care provider think of ovarian cancer? Select all that apply.
"For some reason, I have bloating. My pants are tighter than normal." "I am losing weight. I just feel full after just a few bits of food." "I have to go to the bathroom to urinate frequently. I just cannot hold it very long." "I think I must have an infection. I have a heaviness in my groin (pelvic region)."
Staff at a women's health center are being briefed by their supervisor on the latest recommendations for breast cancer screening. Which guidelines should staff pass on to their clients?
"Screening mammography and clinical exams are the cornerstones of breast cancer screening."
Which report by a middle-aged woman should prompt a care provider to assess for the possibility of ovarian cancer?
'I'm having a lot of indigestion and bloating, which I've never had before"
A couple in their 30's have presented to a fertility clinic due to their inability to conceive a child after trying for the last 18 months. Which conditions will the health care provider want to specifically rule out as potential contributing factors? Select all that apply.
- Cryptorchidism in the husband- Slow maturation of the endothelial lining after ovulation- Low levels of LH and FSH in the wife- Sexually transmitted diseases like gonorrhea or chlamydial infection.
The nurse is screening clients for risk factors associated with ovarian cancer. Which client has the greatest risk of developing ovarian cancer?
Age 55, no children, postmenopausal, two sisters with breast cancer BRCA1 positive
While educating parents about the benefits of giving human papillomavirus recombinant vaccine to their child for prevention of human papillomavirus (HPV), which statements by the parents indicate that the nurse will need to clarify for more accuracy? Select all that apply.
100% effective against development of cervical cancer for their lifespan. Only recommended for females between the ages of 9 and 26.
A 32-year-old is being treated for an abnormal menstrual cycle with excessive bleeding, endometrial hyperplasia, and fertility problems. Which is a possible cause of these symptoms?
A granulosa cell tumor
A woman comes to the clinic with complains of vague, lower abdominal symptoms. Upon physical exam, the healthcare provider recognizes the woman has symptoms of leiomyomas based on which assessment findings? Select all that apply.
Anemia Urinary frequency Rectal pressure Menorrhagia Abdominal distention
A 50-year-old female client reports menorrhagia with no cramping. Which medical condition is a likely cause of these symptoms?
Anovulatory cycle
A client has been diagnosed with mastitis. What are appropriate nursing interventions the client should be educated on? Select all that apply.
Apply warmth to affected area Administer mild analgesics like NSAIDs Apply a binder to the breast
A female client is scheduled for a laparoscopic removal of an ectopic pregnancy. Which assessment finding would indicate the need for the nurse to prepare the client for a laparotomy?
BP 90/50 mmHg
The sister of a 25-year-old female client has breast cancer, and genetic testing showed her to have the BRCA1 gene. The client asks the nurse how she can prevent developing breast cancer herself. Which prophylactic interventions might be considered in this situation? Select all that apply.
Breast magnetic resonance imaging (MRI) Bilateral mastectomy Bilateral oophorectomy
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
Which female client is exhibiting signs of untreated polycystic ovary syndrome (PCOS)?
Client age 34, states excess body hair and menstrual cycles are irregular
Which woman will the nurse encourage to have annual Papanicolaou (Pap) smears? Select all that apply.
Client age 63, postmenopausal for 10 years Client age 44, has multiple sexual partners Client age 27, history of human papillomavirus (HPV)
A nurse is conducting a healthy living workshop for a group of women in their 20s. Which screening recommendation should the nurse provide to the participants of this age group?
Clinical breast examination every 3 years until age 40
A client with polycystic ovary syndrome (PCOS) visits a fertility clinic. Which intervention will best improve the chance for a successful pregnancy?
Clomiphene
A 25-year-old woman with primary dysmenorrhea is seeking treatment options from the community health nurse. What should the nurse include in a treatment plan? Select all that apply.
Consulting a prescribing provider for oral contraceptives Administering ibuprofen as needed
The nurse is teaching the client about risk factors for cervical cancer. What will be included in the plan of care? Select all that apply.
First intercourse at an early age Multiple sexual partners Smoking History of sexually transmitted infections
Which interventions would the nurse expect to perform for a client with primary dysmenorrhea? Select all that apply.
Oral contraceptives Nonsteroidal anti-inflammatory drugs (NSAIDs)
A nurse monitors for side effects in a female client receiving endometriosis treatment with the gonadotropin-releasing hormone (GnRH) agonist leuprolide. Which adverse effect would be cause to limit duration of treatment?
Decreased bone density
A 33-year-old client has sought care because her premenstrual symptoms have been having a negative effect on her quality of life, to the extent that she describes herself as being "unable to function" for several days each month. Which interventions are known to benefit this client's condition? Select all that apply.
