Question 1

The nurse is caring for a patient diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?&#10;A)&#34;I am having many hot flashes since I had the Lupron injection.&#34;&#10;B)&#34;The pain I experience with intercourse is becoming more severe.&#34;&#10;C)&#34;My leg has become painful and swollen since I started taking birth control pills.&#34;&#10;D)&#34;I've noticed my voice is lower since I started taking danazol.&#34;

Accepted Answer

Pain and swelling in the leg could indicate a potential blood clot, which is a serious and potentially life-threatening complication of birth control pills. The patient should seek immediate medical attention. The other statements require follow-up but are not as urgent as the potential blood clot.

Question 2

The nurse is discharging a patient after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective?&#10;A)&#34;I might have infertility because of this infection.&#34;&#10;B)&#34;It is important for me to finish my antibiotics.&#34;&#10;C)&#34;Tubal pregnancy could occur after PID.&#34;&#10;D)&#34;My PID was caused by a yeast infection.&#34;&#10;E)&#34;I am going to have an IUD placed for contraception.&#34;

Accepted Answer

A) Infertility can be a complication of PID due to damage to the fallopian tubes. B) Completing the antibiotic course is crucial to fully treat the infection and prevent recurrence. C) PID can cause scarring of the fallopian tubes, increasing the risk of ectopic (tubal) pregnancy.

Question 3

The nurse is to tell a patient that her Pap smear result was abnormal. Which statement should the nurse include?&#10;A)&#34;The Pap smear is used to diagnose cervical cancer.&#34;&#10;B)&#34;A loop electrosurgical excision procedure (LEEP) is needed.&#34;&#10;C)&#34;Colposcopy to further examine your cervix is the next step.&#34;&#10;D)&#34;Your cervix needs to be treated with cryotherapy.&#34;

Accepted Answer

Colposcopy is the next step after an abnormal Pap smear result. It allows for a closer examination of the cervix to identify any abnormal cells or lesions. The other options (A, B, and D) may apply depending on the results of the colposcopy, but they are not the immediate next step.

Question 4

The nurse is creating a care plan for a patient who is unable to conceive as a consequence of endometriosis. Which statement accurately reflects a nursing diagnosis that may apply to the care of this patient?

A)Acute pain related to dysuria and renal pain secondary to endometriosis
B)Hyperandrogenism related to elevated serum androgen levels secondary to endometriosis
C)Compromised family coping related to depression secondary to infertility
D)Infertility related to endometrial inflammation and adhesions secondary to endometriosis

Accepted Answer

The answer of The nurse is creating a care plan...

Question 5

Which patient in the gynecology clinic should the nurse see first?&#10;A)22-year-old, using tampons, T=102&#176;F, P=122, BP=70/55&#10;B)15-year-old, no menses for past four months&#10;C)18-year-old seeking information on contraception methods&#10;D)31-year-old, reports increasing dyspareunia

Accepted Answer

The 22-year-old patient is presenting with a fever and low blood pressure, which could indicate a possible infection such as toxic shock syndrome, a serious and life-threatening condition associated with tampon use. This patient should be seen first to assess and treat for potential medical emergencies. The other patients can be seen after this patient has been evaluated.

Question 6

The couple demonstrates understanding of the consequences of not treating Chlamydia when they state:&#10;A)&#34;She could become pregnant.&#34;&#10;B)&#34;She could have severe vaginal itching.&#34;&#10;C)&#34;He could get an infection in the tube that carries the urine out.&#34;&#10;D)&#34;It could cause us to develop rashes.&#34;&#10;E)&#34;She could develop a worse infection of the uterus and tubes.&#34;

Accepted Answer

C) Untreated Chlamydia in men can lead to infection in the urethra, the tube that carries urine from the bladder out of the body, causing symptoms like pain during urination. E) In women, untreated Chlamydia can spread to the uterus and fallopian tubes, leading to pelvic inflammatory disease (PID), which can cause infertility and chronic pelvic pain.

Question 7

The nurse is teaching a class to women who were recently diagnosed with benign breast disease (BBD), commonly known as fibrocystic breast disease. One of the participants reports increased swelling, pain, and pressure in her breasts just before menstruation. What is the best response by the nurse?

A)"Consider asking your nurse practitioner about adding a mild diuretic to your regimen."
B)"The pain may be caused by thinning of the normal breast tissue."
C)"Breast swelling and pressure are expected symptoms, but pain is abnormal and should be evaluated by your physician."
D)"It's best to make an appointment with an oncologist."

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Accepted Answer

CA mild diuretic can help reduce swelling and pressure by decreasing fluid retention, which is common before menstruation in women with fibrocystic breast disease. Breast swelling, pressure, and pain before menstruation are expected symptoms of fibrocystic breast disease, not indicators of cancer, so seeing an oncologist isn't the first recommended step.

