Major DisordersAffecting Women’s Health

36問 • 1年前

問題一覧

A client who has a diagnosis of endometriosis is concerned about the side effect of hot flashes from her prescribed medication. She tells the nurse that her mother found them very uncomfortable during her menopause. Which medication causes this side effect?

Leuprolide (Lupron)

At 6 weeks’ gestation a client is diagnosed with gonorrhea. What medication does a nurse expect the health care pro- vider to prescribe?

Ceftriaxone (Rocephin)

A 15-year-old adolescent tells a school nurse, “I have persis- tent pain during my periods.” What should the nurse encourage her to do?

Have a gynecologic examination.

A client at the women’s health clinic tells the nurse she has endometriosis. What factors associated with endometriosis does the nurse anticipate the client will report? Select all that apply.

Rectal pressure, Abdominal pain

What does a nurse expect to be the priority concern of a 28-year-old woman who is to undergo a laparoscopic bilat- eral salpingo-oophorectomy?

Loss of childbearing potential

A nurse is assessing a client who is being admitted for surgi- cal repair of a rectocele. What signs or symptoms does the nurse expect the client to report? Select all that apply

Painful intercourse, Bearing-down sensations

When taking the health history of a client who is admitted for repair of a cystocele and rectocele, the nurse should expect the client to report the occurrence of:

stress incontinence and low abdominal pressure.

A client has an anterior and posterior surgical repair of a cystocele and rectocele and returns from the postanesthesia care unit (PACU) with an indwelling catheter in place. What should the nurse tell the client about the primary reasons for the catheter? Select all that apply.

Discomfort is minimized., Urinary retention is prevented., Pressure on the suture line is relieved.

A client past menopause undergoes an anterior-posterior colporrhaphy. What should the discharge teaching include?

Eating a high-fiber diet

What potential complication does a nurse anticipate when admitting a client with the diagnosis of severe procidentia (prolapse of the uterus)?

Ulcerations

A client with a third-degree uterine prolapse is scheduled for a vaginoplasty. What should the nurse anticipate the surgeon will order?

Apply moist compresses to the uterus.

What resting position should a nurse encourage for a client with pelvic inflammatory disease (PID)?

Fowler

A nurse explains to a client with cervical erosion that early treatment of the erosion can help prevent:

cancer of the cervix.

A client asks a nurse why she developed cervical polyps. How should the nurse respond?

“They are usually benign and a biopsy rules out a malignancy.”

A nurse in the women’s health clinic is counseling clients about the signs of gynecological problems. What early mani- festation of cervical cancer should prompt a client to seek professional care?

Bloody spotting after intercourse

After a client has a biopsy for suspected cervical cancer, the laboratory report reveals a stage 0 lesion. What does a nurse conclude about this client’s stage of cancer?

The lesion is carcinoma in situ.

A nurse in the women’s health clinic is obtaining a client’s health history. What question will elicit information about the client’s risk for exposure to diethylstilbestrol (DES)?

“Did your mother take hormones during her pregnancy?”

A 35-year-old client is scheduled for a conization of the cervix to remove dysplastic cervical cells and to determine the extent of involvement. What behavior indicates to a nurse that the client understands the postoperative instructions?

Verbalizes expectations of a vaginal discharge for 3 to 5 days

A client with cancer of the cervix has an intracavity radioactive sealed implant in place. What precaution should the nurse take to protect against excessive exposure to radiation?

Exit the room walking backward while wearing a lead apron.

A client who is scheduled to have an abdominal panhyster- ectomy asks how the surgery will affect her periods. How should the nurse respond?

“You will not have any more periods.”

A client is diagnosed with uterine fibroids, and the health care provider advises a hysterectomy. The client expresses concern about having a hysterectomy at age 45 because she has heard from friends that she will undergo severe symp- toms of menopause after surgery. What is the nurse’s most appropriate response?

“Some women may experience symptoms of menopause if their ovaries are removed with their uterus”

After a hysterosalpingo-oophorectomy, a client wants to know whether it would be wise for her to take hormones right away to prevent symptoms of menopause. What is the nurse’s most appropriate response?

“Discuss this with your health care provider, because it is important to know your concerns.”

After an abdominal hysterectomy the client returns to the unit with an indwelling catheter. The nurse identifies that the urine in the client’s collection bag has become increasingly sanguineous. What complication does a nurse suspect?

An incisional nick in the bladder

A client who had a mastectomy asks about the term ERP- positive. The nurse explains that tumor cells are evaluated for estrogen receptor protein to determine the:

potential response to hormone therapy.

A nurse is caring for a client who just had a mastectomy. How should the nurse position the client’s arm on the affected side?

On pillows with the hand higher than the arm

When encouraging a client to cough and deep breathe after a bilateral mastectomy, the client says, “Leave me alone! Don’t you know I’m in pain?” What is the nurse’s most therapeutic response?

“I know it hurts to cough, but try to use the incentive spirometer.”

A nurse is writing a teaching plan about osteoporosis. The nurse should include in language that most clients would understand that osteoporosis is best described as:

decrease in bone substance.

The plan of care for a client with osteoporosis includes active and passive exercises, calcium supplements, and daily vita- mins. How does a nurse determine that the desired effect of therapy is attained?

Mobility increases.

A nurse is assessing a client for the potential for developing osteoporosis. Which factor in the client’s history increases the risk for this disorder?

Prolonged immobility

Which food selected by a client with osteoporosis indicates that the nurse’s dietary instruction was effective?

Turnip greens

A thin older adult client is diagnosed with osteoporosis. What should the nurse include in the discharge plan for this client?

Instructions relative to diet and exercise

A nurse is counseling a postmenopausal obese client how to prevent bone loss. Which statements indicate understanding of the strategies to prevent bone loss? Select all that apply.

“I should take 1200 mg of calcium daily.”, “Joining an aerobics class 3 times a week will help my bones.”

A health care provider prescribes teriparatide (Forteo), a parathyroid hormone (PTH) agonist, for a client with osteo- porosis. What should the nurse consider before administer- ing this medication?

Osteoblastic activity is stimulated more than osteo- clastic activity.

A female client who has been sexually active for 5 years is diagnosed with gonorrhea. The client is upset and asks the nurse, “What can I do to prevent getting another infection in the future?” The nurse provides health teaching. Which client statement indicates that the teaching was effective?

“My partner must use a condom all the time.”

A nurse is caring for a client who contracted a trichomonal infection. Which oral drug should the nurse anticipate the health care provider most likely will prescribe?

Metronidazole (Flagyl)

A nurse is teaching a client how to self-administer a medi- cated douche. In which direction should the nurse instruct the client to direct the douche nozzle?

Toward the sacrum

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS