Chapter 53 Disorders of the Female Repro System

After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction? A) "A white or yellow vaginal discharge is expected and normal."

A) "A white or yellow vaginal discharge is expected and normal."

An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device? A) "I will remove and clean it every day."

A) "I will remove and clean it every day."

A client, who wishes to preserve childbearing, asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse? A) "Symptoms of endometriosis are increased during normal menstrual cycle."

A) "Symptoms of endometriosis are increased during normal menstrual cycle."

Following a laparoscopic-assisted vaginal hysterectomy, which client assessment finding would warrant nursing intervention? Select all that apply. A) Dorsal recumbent positioning with knee bend C) Peri-pad changed every shift

A) Dorsal recumbent positioning with knee bend C) Peri-pad changed every shift

When caring for a client with polycystic ovarian syndrome, the nurse will focus teaching needs in the management of which associated problems? Select all that apply. A) Hypertension B) Hyperlipidemia C) Infertility

A) Hypertension B) Hyperlipidemia C) Infertility

The nurse is providing an educational presentation on toxic shock syndrome to a group of adolescents. Which preventative measure is a primary focus for this group? A) If using tampons, change frequently.

A) If using tampons, change frequently.

Which of the following is an early symptom of vulvar cancer?

A) Pruritus with genital burning

While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection, and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following? A) Sexually Transmitted Infections D) Cervical cancer

A) Sexually Transmitted Infections D) Cervical cancer

Which of the following nursing instructions is essential in the care of a postmenopausal client who is prescribed ibandronate (Boniva)? A) Take with 8 oz of water.

A) Take with 8 oz of water.

A postmenopausal client is receiving alendronate. Which of the following would the nurse include when teaching the client about this drug? B) "Drink at least 8 oz of water when you take this drug."

B) "Drink at least 8 oz of water when you take this drug."

30. Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the diagnosis? B) "The cancer has not spread."

B) "The cancer has not spread."

A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse? B) "These are normal, manageable symptoms of menopause."

B) "These are normal, manageable symptoms of menopause."

The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom? B) Candida albicans

B) Candida albicans

Which assessment finding will most likely influence the treatment regime selected by a client with endometriosis?

B) Family planning

A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief for this client with the least risk? B) Hormonal contraceptives

B) Hormonal contraceptives

A young client presenting at the health clinic with fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long-term affect is of greatest concern in the care of this client? B) Infertility

B) Infertility

A client is struggling with symptoms of irritability and "feeling crazy" at times. Which assessment data would provide the most important information needed in the development of a treatment plan for this client? B) Menstrual diary

B) Menstrual diary

A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following? B) The malignancy is localized.

B) The malignancy is localized.

A client is prescribed androgen therapy. Which of the following would the nurse explain as a possible adverse effect? B) Weight gain

B) Weight Gain

A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options? C) "It might help to include your partner in any of the discussions about options."

C) "It might help to include your partner in any of the discussions about options."

While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which of the following?

C) Cervical cancer

A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse?

C) Contact precautions

The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy? C) Family history of breast cancer

C) Family history of breast cancer

Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess? C) Fishy smelling watery discharge

C) Fishy smelling watery discharge

Following a radical vulvectomy, the nurse is preparing the client for discharge to home. Which care intervention would be considered the priority for this client? C) Prevention of wound complications

C) Prevention of wound complications

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?

C) Take sitz baths frequently.

Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)?

C) Use of superabsorbent tampons

The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client? C) Vaginal bleeding

C) Vaginal bleeding

A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed? D) "This vaccine will prevent human papilloma virus (HPV) from occurring."

D) "This vaccine will prevent human papilloma virus (HPV) from occurring."

A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure? D) Encourage fluid intake

D) Encourage fluid intake

A client who is diagnosed with premenstrual syndrome is ordered a gonadotropin-releasing hormone (GnRH). Which is a priority teaching item in the use of this drug? D) Increase calcium and vitamin D intake

D) Increase calcium and vitamin D intake

Which is the primary assessment finding in identifying the possible cause of repeated episodes of vaginitis in a female client? D) Type 2 diabetes mellitus

D) Type 2 diabetes mellitus

A client is ordered a vaginal cream for the treatment of a yeast infection. As the nurse provides instruction, which step for inserting vaginal medications should be highlighted? D) Wash applicator after each use.

D) Wash applicator after each use.