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Chapter 49, 50: Female Reproductive Disorders & Male Reproductive Disorders
Terms in this set (58)
1. Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be prepared for?
2. What instruction should a nurse provide to a patient after a culdoscopy?
Avoid vaginal intercourse
3. A patient asks a nurse, "Will the laparoscopy be painful?" What is the best reply by the nurse?
"You will probably have some pain below the rib cage and around the shoulder."
4. A nurse is teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene. What should the nurse be sure to include?
wipe the perineal-anal area from front to back
5. A nurse is teaching patients with endometriosis. What signs and symptoms of common complications should be included?
obstruction of the bowel and ureters
6. After a mastectomy, many patients experience lymphedema. What action can the patient take to minimize this problem?
keep the arm elevated as much as possible
7. A patient tells a nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer. What is the most appropriate response by the nurse?
"If you have regular Pap smears, cervical cancer is usually diagnosed early and cured."
8. A nurse is instructing a patient on breast self-examination. When is the best time of the month to instruct this patient to perform a breast self-examination?
after the menstrual period
9. A nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER positive) and has been placed on a protocol of tamoxifen. The patient then asks the nurse, "Do you think I should take this medication?" Which statement is the most appropriate?
"Tamoxifen is an option to consider, because your tumor was ER positive."
10. Conjugated estrogen (Premarin) is indicated for treatment of menopause. Which side effects should a nurse explain before administering the medication to a woman who has just had a hysterectomy?
11. A 16-year-old girl seen in the student health clinic has been diagnosed with Trichomonas vaginalis and given medication for the infection. What should a nurse explains about treatment of the girl's sexual partner?
he will be treated, although he is asymptomatic
12. A patient makes an appointment with her gynecologist because she is having difficulty conceiving. Which laboratory test should the nurse anticipate the physician will order?
13. What action should a nurse implement when assessing for abnormal bleeding in a patient following a hysterectomy?
Record the number of perineal pads used.
14. A female student, seen in the campus clinic, states that she uses feminine hygiene douches every day and after intercourse. What is the best response from the nurse?
"Douching should only be done when ordered by a physician or nurse practitioner."
15. A nurse collecting data on the reproductive system from a female patient is told that the patient has a vaginal discharge that is cottage cheese-like in appearance. What should the nurse recognize this as a common sign of?
Candida albicans infection
16. A nurse is demonstrating breast self-examination to a patient. What should the nurse point out as the most common area in the breast for tumors to occur?
upper outer quadrant
17. After months of infertility procedures, a physician informs a 32-year-old patient that she will never conceive. As the nurse enters the examination room, the patient states, "I guess I'm a failure as a woman." Based on this statement, what is the most appropriate nursing diagnosis?
18. What must be true for a woman to be diagnosed with primary infertility?
She has been unable to conceive after 1 year of regular, unprotected sex.
19. A patient is admitted with possible cancer of the ovary. What fact should a nurse know about malignant tumors of the ovary?
They are frequently advanced and inoperable by the time they are diagnosed.
20. A mastectomy care plan should address psychosocial problems of the patient. What should this be directed toward?
helping the patient express feelings of concerns
21. Which medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility?
Clomiphene citrate (Clomid)
22. A nurse reads that a patient's breast tumor is a stage II. What should the nurse realize about this tumor?
It measures between 2 and 5 cm, with no or one positive lymph node involvement and no metastasis evident.
23. A woman calls the clinic office and asks the nurse why she is having spotting between her monthly periods when she is taking birth control pills to control the menorrhagia. What is the nurse's most appropriate response?
"It is important to take the pill at the same time each day."
24. A nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor. What should those signs include? (Select all that apply.)
2. nipple discharge
3. thickening of tissue
4. dry rash around nipple
25. What do the causes for menorrhagia include? (Select all that apply.)
1. Hormonal dysfunction
3. coagulation disorders
4. endometrial hyperplasia
26. A nurse is aware that a tumor determined to be ER positive indicates that the tumor needs _____ for growth.
27. A nurse points out to a group of young women who are being treated for PID that because of the effect of this disease on their reproductive organs, they may become _____.
sterile / infertile
28. Because small non-nodal metastases may be present, _____ is recommended after a lumpectomy.
29. The nurse recommends that an annual mammogram be performed for women older than _____ years of age.
1. A nurse is reviewing the drugs taken by a 50-year-old male patient. What medication should the nurse recognize as the most probable cause of erectile dysfunction (ED)?
Vasodilator for hypertension
2. A nurse is caring for a patient 2 hours after a transurethral resection and immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag. What should the nurse anticipate the physician will order?
