Exam 71: Care of Patients with Gynecologic Problems

Which action would the nurse teach to help the client prevent vulvovaginitis?

A nurse is caring for four postoperative clients who each had a total abdominal hysterectomy.Which client should the nurse assess first upon initial rounding?

The nurse is educating a client on the prevention of toxic shock syndrome (TSS).Which statement by the client indicates a lack of understanding?

The nurse is doing preoperative teaching for a client who is scheduled for removal of cervical polyps in the office.Which statement by the client indicates a correct understanding of the procedure?

A 28-year-old client is diagnosed with endometriosis and is experiencing severe symptoms.Which actions by the nurse are the most appropriate at this time? (Select all that apply.)

A client has recently been diagnosed with stage III endometrial cancer and asks the nurse for an explanation.What response by the nurse is correct about the staging of the cancer?

A client is admitted to the emergency department with toxic shock syndrome.Which action by the nurse is the most important?

A 55-year-old post-menopausal woman is assessed by the nurse with a history of dyspareunia,backache,pelvis pressure,urinary tract infections,and a frequent urinary urgency.Which condition does the nurse suspect?

The nurse is taking the history of a 24-year-old client diagnosed with cervical cancer.What possible risk factors would the nurse assess? (Select all that apply.)

The nurse is teaching a client who is undergoing brachytherapy about what to immediately report to her health care provider.Which signs and symptoms would be included in this teaching? (Select all that apply.)

A client is scheduled to start external beam radiation therapy (EBRT)for her endometrial cancer.Which teaching by the nurse is accurate? (Select all that apply.)

A postmenopausal client is experiencing low back and pelvic pain,fatigue,and bloody vaginal discharge.What laboratory tests would the nurse expect to see ordered for this client if endometrial cancer is suspected? (Select all that apply.)

A client who had a hysterectomy has a 200-mg dose of ciprofloxacin (Cipro)ordered to infuse in 30 minutes.At what rate should the nurse infuse the medication if the pharmacy provides 200 mg in a 100-mL bag of normal saline? (Record your answer using a whole number.)___ mL/hr

The nurse is caring for a postoperative client following an anterior colporrhaphy.What action can be delegated to the unlicensed assistive personnel (UAP)?

A client has undergone a vaginal hysterectomy with a bilateral salpingo-oophorectomy.She is concerned about a loss of libido.What intervention by the nurse would be best?

A client has a recurrent Bartholin cyst.What is the nurse's priority action?

A client has scheduled brachytherapy sessions and states that she feels as though she is not safe around her family.What is the best response by the nurse?

The client is emotionally upset about the recent diagnosis of stage IV endometrial cancer.Which action by the nurse is best?

The nurse is giving discharge instructions to a client who had a total abdominal hysterectomy.Which statements by the client indicate a need for further teaching? (Select all that apply.)

A 20-year-old client is interested in protection from the human papilloma virus (HPV)since she may become sexually active.Which response from the nurse is the most accurate?