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LEWIS TEST BANK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LEWIS TEST BANK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LEWIS TEST BANK QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient
should the nurse see FIRST? - ANSWER a. 22-year-old with persistent red-brown vaginal drainage 3 days
after having balloon thermotherapy
b. 42-year-old with secondary amenorrhea who says that her last menstrual cycle was 3 months ago
c. 35-year-old with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago
D. 19-year-old with menorrhagia who has been using superabsorbent tampons and has fever with
weakness Rational:
The patients history and clinical manifestations suggest possible toxic shock syndrome, which will require
rapid intervention. The symptoms for the other patients are consistent with their diagnoses and do not
indicate life-threatening complications.
A healthy 28-year-old who has been vaccinated against human papillomavirus (HPV) has a normal Pap
test. Which information will the nurse include in patient teaching when calling the patient with the
results of the Pap test? - ANSWER Pap testing is recommended every 3 years for women your age.
To prevent pregnancy in a patient who has been sexually assaulted, the nurse in the emergency
department will plan to teach the patient about the use of - ANSWER levonorgestrel (Plan-B One-Step).
Rational:
Plan B One-Step reduces the risk of pregnancy when taken within 72 hours of intercourse. The other
methods are used for therapeutic abortion, but not for pregnancy prevention after unprotected
intercourse.
A 22-year-old tells the nurse that she has not had a menstrual period for the last 2 months. Which action
is MOST important for the nurse to take? - ANSWER A. Obtain a urine specimen for a pregnancy test.
b. Ask about any recent stressful lifestyle changes.
c. Measure the patients current height and weight.
d. Question the patient about prescribed medications. Rational:
Pregnancy should always be considered a possible cause of amenorrhea in women of childbearing age.
The other actions are also appropriate, but it is important to check for pregnancy in this patient because
pregnancy will require rapid implementation of actions to promote normal fetal development such as
changes in lifestyle, folic acid intake, etc.
, Which information will the nurse include when teaching a patient who has developed a small
vesicovaginal fistula 2 weeks into the postpartum period? - ANSWER a. Take stool softeners to prevent
fecal contamination of the vagina.
b. Limit oral fluid intake to minimize the quantity of urinary drainage.
C. Change the perineal pad frequently to prevent perineal skin breakdown.
d. Call the health care provider immediately if urine drains from the vagina.
Rational:
Because urine will leak from the bladder, the patient should plan to use perineal pads and change them
frequently. A high fluid intake is recommended to decrease the risk for urinary tract infections. Drainage
of urine from the vagina is expected with vesicovaginal fistulas. Fecal contamination is not a concern
with vesicovaginal fistulas.
The nurse has just received change-of-shift report about the following four patients. Which patient
should be assessed FIRST? - ANSWER a. A patient with a cervical radium implant in place who is crying in
her room
b. A patient who is complaining of 5/10 pain after an abdominal hysterectomy
C. A patient with a possible ectopic pregnancy who is complaining of shoulder pain
d. A patient in the fifteenth week of gestation who has uterine cramping and spotting
Rational:
The patient with the ectopic pregnancy has symptoms consistent with rupture and needs immediate
assessment for signs of hemorrhage and possible transfer to surgery. The other patients should also be
assessed as quickly as possible but do not have symptoms of life-threatening complications
A 27-year-old patient tells the nurse that she would like a prescription for oral contraceptives to control
her premenstrual dysphoric disorder (PMD-D) symptoms. Which patient information is MOST important
to communicate to the health care provider? - ANSWER a. Bilateral breast tenderness
b. Frequent abdominal bloating
C. History of migraine headaches
d. Previous spontaneous abortion
Rational:
Oral contraceptives are contraindicated in patients with a history of migraine headaches. The other
patient information would not prevent the patient from receiving oral contraceptives.
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