Chapter 53: Female Reproductive and Genital Problems
Lewis: Medical-Surgical Nursing Test Bank EXAM 2024-
2025 QUESTIONS AND CORRECT ANSWER
A 56-yr-old patient is concerned about having a moderate amount of vaginal bleeding after 5
years of menopause. The nurse will anticipate teaching the patient about
a. endometrial biopsy.
b. endometrial ablation.
c. uterine balloon therapy.
d. dilation and curettage (D&C). - answer>>>ANS: A
A postmenopausal woman with vaginal bleeding should be evaluated for endometrial cancer,
and endometrial biopsy is the primary test for endometrial cancer. D&C will be needed only if
the biopsy does not provide sufficient information to make a diagnosis. Endometrial ablation
and balloon therapy are used to treat menorrhagia, which is unlikely in this patient.
DIF: Cognitive Level: Apply (application) REF: 1257 TOP: Nursing Process: Planning MSC: NCLEX:
Physiological Integrity
A nursing diagnosis that is likely to be appropriate for a 67-yr-old patient who has just been
diagnosed with stage III ovarian cancer is
a. sexual dysfunction related to loss of vaginal sensation.
b. risk for infection related to impaired immune function.
c. anxiety related to cancer diagnosis and need for treatment decisions.
d. situational low self-esteem related to guilt about delaying medical care. - answer>>>ANS: C
The patient with stage III ovarian cancer is likely to be anxious about the poor prognosis and
about the need to make decisions about the multiple treatments that may be used. Decreased
vaginal sensation does not occur with ovarian cancer. The patient may develop immune
dysfunction when she receives chemotherapy, but she is not currently at risk. It is unlikely that
the patient has delayed seeking medical care because the symptoms of ovarian cancer are
vague and occur late in the course of the cancer.
When caring for a patient who has a radium implant for treatment of cervical cancer, the nurse
will
a. assist the patient to ambulate every 2 to 3 hours. b. use gloves and gown when changing the
patient's bed.
c. flush the toilet several times right after the patient voids.
d. encourage the patient to discuss any concerns by telephone. - answer>>>ANS: D
The nurse should spend minimal time in the patient's room to avoid exposure to radiation. The
patient and nurse can have longer conversations by telephone between the patient room and
nursing station. To prevent displacement of the implant, absolute bed rest is required. Wearing
of gloves and gown when changing linens and flushing the toilet several times are not necessary
because the isotope is confined to the implant.
DIF: Cognitive Level: Apply (application) REF: 1257 TOP: Nursing Process: Implementation MSC:
NCLEX: Safe and Effective Care Environment
Which patient in the women's health clinic will the nurse expect to teach about an endometrial
biopsy?
a. A 55-yr-old patient who has 3 to 4 alcoholic drinks each day
b. A 35-yr-old patient who has used oral contraceptives for 15 years
c. A 25-yr-old patient who has a family history of hereditary nonpolyposis colorectal cancer
d. A 45-yr-old patient who has had six previous full-term pregnancies and two spontaneous
abortions - answer>>>ANS: C
Patients with a personal or familial history of hereditary nonpolyposis colorectal cancer are at
increased risk for endometrial cancer. Alcohol addiction does not increase this risk. Multiple
pregnancies and oral contraceptive use offer protection from endometrial cancer.
DIF: Cognitive Level: Apply (application) REF: 1257 OBJ: Special Questions: Multiple Patients
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
, The nurse will plan to teach a 34-yr-old patient diagnosed with stage 0 cervical cancer about
a. radiation.
b. conization.
c. chemotherapy.
d. radical hysterectomy. - answer>>>ANS: B
Because the carcinoma is in situ, conization can be used for treatment. Radical hysterectomy,
chemotherapy, or radiation will not be needed.
DIF: Cognitive Level: Apply (application) REF: 1257 TOP: Nursing Process: Planning MSC: NCLEX:
Physiological Integrity
A 31-yr-old patient who has been diagnosed with human papillomavirus (HPV) infection gives a
health history that includes smoking tobacco, taking oral contraceptives, and having been
treated twice for vaginal candidiasis. Which topic will the nurse include in patient teaching?
a. Use of water-soluble lubricants
b. Risk factors for cervical cancer
c. Antifungal cream administration
d. Possible difficulties with conception - answer>>>ANS: B
Because HPV infection and smoking are both associated with increased cervical cancer risk, the
nurse should emphasize the importance of avoiding smoking. An HPV infection does not
decrease vaginal lubrication, decrease the ability to conceive, or require the use of antifungal
creams.
DIF: Cognitive Level: Apply (application) REF: 1257 TOP: Nursing Process: Implementation MSC:
NCLEX: Physiological Integrity
Which topic will the nurse include in the preoperative teaching for a patient admitted for an
abdominal hysterectomy?
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