Week 13: Sexuality
14 years
At what age, the pubertal growth spurt reaches its peak in males?
"You sound upset about not being able to have an erection"
A 67-year-old ma with type II diabetes sadly confides in the nurse that he has been unable to have an erection for several years. What is the best response by the nurse?
Some women find its insertion and removal inconvenient.
A client asks for and receives instruction regarding birth control methods. She elects to use a diaphragm with a spermicide. Which disadvantage of using a diaphragm should be emphasized to the client?
2 to 6 weeks
A client cannot understand how syphilis was contracted because there has been no sexual activity for several days. Which length of time associated with the incubation of syphilis should the nurse include in the teaching plan?
"What are you using for birth control and protection from sexually transmitted infections?"
A client confides to the nurse that she enjoys engaging in sex with multiple male adult sex partners simultaneously. What is the most appropriate response by the nurse?
Human chorionic gonadotropin (hCG) test
A client fears pregnancy despite the use of oral contraceptives. Which blood test would the primary healthcare provider order for the client?
Seeking informed consent before providing treatment
Which point is included in the world professional association for transgender health (WPATH) document regarding core principles of care for transgender clients?
Prepuce
Which structure is removed during circumcision of infants?
Schedule a Pap test immediately
After interacting with a client, a nurse finds that a 23-year-old client has never undergone a Pap test. What should the nurse suggest to the client?
The nurse should ask the adolescent to take a pregnancy test.
An adolescent client presents to the client with complaints of absence of menses for two months. What should the nurse do next?
-Uliprestel -Levonorgestrel
An adolescent girl who participated in unprotected intercourse requires emergency contraception. Which drugs could be prescribed?
-It helps develop masculine and feminine behaviors. -It helps them lessen the feeling that they are different from peers.
How does sexual identity aid psychosocial development in the adolescent?
Oral contraceptives
Which contraceptive method is 99% effective if used correctly?
Clomiphene
Which drug will the nurse administer to trigger ovulation?
-Lutropin -Follitropin
Which hormone elevations indicate Turner syndrome?
Levonorgestrel intrauterine system
Which method of contraception may provide adolescents with the longest duration of protection?
Plastic surgery
Upon assessment, the nurse observes unilateral breast enlargement in a 14-year-old male client. The client states he has had this condition for 18 months. Which treatment would the primary healthcare provider administer?
A client wo shares equipment to snort or smoke drugs
Which client has the highest risk for HIV infection?
-Hot flashes -Amenorrhea -Reduced bone density
What are the manifestations of hypoestrogenism? Select all that apply
Wear a gown and gloves when giving direct care
A client is diagnosed with herpes genitalis. What should the nurse do to prevent cross contamination?
Ensure that other treatment options for her will be explored.
A client who has been told she needs a hysterectomy for cervical cancer is upset about being unable to have a third child. Which action should the nurse take next?
High levels of estrogen
A female adolescent report excessive hair growth in the pubic region and under the arms. What may be the responsible for these changes?
Clinical depression
A female client is admitted to the hospital after attempting suicide. She reveals that her desire for sex has diminished since her child's birth 3 years ago. What is most directly related to the clients loss of interest in sex?
"Insist that your partner use a condom."
A female client is upset with her diagnosis of gonorrhea and asks the nurse, "what can I do to prevent getting another infection in the future?" Which is the most practical response the nurse can given to someone who plans to be sexually active?
If the baby is breast feeding
A mother with the diagnosis of AIDS states that she has been caring for her baby even though she has not been feeling well. What important information should the nurse determine?
An indurated painless nodule on the vulva that is draining
A nurse is assessing a female client with suspected primary syphilis. Which sign of primary syphilis does the nurse expect the client to exhibit?
Cardiovascular
A nurse is caring for a client who was admitted to the hospital with the diagnosis of tertiary syphilis. Which system of the body should the nurse assess most closely in this stage of the disease?
Planning when to have sex
A nurse is counseling a couple in the fertility clinic regarding steps they must take in order to increase their chances of conceiving. Which alteration to their present circumstances will put added stress on the couple?
"The client will increase his self-esteem."
A nursing team hold a conference to develop goals for the care of a withdrawn, shy male client with low self-esteem who is afraid to talk to members of the opposite sex. Which objective should be given priority and documented in the clients plan of care?
"What do you mean by something bad?"
A young child in whom sexual abuse is suspected ask the nurse, "did I do something bad?" What is the most therapeutic response by the nurse?
-Habit of smoking -Damage to the fallopian tubes -History of pelvic inflammatory disease
A young pregnant adolescent reports bleeding and abdominal pain and is diagnosed with an ectopic pregnancy. Which risk factors should the nurse look for in the client?
-Gynecomastia is a bilateral or unilateral enlargement of breast seen in adolescent boys. -It is an unusual change during growth and development and subsides on its own.
What is gynecomastia?
-Syphilis -Gonorrhea
What sexually transmitted diseases are caused by bacteria? Select all that apply.
Azithromycin
What would be the drug of choice for a client who is diagnosed with chlamydia?
Absence of menstrual bleeding for three cycles after menarche
Which characteristics does the nurse observe in a client who has a secondary amenorrhea?
