Prep U Quiz Sexuality – Questions With Solutions A 55 year old patient has hypertension. She has admitted to her physician that she stopped taking her regular medications about 3 months ago and started an alternative, new-age therapy. When the patient asks about herbal remedies to treat her hot f...
A 55 year old patient has hypertension. She has admitted to her physician
that she stopped taking her regular medications about 3 months ago and
started an alternative, new-age therapy. When the patient asks about
herbal remedies to treat her hot flashes, which of the following natural
estrogens is the physician likely to recommend?
a) Ginkgo biloba
b) Bitter gourd tea
c) Turmeric powder
d) Soy milk Correct Ans - Soy milk
Explanation:
Alternative treatments like natural estrogens found in soy products may be
effective in treating hot flashes associated with menopause. Ginkgo biloba
is an herbal remedy that may help to treat blood disorders and improve
memory. The benefits of drinking bitter gourd tea include possible blood
sugar regulation, cancer prevention, and antioxidant protection. Turmeric
is used in the treatment of digestive and liver problems.
A client is diagnosed with osteoporosis. Which statements would the nurse
include when teaching the client about the disease? Select all that apply.
a) Passive ROM exercises can promote bone growth.
b) Osteoporosis is a degenerative disease characterized by a decrease in
bone density.
c) Osteoporosis is common in females after menopause.
d) The disease is inherited, caused by an inability to tolerate milk products.
e) Osteoporosis can cause pain and injury.
f) Weight-bearing exercise would be avoided. Correct Ans -
Osteoporosis is a degenerative disease characterized by a decrease in bone
density.
• Osteoporosis is common in females after menopause.
• Osteoporosis can cause pain and injury.
Explanation:
,Osteoporosis is a degenerative metabolic bone disorder in which the rate of
bone resorption accelerates and the rate of bone formation decelerates,
thus decreasing bone density. Postmenopausal women are at increased risk
for this disorder because of the loss of estrogen. The decrease in bone
density can cause pain and injury. Osteoporosis isn't a congenital disorder;
however, low calcium intake does contribute to the disorder. Passive range-
of-motion exercises may be performed but they won't promote bone
growth. The client should be encouraged to participate in weight-bearing
exercise because it promotes bone growth.
During a routine physical examination on a 75-year-old female client, a
nurse notes that the client is 5 feet, 3/8 inches (1.6 m) tall. The client
states, "How is that possible? I was always 5 feet and 1/2 inches (1.7 m)
tall." Which statement is the best response by the nurse?
a) "The posture begins to stoop after middle age."
b) "After age 40, height may show a gradual decrease as a result of spinal
compression"
c) "After menopause, the body's bone density declines, resulting in a
gradual loss of height."
d) "There may be some slight discrepancy between the measuring tools
used." Correct Ans - "After menopause, the body's bone density
declines, resulting in a gradual loss of height."
Explanation:
The nurse should tell the client that after menopause, the loss of estrogen
leads to a loss in bone density, resulting in a loss of height. This client's
history doesn't indicate spinal compression. Telling the client that
measuring tools used to obtain the client's height may have a discrepancy
or that the posture begins to stoop after middle age doesn't address the
client's question.
Which example best supports the diagnosis of Sexual Dysfunction:
Dyspareunia?
a) A 50-year-old woman with a history of stroke is afraid to have sex with
her partner for fear it will elevate her blood pressure.
,b) A 39-year-old alcoholic woman is no longer interested in having sex with
her partner.
c) A 50-year-old woman in the process of menopause has pain and burning
during intercourse.
d) A patient with a colostomy believes she cannot have a sexual
relationship with her husband because he will be repulsed by her stoma.
Correct Ans - A 50-year-old woman in the process of menopause has
pain and burning during intercourse.
Explanation:
Dyspareunia refers to pain and burning during intercourse. This is a
common cause of sexual dysfunction, especially during menopause. A
colostomy, fear of blood pressure elevation, and lack of interest in sex may
lead to the nursing diagnosis of Sexual Dysfunction, but not related to
dyspareunia
The nurse is assessing a female patient who states that she notices an
involuntary loss of urine following a coughing episode. What would be the
nurse's best reply?
a) "You are experiencing stress incontinence. Do you know how to do Kegel
exercises?"
b) "You are experiencing reflex incontinence. Have you had a spinal cord
injury in the past?"
c) "You are experiencing transient incontinence. Have you been
administered diuretics or IV fluids lately?"
d) "You are experiencing total incontinence. Have you had any surgeries or
trauma that may be causing this?" Correct Ans - "You are
experiencing stress incontinence. Do you know how to do Kegel exercises?"
Explanation:
Pelvic floor muscle training (PFMT) can improve voluntary control of
urination and significantly reduce or eliminate problems with stress
incontinence (involuntary loss of urine related to an increase in intra-
abdominal pressure) by strengthening perineal and abdominal muscle tone
(Huebner et al., 2011). PFMT, more commonly called Kegel exercises,
targets the inner muscles that lie under and support the bladder. These
, muscles can be toned, strengthened, and actually made larger by a regular
routine of tightening and relaxing. Transient incontinence appears
suddenly and lasts for 6 months or less. It is usually caused by treatable
factors, such as confusion secondary to acute illness, infection, and as a
result of medical treatment, such as the use of diuretics or intravenous
fluid administration. Stress incontinence (discussed earlier in the chapter)
occurs when there is an involuntary loss of urine related to an increase in
intra-abdominal pressure. This commonly occurs during coughing,
sneezing, laughing, or other physical activities. Childbirth, menopause,
obesity, or straining from chronic constipation can also result in urine loss.
Total incontinence is a continuous and unpredictable loss of urine,
resulting from surgery, trauma, or physical malformation. Urination cannot
be controlled due to an anatomic abnormality
A young female client has received chemotherapeutic medications and asks
about any effects the treatments will have related to her sexual health. The
most appropriate statement by the nurse is
a) "You will experience menopause now."
b) "You will need to practice birth control measures."
c) "You will continue having your menses every month."
d) "You will be unable to have children." Correct Ans - "You will
need to practice birth control measures."
Explanation:
Following chemotherapy female clients may experience normal ovulation,
early menopause, or permanent sterility. Clients are advised to use reliable
methods of birth control until reproductivity is known
A 51 year old woman has come to the OB/GYN clinic for her annual
physical. She tells the nurse that she has been experiencing severe hot
flashes, but that she is reluctant to begin hormone therapy (HT). What
potential solution should the nurse discuss with the patient?
a) Adopting a vegan diet
b) Sodium restriction
c) Massage therapy
d) Vitamin supplements Correct Ans - Vitamin supplements
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