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Chapter 51: Care of the Patient with a Reproductive Disorder
Terms in this set (46)
Which condition would prevent the use of a vaginal hysterectomy?
a. A woman with more than four pregnancies
b. Large uterine fibroids
c. Menorrhagia for over 6 months
d. Women over the age of 50
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
a. Offering carbonated beverages
b. Encouraging ambulation at least four times per day
c. Administering a 1000-mL soapsuds enema
d. Applying an abdominal binder
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, Please go talk to my wife. She is real upset and says she wont be a woman anymore. What is the nurses most therapeutic response?
a. Dont be concerned. All young women get upset before this kind of surgery.
b. Certainly, I will be glad to tell her about hormone replacement.
c. She will get over this feeling soon.
d. No matter what I may say to her, it is you that needs to listen to her concerns and assure her.
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have hot flashes. What knowledge will guide the nurses response?
a. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot flashes.
b. The patient is too young to have hot flashes associated with menopause.
c. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
d. The uterus and fallopian tubes were removed, and she will not experience hot flashes.
On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore. The nurse bases subsequent nursing interventions on what diagnosis?
a. Disturbed body image related to removal of her breast
b. Deficient knowledge related to inadequate education
c. Impaired social interaction related to depression
d. Fear related to the cancer diagnosis and surgical intervention
Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
a. To reduce pain
b. To stimulate appetite
c. To reduce lymphedema
d. To increase muscle tension
A 20-year-old patient presents in the emergency room with a temperature of 103 F, blood pressure of 92/58, headache, and desquamation of both palms. What should the nurse make sure to ask about during the interview?
a. Any recent traveling outside the country
b. Immunization against influenza
c. Method of birth control
d. Use of tampons
At what age should a male be taught testicular self-examination (TSE)?
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
a. The testes feel smooth and egg-shaped.
b. The best time to perform TSE is after a shower.
c. I will examine my scrotum after every ejaculation.
d. The epididymis feels like a soft tube.
Which patient is most at risk for the infection of epididymitis?
a. 17-year-old athlete who trains for several hours a day
b. 22-year-old who has been exposed to mumps
c. 45-year-old who was circumcised at the age of 10
d. 50-year-old who has smoked for 30 years
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
a. Dont worry, that is a normal reaction.
b. Ill report the findings immediately to the head nurse.
c. That is a symptom that resulted from your position on the operating table.
d. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.
The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?
a. I should sleep on the side opposite my mastectomy.
b. I should keep my right arm supported in a sling when I am up and around until my incision is healed.
c. I can do whatever exercises and activities I want as long as I dont elevate my right hand above my head.
d. I should take aspirin before moving or exercising my arm to prevent pain during the exercises.
A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination?
c. Cervical biopsy
d. Papanicolaou smear
What is the recommended age range for a baseline mammogram?
a. 25 and 30 years
b. 31 and 34 years
c. 35 and 39 years
d. 40 and 45 years
What does the diagnosis of secondary infertility refer to?
a. Has never conceived
b. Is infertile because of repeated infection
c. Has conceived but is now unable to do so
d. Is over the age of 38
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