Question 8

Which of the following patients should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) orally?&#10;A)A pregnant patient with gonorrhea and a yeast infection&#10;B)A non-pregnant patient with gonorrhea and Chlamydia&#10;C)A pregnant patient with syphilis&#10;D)A non-pregnant patient with Chlamydia and trichomoniasis

Accepted Answer

Ceftriaxone and doxycycline are recommended for the treatment of uncomplicated gonorrhea and Chlamydia co-infection. The other options require different treatments. A pregnant patient with gonorrhea and a yeast infection would require a different antibiotic for the yeast infection and may require special considerations for the gonorrhea treatment. A pregnant patient with syphilis would require penicillin treatment. A non-pregnant patient with Chlamydia and trichomoniasis would require metronidazole for the trichomoniasis.

Question 9

Which of the following diagnostic tests would the nurse question when ordered for a patient diagnosed with pelvic inflammatory disease (PID)?&#10;A)CBC (complete blood count) with differential&#10;B)Vaginal culture for Neisseria gonorrhoeae&#10;C)Throat culture for Streptococcus A&#10;D)RPR (rapid plasma reagin)

Accepted Answer

A throat culture for Streptococcus A would not be relevant to a diagnosis of pelvic inflammatory disease and would not provide useful information for the patient's care. The other options are appropriate diagnostic tests for PID.

Question 10

Which patient is at greatest risk for developing Chlamydia trachomatis infection?&#10;A)16-year-old, sexually active, using no contraceptive&#10;B)22-year-old mother of two, developed dyspareunia&#10;C)35-year-old woman on oral contraceptives&#10;D)48-year-old woman with hot flashes and night sweats

Accepted Answer

The 16-year-old patient who is sexually active and using no contraceptive is at the greatest risk for developing Chlamydia trachomatis infection due to their risk behavior and lack of protection. The other patients listed do not have risk factors for this type of infection.

Question 11

The nurse is preparing a brochure that compares and contrasts cystitis and pyelonephritis. Which information should be included in the brochure?&#10;A)Both conditions usually present with sudden onset of chills, high temperature, and flank pain.&#10;B)Dysuria, especially at the end of urination, is often the initial symptom of both conditions.&#10;C)Both conditions are associated with pregnancy complications including increased risk of preterm birth and of intrauterine growth restriction.&#10;D)Urine culture is included in the evaluation of both cystitis and pyelonephritis.

Accepted Answer

The answer of The nurse is preparing a brochure that...

Question 12

The nurse is planning a group session for parents who are beginning infertility evaluation. Which statement should be included in this session?&#10;A)&#34;Infertility can be stressful for a marriage.&#34;&#10;B)&#34;The doctor will be able to tell why you have not conceived.&#34;&#10;C)&#34;Your insurance will pay for the infertility treatments.&#34;&#10;D)&#34;Keep communicating with one another through this process.&#34;&#10;E)&#34;Taking a vacation usually results in pregnancy.&#34;

Accepted Answer

The answer of The nurse is planning a group session...

Question 13

Which statement indicates that patient teaching has been effective?&#10;A)&#34;I should douche weekly to prevent a recurrence of my bacterial vaginosis.&#34;&#10;B)&#34;I can use this anti-yeast medication weekly to prevent another infection.&#34;&#10;C)&#34;My diabetes is unrelated to the frequency of my vaginal yeast infections.&#34;&#10;D)&#34;The fishy vaginal odor I have is caused by a bacterial infection.&#34;

Accepted Answer

The answer of Which statement indicates that patient teaching has...

Question 14

The patient has been diagnosed with endometriosis. She asks the nurse if there are any long-term health risks associated with this condition. The nurse should include which statement in the patient teaching about endometriosis?

A)"There are no other health risks associated with endometriosis."
B)"Pain with intercourse rarely occurs as a long-term problem."
C)"You are at increased risk for ovarian and breast cancer."
D)"Most women with this condition develop fibromyalgia."

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Accepted Answer

The answer of The patient has been diagnosed with endometriosis....

Question 15

The physician has prescribed metronidazole (Flagyl) for a woman diagnosed with trichomoniasis. The nurse's instructions to the woman should include:&#10;A)&#34;Both partners must be treated with the medication.&#34;&#10;B)&#34;Alcohol does not need to be avoided while taking this medication.&#34;&#10;C)&#34;It will turn your urine orange.&#34;&#10;D)&#34;This medication could produce drowsiness.&#34;

Accepted Answer

The answer of The physician has prescribed metronidazole (Flagyl) for...

Question 16

A patient diagnosed with polycystic ovarian disease (PCOS) asks her nurse why her treatment regimen includes spironolactone (Aldactone). How should the nurse respond?&#10;A)&#34;Spironolactone may be used to decrease symptoms associated with PCOS, such as excessive hair growth and acne.&#34;&#10;B)&#34;Menstrual irregularities related to polycystic ovarian disease are treated using spironolactone.&#34;&#10;C)&#34;Spironolactone is often used to reduce complications associated with PCOS, including rectocele.&#34;&#10;D)&#34;Condylomata acuminata, which are sometimes caused by polycystic ovarian disease, are treated with spironolactone.&#34;

Accepted Answer

The answer of A patient diagnosed with polycystic ovarian disease...

Deck 6: Common Gynecologic Problems