lOMoARcPSD|11700591
1. Which action would the nurse teach to help the patient prevent vulvovaginitis? a Wear loose cotton underwear. . b Use feminine hygiene sprays to avoid odor. . c Cleanse the inner labial mucosa with soap .
and water. d Wipe back to front after urination. .
1 points
QUESTION 2
1. The nurse is educating a patient on the prevention of toxic shock syndrome (TSS). Which statement by the patient indicates a lack of understanding? a “It is best if I wash my hands before inserting the . tampon.” b “At night, I should use a feminine pad rather than a . tampon.” c “I need to change my tampon every 8 hours . during the day.” d “If I don’t use tampons, I should not get TSS.” .
1 points
QUESTION 3
1. A patient is admitted to the emergency department with toxic shock syndrome. Which action by the nurse is the most important? a Remove the tampon as the source of . infection. b Transfuse the patient to manage low blood count. . c Collect a blood specimen for culture and sensitivity. . d Administer IV fluids to maintain fluid and electrolyte .
balance.
1 points
QUESTION 4
1. A 55-year-old postmenopausal woman reports a history of dyspareunia, backache, pelvis pressure, urinary tract infections, and a frequent urinary urgency. Which condition does the nurse suspect? a Cystocel . e b Fibroid . c Rectocele .
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d Ovarian .
cyst
1 points
QUESTION 5
1. The nurse is caring for a postoperative patient following an anterior colporrhaphy. What action can be delegated to the unlicensed assistive personnel (UAP)? a Teaching the patient to avoid lifting her 4-year-old . grandson b Reviewing the hematocrit and hemoglobin results . c Drawing a shallow hot bath for comfort .
measures d Assessing the level of pain and any drainage .
1 points
QUESTION 6
1. A nurse is caring for four postoperative patients who each had a total abdominal hysterectomy. Which patient would the nurse assess first upon initial rounding? a Patient who has pain of “4” on a scale of 0 to 10
. b Patient with a temperature of 99° F (37.2° C) and blood pressure of .
115/73 mm Hg
c Patient who has had two saturated perineal pads in the .
last 2 hours
d Patient with a urinary catheter output of 150 mL in the last 3 .
hours
1 points
QUESTION 7
1. A patient 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 Teach that estrogen cream inserted . vaginally may help. b Suggest increasing vitamins and supplements . daily. c Discuss the value of a balanced diet and exercise. . d Reinforce that weight gain may be inevitable. .
1 points
QUESTION 8
lOMoARcPSD|11700591
1. A patient 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 “It is contained in the endometrium of the cervix.” . b “The cancer now involves the cervix.” . c “It has reached the vagina or lymph nodes.” . d “The cancer has spread to the mucosa of the bowel .
and bladder.”
1 points
QUESTION 9
1. The patient is emotionally upset about the recent diagnosis of stage IV endometrial cancer. Which action by the nurse is best? a Let the patient alone for a long period of . reflection time. b Ask friends and relatives to limit their visits. . c Create an atmosphere of acceptance and .
discussion.
d Tell the patient that an emotional response is .
unacceptable.
1 points
QUESTION 10
1. A patient 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? a “You should use a separate bathroom from the rest of the . family.” b “To be totally safe, it is a good idea to sleep in a separate . room.” c “It is best to stay a safe distance from friends or family between . treatments.” d “You are only radioactive when the radioactive implant . is in place.” 1 points
QUESTION 11
1. A patient has just returned from a total abdominal hysterectomy and needs postoperative nursing care. What action can the nurse delegate to the unlicensed assistive personnel (UAP)? a Check the hemoglobin and hematocrit . levels. b Evaluate the dressing for drainage.
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. c Empty the urine from the urinary .
catheter bag.
d Assess heart, lung, and bowel sounds. . 1 points
QUESTION 12
1. A 20-year-old patient 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? a “You will need to have three injections over a span of 1 year.” . b “Either Gardasil or Cervarix can provide protection.” . c “The most common side effect of the vaccine is itching at the .
injection site.”
d “You are too old to receive an HPV vaccine.” . 1 points
QUESTION 13
1. A 28-year-old patient is diagnosed with uterine leiomyoma and is experiencing severe symptoms. Which actions by the nurse are the most appropriate at this time? (Select all that apply.) a Review complete blood count for possible iron. deficiency anemia b Relieve anxiety by relaxation techniques and . education. c Discuss in detail the side effects of laparoscopic surgery. . d Reduce the pain by low-level heat. . e Discuss the high risk of infertility with this diagnosis. .
1 points
QUESTION 14
1. The nurse is giving discharge instructions to a patient who had a total abdominal hysterectomy. Which statements by the patient indicate a need for further teaching? (Select all that apply.) a “My granddaughter weighs 23 lbs (10.5 kg) so I need to refrain . from picking her up.” b “I will have to limit the times that I climb our stairs at home to . morning and night.” c “I should not have any problems driving to see my mother, . who lives 3 hours away.” d “For 1 month, I will need to refrain from sexual intercourse.” .
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e “Now that I have time off from work, I can return to my .
exercise routine next week.”
1 points
QUESTION 15
1. The nurse is taking the history of a 24-year-old patient diagnosed with cervical cancer. What possible risk factors would the nurse assess? (Select all that apply.) a Poor diet . b Nulliparity . c Multiple sexual partners . d Younger than 18 at first .
intercourse
e Smoking .
1 points
QUESTION 16
1. A patient 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 “It is not wise to stay out in the sun for long . periods of time.” b “Your skin needs to be inspected daily for any . breakdown.” c “The perineal area may become damaged with . the radiation.” d “The technician applies new site markings before each . treatment.” e “You will need to be hospitalized during this therapy.” .
1 points
QUESTION 17
1. The nurse is teaching a patient who is undergoing brachytherapy about what to immediately report to her healthcare provider. Which signs and symptoms would be included in this teaching? (Select all that apply.) a Temperature of 99° F . (37.2° C) b Visible blood in the . urine c Heavy vaginal bleeding . d Constipation for 3 days .