Nokea
A 14-year-old is brought to the clinic by her mother. The mother explains to the nurse that her daughter has just started using tampons, but is not yet sexually active. The mother states I am very concerned because my daughter is having a lot of stabbing pain and burning. What might the nurse suspect is the problem with the 14-year-old?
- A. Vulvitis
- B. Vulvodynia
- C. Vaginitis
- D. Bartholins cyst
Correct Answer: B
Rationale: Vulvodynia is a chronic vulvar pain syndrome with symptoms like burning and stabbing pain, often triggered by initial tampon use. Vulvitis is typically infectious. Vaginitis involves vaginal inflammation, and Bartholins cyst involves a blocked gland.
You may also like to solve these questions
The nurse is planning health education for a patient who has experienced a vaginal infection. What guidelines should the nurse include in this program regarding prevention?
- A. Wear tight-fitting synthetic underwear.
- B. Use bubble bath to eradicate perineal bacteria.
- C. Avoid feminine hygiene products, such as sprays.
- D. Restrict daily bathing.
Correct Answer: C
Rationale: To prevent vaginal infections, patients should avoid feminine hygiene products like sprays, wear cotton underwear instead of synthetic, avoid douching, and maintain daily bathing. Tight-fitting synthetic underwear and bubble baths increase infection risk.
The nurse is caring for a 63-year-old patient with ovarian cancer. The patient is to receive chemotherapy consisting of Taxol and Paraplatin. For what adverse effect of this treatment should the nurse monitor the patient?
- A. Leukopenia
- B. Metabolic acidosis
- C. Hyperphosphatemia
- D. Respiratory alkalosis
Correct Answer: A
Rationale: Taxol and Paraplatin commonly cause leukopenia, a manageable toxicity. Acid-base imbalances and hyperphosphatemia are not typical adverse effects of these drugs.
A patient has returned to the post-surgical unit after vulvar surgery. What intervention should the nurse prioritize during the initial postoperative period?
- A. Placing the patient in high Fowlers position
- B. Administering sitz baths every 4 hours
- C. Monitoring the integrity of the surgical site
- D. Avoiding analgesics unless the patients pain is unbearable
Correct Answer: C
Rationale: An important intervention for the patient who has undergone vulvar surgery is to monitor closely for signs of infection in the surgical site, such as redness, purulent drainage, and fever. The patient should be placed in low Fowlers position to reduce pain by relieving tension on the incision. Sitz baths are discouraged after wide excision of the vulva because of the risk of infection. Analgesics should be administered preventively on a scheduled basis to relieve pain and increase the patients comfort level.
A patient diagnosed with cervical cancer will soon begin round of radiation therapy. When planning the patient's subsequent care plan, the nurse should prioritize actions with what goal?
- A. Preventing hemorrhage from bleeding
- B. Ensuring the patient knows the treatment is palliative, not curative
- C. Protecting the safety of patient, family, and staff
- D. Ensuring that patient adheres to dietary restrictions during treatment
Correct Answer: C
Rationale: Safety during radiation therapy is critical to protect patients, family, and staff from exposure. Hemorrhage is not a common risk, and the treatment may be curative. Dietary restrictions are not typically required.
When reviewing the electronic health record of a female patient, the nurse reads that the patient has a history of adenomyosis. The nurse should be aware that this patient experiences symptoms resulting from what pathophysiologic process?
- A. Loss of muscle tone in the vaginal wall
- B. Excessive synthesis and release of unopposed estrogen
- C. Invasion of the uterine wall by endometrial tissue
- D. Proliferation of tumors in the uterine wall
Correct Answer: C
Rationale: Adenomyosis involves the invasion of endometrial tissue into the uterine wall, causing symptoms. It is not related to vaginal muscle tone, unopposed estrogen, or tumor proliferation.