Lippincott chapter 10 the client with reproductive health problems missed questions
58. The client with HIV infection is taking Zidovudine What is the expected outcome
Enable slow replication of the virus
14. On the second postoperative day after the abdominal hysterectomy, the client develops a temperature of 100.5 what should the nurse do first
Ensure that the client takes at least 10 deep breath's every hour
42. The nurse is providing preoperative instructions to a client who is having transurethral resection of the prostate. What should the rest of the client
Expect blood in your urine for the first couple of days following the procedure
96. Which is a risk factor for testicular cancer
Undescended testes
104. The client asked the nurse why the prostate specific antigen level is determined before the digital Rex doll examination. What should the nurse tell the client
The prostate examination can possibly increase the PSA
32. A client developed lymphedema after I left the Secta me with a lymph node dissection. The nurse include which points of discharge teaching plan slept on the plane.
-Do not allow blood pressures or blood draws on the affected arm -Using electric razor for shaving -Elevate the left arm -Perform hand pump exercises
51. The healthcare provider has prescribed amoxicillin 100 by mouth three times a day. What should the nurse instruct the client to do select all that apply
-Ford frequently at least 2 to 3 hours -Take time to empty the bladder completely -Take the last dose of anabiotic for the day at bedtime -Take the antibiotic with or without food
80. Young woman will receive six months of chemotherapy for cervical cancer. She is is single parent of two young children, and can no longer work the nurse contacts the social worker to help plan continuing care the client states I feel overwhelmed. How can the social worker help me with response by the nurse about the role of the sun to work or are appropriate. Select all that apply.
-The social worker is part of the multidisciplinary team and that provides care for clients with cancer -The social worker consistent looking resources in progress to assist you during your treatment -Based on your financial situation and need to get for your children the social worker can help identify needed resources at this time -Your entire family be included in the treatment plan your needs and those of your total business and determine the referrals. Can we meet for appropriate resources?
53. Client is being discharged home three days after transurethral resection of the prostate. What should the nurse instruct the client to do select all that apply
-drink at least 3000 ML water per day -Report bright, red bleeding to the healthcare provider -Report temperature over 99
105. The nurse is performing a digital rectal examination, which finding is a key sign for prostate cancer.
A hard prostate localized or diffused
54. Client was benign prostate hypertrophy has elevated prostate specific antigen level. What should the nurse do next?
Determine if the prostatic population was done before or after the blood sample was wrong
63. The nurse is obtaining a health history from a client who is sexually transmitted disease, which description from the client indicates the likelihood of syphilis.
A moist ulcer
30. Calling in modified radio mastectomy a client has had an incision and drainage tube attached to the Hemovac section. The nurse determines at the section is effective when what occurs
Accumulated sermon and blood in the operative area I removed
77. What is a risk factor for cervical cancer?
Adolescent pregnancy
3. The client is prescribed oral metronidazole for treatment of bacterial vaginitis. What should the nurse instruct the client to avoid during treatment for the first 24 hours there after?
Alcohol consumption
110. A male client reports having impotence. The nurse should teach the client that which medication is contributing factor to impotence.
Antihypertensive
56. The client who is sexually active asked the nurse about using pre-exposure prophylactics for HIV. The nurse should tell the client the drug combination of 300 mg 10 forever and 200 mg entry Sivan can be used for which group of people at risk for becoming HIV infected.
Anyone who has an ongoing sexual relationship with an HIV infected partner
48. A client who has had a transurethral resection of the prostate has a three-way indwelling catheter with continuous bladder irrigation, and which circumstance should the nurse increase the flow rate of the continuous bladder irrigation
Becomes bright red
19. I am preparing the client for discharge two days after the abdominal hysterectomy. The nurse should instruct the client to avoid which activity until recovery is complete.
Driving until the client can push the brake pedal without pain
2. The nurse is teaching a client how to prevent evangel infection which activity puts the client at risk for answering the normal picture of her vagina.
Duchenne unless instructed to do so by the healthcare provider
108. Client with prostate cancer is treated with Luton saying hormone release, hormones images an antagonist what system should the nurse instruct the client to expect you are receiving this treatment
Flushing
40. The primary reason for lubricating the urinary catheter generally before inserting the catheter into the mail this to prevent when it's problem.
Fraction along the urethra when the catheter is being inserted
60. The nurse is teaching a client with HIV who has herpes Symplex virus about the seriousness of having this virus. What should the nurse tell the client
HSV is an acquired immunodeficiency virus aids, defining illness
43. When providing client teaching about continue as water irrigation following prostate surgery what should the nurse tell the client
The purpose of the irrigation is to keep bladder drainage, clear, and to prevent the information of blood clots in the bladder
50. An unlicensed assistive personnel tells the nurse I think the client is confused he keeps telling me he hast avoid, but that's not possible because he has a catherine Place. What should the nurse tell
The urge to void is usually created by the large catheter he may be having some bladder spasms
89. Interprofessional management of ovarian cancer include with some measures select all that apply.
Bilateral saw Pungo to remove diseased organs Referral to social services for supportive care
114. The nurse manager and a gynecologist surgical unit is addressing reports from the plant they have to wait too long on the night shift before the pain medication which course of action should the nurse manager take first.
