Exam 12: Care of the Patient with a Reproductive Disorder

When should postmenopausal women be instructed to perform breast self-examination (BSE)?

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 nurse's response?

What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?

Which condition would prevent the use of a vaginal hysterectomy?

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?

The patient with a swollen scrotum is amazed that diagnosis of the condition of hydrocele is such a simple thing as:

Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?

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?

The 69-year-old patient laughs at the nurse when the nurse suggests that she should have a Pap smear and says,"I had my uterus removed except for the cervix 30 years ago and I am almost 70.Why in the world would I want to get a Pap smear at my age?" What is the nurse's most informative reply?

Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?

A male patient,age 23,seeks care at the health clinic because he has developed a profuse,purulent urethral discharge,and urination is painful.During assessment of the patient,it is most important that the nurse gather information related to his history of:

A ___________ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.

Why is a mammogram the most useful method of diagnosing breast cancer?

_____________ are the most benign tumors of the uterus and arise from the uterine muscle tissue.

Although menopause is a normal part of aging,why do many women enter menopause at an earlier age?

What factor influences older women's reluctance to seek medical care for problems of the reproductive system?

A patient,age 46,is recovering from an abdominal hysterectomy.Postoperative nursing assessment findings include a urinary output of 100 mL in 4 hours.What should the nurse do?

The 10-year-old clinic patient reports that she is free of gonorrhea and can now engage in sexual activity.Which response is most appropriate?

Which of the following are true of the Gardasil vaccine? (Select all that apply. )

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?