Diuretic medications Reduction in sugar intake Regular exercise, as tolerated
A female client with a recent diagnosis of uterine leiomyoma asks the nurse about treatment options. Which interventions should the nurse include in the teaching plan? Select all that apply.
Hysterectomy Myomectomy Hypothalamic gonadotropin-releasing hormone (GnRH) agonist
The nurse performs a complete physical assessment on a client with polycystic ovary syndrome (PCOS). Which assessment findings support this diagnosis? Select all that apply.
Increased dark facial hair Elevated blood glucose Obesity
What risk factors for breast cancer should a health care provider teach his or her clients? Select all that apply.
Increasing age Family history Obesity
The nurse is assessing a woman's risk for breast cancer. Which of these risk factors places the woman at the greatest risk?
Late menopause
A 23-year-old woman has been referred to a fertility clinic after 1 year of attempting to become pregnant. Her diagnostic workup has resulted in a diagnosis of polycystic ovary syndrome (PCOS). What will the first line of treatment most likely consist of?
Lifestyle modifications to include weight loss by lowering calories and fat consumption.
Which clinical manifestations would the nurse expect to observe in a female with pelvic inflammatory disease (PID)? Select all that apply.
Lower abdominal pain Elevated C-reactive protein Purulent cervical discharge
Prior to performing a laparoscopy, a client exhibiting which clinical manifestations would be treated with oral antibiotic therapy for suspected pelvic inflammatory disease (PID)? Select all that apply.
Lower abdominal pain Tenderness when cervix is touched during bimanual exam Purulent cervical drainage noted on tissue after voiding Elevated white cell count
A 14-year-old female client experiences headache and cramping abdominal pain 1 to 2 days before each menstrual period. Which symptoms correlate with a diagnosis of primary dysmenorrhea? Select all that apply.
Nausea Diarrhea Fainting
A client reports irregular, very painful bleeding. While taking the history of this postmenopausal client, the health care provider is alert to which high-risk factor associated with ovarian cancer?
Never had any children
Which manifestation will the nurse expect a woman with nonproliferative fibrocystic breast changes to report? Select all that apply.
Nodular or lumpy breast tissue Tenderness during the luteal phase
A female client is being evaluated for abdominal pain and unusual menstrual bleeding. What factors in her history will the nurse identify as increasing the risk for endometrial cancer? Select all that apply.
Obesity Estrogen therapy Diabetes mellitus Polycystic ovary syndrome
A college student presents to the nurse's office complaining of premenstrual syndrome. Which clinical manifestations would confirm this diagnosis? Select all that apply.
Painful, edematous breasts Abdominal bloating
A 29-year-old female client has been diagnosed with fibrocystic breasts. The nurse should assess the client for which symptoms associated with fibrotic changes? Select all that apply.
Palpable breast masses that change during the menstrual cycle Breast pain or discomfort
A female client has an ectopic pregnancy. Which factors in the client's history could contribute to the condition? Select all that apply.
Pelvic inflammatory disease (PID) Smokes one pack per day
A female client tells the nurse she felt a lump in her breast during her last self-breast exam. Which additional manifestations of the lump correspond to a diagnosis of cancer? Select all that apply.
Puckering Nipple retraction Discharge
A female client, age 35, reports finding a firm rubbery mass in her breast. Which additional findings will support the diagnosis of fibroadenoma? Select all that apply.
The mass is round. The mass changes size with menses. The mass is freely movable.
A female client presents to her primary healthcare provider stating, "I have such intense vulvar itching that it is driving me crazy." Which assessment finding correlates with a diagnosis of lichen sclerosus?
Thinning epithelium with introitus scarring
A nurse is performing a history and physical on an older adult woman who is diagnosed with endometrial cancer. Which factors increase the risk of developing this condition? Select all that apply.
Unopposed estrogen therapy to control hot flashes Body mass index (BMI) of 30
For which cancers is a client infected with human papillomavirus (HPV) at increased risk? Select all that apply.
Vulvar Cervical Vaginal
What does the nurse teach the client about her vulvitis?
Vulvar skin disorders are the same as those affecting skin elsewhere in the body.
Following a work-up which included endocrine studies (FSH/LH, prolactin, testosterone, DHEAS levels), a college student complaining of abnormal bleeding has been diagnosed with dysmenorrhea due to alterations in their hormone levels. The nurse should anticipate that which type of medication will be prescribed? Select all that apply.
oral contraceptives. prostaglandin synthetase inhibitors.
Endometriosis is characterized by painful hemorrhagic lesions in the pelvis, which may develop into which potential complication?
pelvic adhesions.