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Chapter 51 Management of Patients With Female Reproductive Disorders
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Chapter 51 Management of Patients With Female Reproductive Disorders
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Chapter 51 Management of Patients With FemaleReproductive Disorders
Multiple Choice
1. The nurse is obtaining a health history on a 20-year old female who is currently taking
miconazole (Monistat). The nurse knows that this medication is used to treat which of
the following medical conditions?
A) Bacterial vaginosis
B) Human papillomavirus (HPV)
C) Candidiasis
D) Toxic shock syndrome (TSS)
Ans: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Patient Needs: D-2
Feedback: Candidiasis is a fungal or yeast infection caused by strains of Candida. Miconazole
(Monistat) is an antifungal medication used in the treatment of candidiasis. This agent is
inserted into the vagina with an applicator at bedtime and may be applied to the vulvar area for
pruritus. Refer to Table 47-1.
2. A patient is admitted to the hospital with genital herpes. The nurse would expect which of
the following medications to be ordered to suppress the symptoms and shorten the course of the
infection?
A) Clotrimazole (Gyne-Lotrimin)
B) Metronidazole (Flagyl)
C) Podophyllin (Podofin)
D) Acyclovir (Zovirax)
Ans: D
,Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-2
Feedback: Acyclovir (Zovirax) is an antiviral agent that can suppress the symptoms of genital
herpes and shorten the course of the infection. It is effective at reducing the duration of
lesions and preventing recurrences. Clotrimazole is used in the treatment of yeast infections.
Metronidazole is the most effective treatment for trichomoniasis. Podophyllin is used to treat
external genital warts.
3. The nurse teaching a patient preventative measures regarding vaginal infections
should include which of the following as an important risk factor?
A) High estrogen levels
B) Menarche
C) Non-pregnant state
D) Frequent douching
Ans: D
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Patient Needs: A-1
Feedback: Risk factors associated with vulvovaginal infections include pregnancy,
premenarche, low estrogen levels, and frequent douching. Refer to Chart 47-1.
, 4. The nurse developing a care plan for a patient with trichomoniasis would include which of
the following as an important aspect?
A) Both partners are treated with metronidazole (Flagyl)
B) Constipation and menstrual difficulties may occur
C) Perform Kegel exercises 30 to 80 times daily
D) Care will involve hormonal therapy to control the pain
Ans: A
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