Nokea
A 27-year-old female patient is diagnosed with invasive cervical cancer and is told she needs to have a hysterectomy. One of the nursing diagnoses for this patient is disturbed body image related to perception of femininity. What intervention would be most appropriate for this patient?
- A. Reassure the patient that she will still be able to have children.
- B. Reassure the patient that she does not have to have sex to be feminine.
- C. Reassure the patient that you know how she is feeling and that you feel her anxiety and pain.
- D. Reassure the patient that she will still be able to have intercourse with sexual satisfaction and orgasm.
Correct Answer: D
Rationale: Reassuring the patient that sexual intercourse is possible post-hysterectomy with satisfaction and orgasm addresses body image concerns related to femininity. The patient cannot have children after hysterectomy, and assuming her feelings is inappropriate.
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A nurse is caring for a pregnant patient with active herpes. The teaching plan for this patient should include which of the following?
- A. Babies delivered vaginally may become infected with the virus.
- B. Recommended treatment is excision of the herpes lesions.
- C. Pain generally does not occur with a herpes outbreak during pregnancy.
- D. Pregnancy may exacerbate the mothers symptoms, but poses no risk to the infant.
Correct Answer: A
Rationale: In pregnant women with active herpes, babies delivered vaginally may become infected with the virus, posing a risk for fetal morbidity and mortality. Lesions are not controlled with excision. Itching and pain often accompany outbreaks. Pregnancy can exacerbate symptoms and poses risks to the infant if the virus is active during delivery.
A 30-year-old patient has come to the clinic for her yearly examination. The patient asks the nurse about ovarian cancer. What should the nurse state when describing risk factors for ovarian cancer?
- A. Use of oral contraceptives increases the risk of ovarian cancer.
- B. Most cases of ovarian cancer are attributed to tobacco use.
- C. Most cases of ovarian cancer are considered to be random, with no obvious causation.
- D. The majority of women who get ovarian cancer have a family history of the disease.
Correct Answer: C
Rationale: Most cases of ovarian cancer are random, with only 5% to 10% having a familial connection. Oral contraceptives are associated with a reduced risk, and tobacco is not a major risk factor.
A nurse practitioner is examining a patient who presented at the free clinic with vulvar pruritus. For which assessment finding would the practitioner look that may indicate the patient has an infection caused by Candida albicans?
- A. Cottage cheese-like discharge
- B. Yellow-green discharge
- C. Gray-white discharge
- D. Watery discharge with a fishy odor
Correct Answer: A
Rationale: Candida albicans infection is characterized by itching and a scant white, cottage cheese-like discharge. Yellow-green discharge indicates Trichomonas vaginalis. Gray-white discharge and a fishy odor are signs of Gardnerella vaginalis.
A student nurse is caring for a patient who has undergone a wide excision of the vulva. The student should know that what action is contraindicated in the immediate postoperative period?
- A. Placing patient in low Fowlers position
- B. Application of compression stockings
- C. Ambulation to a chair
- D. Provision of a low-residue diet
Correct Answer: C
Rationale: Sitting in a chair would place too much tension on the incision site and is contraindicated immediately post-surgery. Low Fowlers position reduces tension on the incision. Compression stockings prevent deep vein thrombosis, and a low-residue diet prevents straining during defecation.
A patient with genital herpes is having an acute exacerbation. What medication would the nurse expect 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)
Correct Answer: D
Rationale: 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.