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RICCI CHAPTER 7 - TEST BANK - 4TH EDITION QUESTIONS AND ANSWERS 2024 -25
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RICCI CHAPTER 7 - TEST BANK - 4TH EDITIONQUESTIONS AND ANSWERS 2024 -25
1., A, woman, is, admitted, for, repair, of, cystocele, and, rectocele., She, has, nine, living, children., In
taking, her, health, history,, what, would, the, nurse, expect, to, find?
A., sporadic, vaginal, bleeding, accompanied, by, chronic, pelvic, pain
B., heavy, leukorrhea, with, vulvar, pruritus
C., menstrual, irregularities, and, hirsutism, on, the, chin
D., stress, incontinence, with, feeling, of, low, abdominal, pressure, , ANS, -, , Answer:, D
Rationale:, Cystocele, and, rectocele, are, examples, of, pelvic, organ, prolapse., Manifestations
typically, include, stress, incontinence, and, lower, abdominal, pressure, or, pain., Complaints, of
sporadic, vaginal, bleeding, and, chronic, pelvic, pain, are, associated, with, uterine, fibroids.
Leukorrhea, and, vulvar, pruritus, commonly, are, associated, with, an, infection., Menstrual
irregularities, and, hirsutism, are, associated, with, polycystic, ovarian, syndrome.
2., To, assist, the, woman, in, regaining, control, of, the, urinary, sphincter, after, bladder, surgery,, the
nurse, should, teach, the, client, to, perform, which, action?
A., Perform, Kegel, exercises, daily.
B., Void, every, hour, while, awake.
C., Limit, the, intake, of, fluid.
D., Take, a, laxative, every, night., , ANS, -, , Answer:, A
Rationale:, After, bladder, surgery,, the, client, should, perform, Kegel, exercises, daily, to, strengthen
the, pelvic, floor, muscles., Bladder, training, with, voiding, every, 3, to, 5, hours, helps, to, establish
normal, voiding, intervals., Fluids, should, not, be, limited;, however,, the, woman, should, avoid, fluids
that, are, irritants,, such, as, caffeinated, fluids,, soda,, and, alcohol., Constipation, is, to, be, avoided,, but
a, high-fiber, diet, rather, than, daily, laxative, use, is, recommended.
3., When, developing, the, plan, of, care, for, a, woman, who, has, had, an, abdominal, hysterectomy,, the
nurse, would, identify, which, action, as, contraindicated?
, A., ambulating, the, client
B., massaging, the, client's, legs
C., applying, elasticized, stockings
D., encouraging, range-of-motion, exercises, , ANS, -, , Answer:, B
Rationale:, After, an, abdominal, hysterectomy,, massaging, the, client's, legs, would, be
contraindicated, because, the, woman, is, at, risk, for, venous, stasis,, thrombophlebitis,, and
thromboembolism., Ambulation,, elasticized, stockings,, and, range-of-motion, exercises, would, be
appropriate, to, reduce, the, woman's, risk, for, thrombophlebitis.
4., A, nurse, is, conducting, a, presentation, for, a, local, women's, group, about, pelvic, floor, disorders.
Which, instruction, would, the, nurse, include, about, preventing, pelvic, support, disorders?
A., performing, Kegel, isometric, exercises
B., consuming, low-fiber, diets
C., using, hormone, replacement
D., voiding, every, 2, hours, , ANS, -, , Answer:, A
Rationale:, Kegel, exercises, are, an, effective, preventive, measure, for, pelvic, support, disorders., They
may, limit, the, progression, of, a, mild, prolapse, and, alleviate, mild, prolapse, symptoms., High-fiber
rather, than, low-fiber, diets, are, appropriate, to, reduce, straining, associated, with, constipation.
Hormone, replacement, therapy, must, be, highly, individualized, and, is, not, an, appropriate, option, for
every, woman., Normal, voiding, patterns, typically, are, every, 3, to, 5, hours., Too, frequent, or, too
infrequent, voiding, can, lead, to, problems.
5., A, client, is, diagnosed, with, an, enterocele., The, nurse, interprets, this, condition, as:
A., protrusion, of, the, posterior, bladder, wall, downward, through, the, anterior, vaginal, wall.
B., sagging, of, the, rectum, with, pressure, exerted, against, the, posterior, vaginal, wall.
C., bulging, of, the, small, intestine, through, the, posterior, vaginal, wall.
D., descent, of, the, uterus, through, the, pelvic, floor, into, the, vagina., , ANS, -, , Answer:, C
Rationale:, An, enterocele, occurs, when, the, small, intestine, bulges, through, the, posterior, vaginal
wall,, especially, when, straining., A, cystocele, is, a, protrusion, of, the, posterior, bladder, wall
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