Apply traction to the catheter by taping it to the patient's thigh
3. A male student comes to the campus clinic complaining of painful scrotal edema, nausea, vomiting, chills, and fever. What should the nurse recognize these signs and symptoms as being associated with?
4. What should a nurse explain to a young man being treated for infertility as the purpose of a semen analysis?
Microscopically assess the sperm for number and motility.
5. Which instruction should increase the comfort of a patient who is recovering from prostatitis?
take stool softeners
6. What is the purpose of the urethral smear?
Detects sexually transmitted infections
7. A patient is placed on diethylstilbestrol (DES) for prostate cancer. What should the nurse explain as a possible side effect of the medication?
8. Which statement by a patient indicates he understands the teaching relative to how to perform a testicular self-examination?
"The best time to do a self-examination is after a shower, when my body is warm."
9. What should a patient's home instructions following a vasectomy include?
Vasectomies should be seen as usually permanent but are sometimes reversible.
10. When conducting an initial assessment on a 65-year-old male patient, a nurse assesses a mass in the left testicle that on transillumination glows red. What should the nurse note this indicates the presence of?
11. A mother of a newborn with cryptorchidism asks if this condition will be permanent. What is the nurse's best response?
"No, several medical and surgical remedies can be performed after your baby's first birthday."
12. What should a nurse inform a 50-year-old patient who has been prescribed nilutamide (Nilandron), a testosterone blocker, to expect while taking this drug?
Liver functions will need to be monitored.
13. A patient has been prescribed flutamide (Eulexin) for the treatment of prostate cancer. What possible side effect should the nurse remind the patient might occur?
14. A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop. What should the nurse understand about this procedure in order to answer the patient?
Postprostatectomy incontinence usually clears up in 6 months.
15. After an accident at a track meet, a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting. What should the nurse suspect based on these initial findings?
16. After a physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer, the patient covers his face with both hands and sighs. What is the nurse's most therapeutic intervention at this time?
Ask the patient, "Do you want to talk about your cancer?"
17. A nurse is formulating a teaching plan for a patient with acute prostatitis. What information should be included regarding treatment?
There will be a 4-week course of antibiotics and anti-inflammatory drugs.
18. A patient is recovering after surgery to correct a testicular torsion. Which possibility should the nurse caution the young patient about?
19. What can men who have sustained spinal cord injuries with resultant ED use to aid in the ability to have sexual intercourse?
Inflatable penile implants
20. A nurse is assessing a young man who is being treated for sterility and inquires whether the young man had any common childhood disease that may be the cause of sterility. What childhood disease might result in sterility?
21. A patient has an elevation in the prostatic-specific antigen (PSA) level from 4 to 6 ng/L. What should the nurse suspect to be the cause?
Possibility of prostatic cancer
22. A patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phosphatase and calcium levels. What should the nurse be aware that this indicates?
23. What instruction should a nurse include when giving education about taking sildenafil (Viagra)?
Tablet should be taken 1 hour before sexual activity.
24. When completing a health history with a patient, a nurse should encourage the patient to describe the symptoms in objective terms. Which statement is a good example of the description of pain?
"I would say my pain is a 5 on a scale from 1 to 10."
25. What direction should a nurse provide when instructing a patient who is to have a semen analysis? (Select all that apply.)
1. Keep the specimen at room temperature until given to the laboratory.
2. Abstain from sexual activity 3 to 5 days before the test.
27. A nurse is performing the initial assessment on a man with a reproductive disorder. What type of interview techniques should be used to demonstrate a sensitive approach? (Select all that apply.)
a. Use open-ended questions.
b. Pin the patient down for truthful and specific information.
c. Leave sensitive questions until later in the interview.
d. Share her or his professional opinion.
e. Start most questions with "why."
ANS: A, C
The use of open-ended questions encourages the patient to explain his problem in greater detail, especially if sensitive issues are left until later in the interview. Pinning the patient down, sharing professional opinion, and asking why are not therapeutic.
DIF: Cognitive Level: Application REF: p. 1140 OBJ: 6
TOP: Initial Assessment KEY: Nursing Process Step: Assessment
26. What should instructions relate to for a discharge teaching plan for a patient after undergoing a prostatectomy? (Select all that apply.)
1. Remedy for bladder spasm
2. Catheter care
3. Perineal exercises
4. Avoidance of heavy lifting
28. When a significant elevation in the human chorionic gonadotropin (hCG) level is noted on a laboratory report, the nurse is aware that this is a marker for _____ cancer.
29. A patient with a spinal cord injury complains to a nurse of the inability to experience an erection. The nurse explains, "The _____ component of the nervous system has been affected by your injury."
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