Complete a quality improvement study with the nurses to document the waiting times for pain management, other than including staffing and client acuity
18. A client who has had a hysterectomy two hours ago returning to the post surgical unit for the recovery room. The nurse is assessing a client. The vital signs are as follows temperature 99+98, respirations 20 blood pressure 100/65 there any catherine's training freely and the client wants to try waiting with out the catheter the iview infusing is 16 drops for a minute the pier in the old pine center in Franklin blood the nurse reviews the progress notes what should the nurse do first
Contact the surgeon
45. The client has prostate hypertrophy. What should the nurse assess when conducting a focus assessment of the clients ability to urinate
Difficulty starting the urine flow
69. He is actually active male has burning in your nation, and the mo just charged from the orththeal medias. What documentation should be included in the clients medical records like all that play
History of unprotected sex Length of time since symptoms presented History of fever, or chills Presence of any in large lymph nodes on examination Allergies to any medication
28. Atropine sulfate is included in the preoperative prescription for a client undergoing a modified radio mastectomy what is the expected outcome of this drug
Inhibit, oral and respiratory secretions
86. Which action should be included in the nursing care for the client with cervical cancer, who has an internal radium and plan in place.
Offer a low residue diet
91. The nurse is planning a presentation about ovarian cancer to a group of women which topic should receive priority attention in the lesson plan.
Ovarian cancer signs and symptoms are often vague until in like development
97. The client with testicular emergency it undergoes a radical orchiectomy what should the nurse assess the client for during immediate postoperative? Period
Pain
38. An adult male client has been unable to void for the fast 12 hours. What is the best method for the nurse to use when assessing the bladder distension a male client
Palpate for a rounded swelling above the pubis
39. When emptying the clan spider during a urinary catheterization, the nurse should allow the urine to drain from the Bonner slowly to prevent which complication.
Possible shock
41. The nurse has inserted an envelon catheter in a male which problem is prevented if the nurse taps the catheter literally to the thigh.
Pressure at the Penoscrolldell angle
107. His 65-year-old. Client has been told by the health provider that his prostate cancer was graded to be a stage.llB the client increase of this means that he is going to die soon. What is the best response by the nurse
Prostate cancer at this stage is a very slow growing
57. The client who is in a sexual relationship with a part who has HIV has a prescription for preexposure prophylaxis is in combination. What should the nurse instruct the client about taking this drug?
Renew your prescription every year
46. The client is scheduled to undergo trans girl resection of the prostate the procedure is done under spinal anesthesia. What should the nurse assess the client for after surgery?
Respiratory paralysis
16. The client with an indevil hysterectomy is being prepared for discharge this morning. The client has a special need adult son home. She cares for at home. She should discuss this with the healthcare provider and need for a roofer for which service.
Social work
88. When teaching a client about Varian cancer, the nurse should include which information in the teaching plan select all that apply.
Stagging in grading of ovarian cancer Procedures for diagnosis, if there is a pelvic mass
68. Which group has experienced the greatest rise in the incidence of sanction transmitted diseases over the past two decades.
Teenagers
99. Client diagnosed with semi Matas Tesclar cancer, express his fear in questions to the nurse about his prognosis. Which information should the nurse give the client about the prognosis for testic cancer
Testicular cancer has a cure rate of 90% when diagnosed early
33. The client with breast cancer is prescribed tamoxifen 20 mg daily. The client states she does not like taking medication and ask the nurse if the tamoxifen is really worth taking what should the nurse tell the client
This drug has been found to decrease mistakeic breast cancer
23. The nurses palpating the female clients breast, well, assessing for breast, disease and illustration indicate the area Brechin was tumors, are most commonly found.
Upper outer fOur
65. The healthcare provider has prescribed benzathine penicillin 2.4 million units. I am to treat an adult with primary syphilis and which myself to the nurse administer the injection.
Ventral gluteal
81. The husband of a client with cervical cancer message to the nurse and the doctor told my wife that her cancer is Caribou is he just trying to make us feel better which would be the nurse is most accurate.
When cervical cancer is detected, early and shit aggressively, the cure rate is almost 100%
21. On the second day, following abdominal hysterectomy, the client reports she has had three brown the stools and moderate amount the morning medications include a prescription for 100 mg of deficit, sodium daily or as needed. What should the nurse do next?
Withhold the medication document, the client report of the stool
8. If female with uterine fibroids has dysmenorrhea and menorrhea. After reviewing the laboratory results, the client to report which results in the healthcare provider to select all that apply.
-hemoglobin nine -hematocrit, 27.1.
102. The nurse is teaching a client about prostate cancer which point should be included in the instructions select all that apply.
-prostate cancer is usually multifocal and slow growing -Most prostate cancer is our Endo carcinoma -The incidence of prostate cancer is high in men of African dissent, and the onset is earlier
44. When caring for a client with a history of benign prostate hyper trophy what should the nurse do select all that apply
-provide privacy in time for the client to avoid -Monitor and take it out put -Ask Cline if he has urinary retention -Test they are in for hematuria
103. What should the nurse do for a client who is receiving hormone replacement for prostate cancer select all that apply
-provide the client the opportunity to communicate concerns and needs -Do you know his communication strategies to enable the client to gain some feeling of control?
85. A client with HPV infection is being treated by a culoscope the client as the nurse of this procedure is really necessary. The nurse can tell the client that if the HIB infectious not treated which health problem is likely to occur.
Cervical cancer
34. Client undergoing chemotherapy after modified radical mastectomy, asking us questions about breast, prosthesis and wig. After answering the questions directly what additional information should the nurse provide
Contact information for the breast, cancer support group
84. The mother of a client who has a radium implant as why so many nurses own involved in her daughter's care she stays. The doctor said I can be in the room for up to two hours each day, but the nurses say they are restricted to being here for 30 minutes. What should the nurse explain to the client?
Work with radiation and I'm going to base as well. Visitors have frequent exposure to radiation.
1. A young adult woman tells the nurse she has slight yellow vaginal discharge. The nurse should tell the client to contact her healthcare provider if she has, which additional assistance.
-vaginal discharge that has a fishy odor -Abdominal pain -Temperature above 101
