Exam 54: Nursing Management: Female Reproductive Problems

When counseling a healthy perimenopausal woman who prefers not to use hormone replacement therapy (HRT), which nonhormonal therapies will the nurse suggest? (Select all that apply.)

A patient who has undergone a vaginal hysterectomy has not voided for 8 hours following surgery and is complaining of bladder distention. The most appropriate action by the nurse is to

A patient with pelvic inflammatory disease (PID) is treated on an outpatient basis with oral antibiotics. When teaching the patient about follow-up care and management of her condition, the nurse instructs the patient that

A 46-year-old woman tells the nurse that she has not had a menstrual period for 3 months and asks whether she is going into menopause. The best response by the nurse is,

A woman is scheduled for a late-induced abortion using instillation of hypertonic saline solution. Before the procedure, which information will the nurse discuss with the patient?

A couple has undergone infertility evaluation with no success at conception and is considering the possibility of in vitro fertilization (IVF). The wife tells the nurse that they really cannot afford IVF on her husband's salary, and the husband replies that if his wife would get a job, maybe they would have enough money for the procedure. Which nursing diagnosis is appropriate for the couple?

A 62-year-old patient with stage 0 carcinoma of the cervix that was determined by cervical conization has been told by her health care provider she needs no further treatment at this time. She asks the nurse why the doctor has not discussed other treatment options with her. The most appropriate response by the nurse is,

A 31-year-old woman tells the nurse that she has noticed increasing headaches with dizziness, abdominal bloating, and unexplained anxiety occurring before her menstrual periods. Which action by the nurse is most appropriate?

The nurse has just received change-of-shift report about these four patients. Which patient should be assessed first?

A 19-year-old requests a prescription for birth control pills at the student health center. She tells the nurse that she wants to take birth control pills to decrease the pain and headaches she has during her menstrual periods. The most appropriate response by the nurse is,

A diagnosis of candidiasis is made when a patient with an abnormal vaginal discharge is seen at the clinic, and an antifungal vaginal cream is prescribed. Which statement by the patient indicates that teaching about the candidiasis treatment has been effective?

When assessing a patient on her return to the surgical unit following a total abdominal hysterectomy, the nurse would expect to find

When a patient has oral contraceptives prescribed for endometriosis, the nurse will teach the patient to

A 26-year-old woman is admitted to the hospital with abdominal cramping and vaginal bleeding. She is diagnosed with an ectopic pregnancy in the fallopian tube. The patient begins to cry and asks the nurse to leave her alone to grieve. Which action by the nurse is appropriate?

When caring for a patient recently diagnosed with polycystic ovary syndrome, it is most important for the nurse to teach the patient

When caring for a patient who has a radium implant for treatment of cancer of the cervix, the nurse will plan to

Six months after being sexually assaulted, a woman tells the nurse that she has nightmares about the incident and develops acute anxiety if she finds herself alone in situations where several men are present. The most appropriate nursing diagnosis for the patient is

A patient with endometriosis is treated with medroxyprogesterone (Depo-Provera). The nurse explains that this therapy

When teaching a patient about ways to prevent primary dysmenorrhea, the nurse will suggest that the patient

While obtaining a health history from a patient hospitalized with pelvic inflammatory disease (PID), the nurse recognizes that a risk factor related by the patient includes