Nokea
A patient comes to the clinic complaining of a tender, inflamed vulva. Testing does not reveal the presence of any known causative microorganism. What aspect of this patients current health status may account for the patients symptoms of vulvitis?
- A. The patient is morbidly obese.
- B. The patient has type 1 diabetes.
- C. The patient has chronic kidney disease.
- D. The patient has numerous allergies.
Correct Answer: B
Rationale: Vulvitis, an inflammation of the vulva, may result from disorders like diabetes, which can predispose to inflammation due to altered immune response or glucose levels. Obesity, kidney disease, and allergies are less likely causes.
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A patient has herpes simplex 2 viral infection (HSV2). The nurse recognizes that which of the following should be included in teaching the patient?
- A. The virus causes cold sores of the lips.
- B. The virus may be cured with antibiotics.
- C. The virus, when active, may not be contracted during intercourse.
- D. Treatment is aimed at relieving symptoms.
Correct Answer: D
Rationale: HSV-2 causes genital herpes, not cold sores (which are caused by HSV-1). It is not curable with antibiotics, as it is a viral infection. The virus is transmissible during active outbreaks. Treatment focuses on symptom relief.
Following a recent history of dyspareunia and lower abdominal pain, a patient has received a diagnosis of pelvic inflammatory disease (PID). When providing health education related to self-care, the nurse should address which of the following topics? Select all that apply.
- A. Use of condoms to prevent infecting others
- B. Appropriate use of antibiotics
- C. Taking measures to prevent pregnancy
- D. The need for a Pap smear every 3 months
- E. The importance of weight loss in preventing symptoms
Correct Answer: A,B
Rationale: Patients with PID should use condoms to prevent transmission and adhere to antibiotic regimens. Pregnancy prevention is not a primary concern, though ectopic pregnancy risk exists. Pap smears every 3 months are not required, and weight loss does not prevent PID symptoms.
The nurse is caring for a patient who has just been told that her ovarian cancer is terminal and that no curative options remain. What would be the priority nursing care for this patient at this time?
- A. Provide emotional support to the patient and her family.
- B. Implement distraction and relaxation techniques.
- C. Offer to inform the patients family of this diagnosis.
- D. Teach the patient about the importance of maintaining a positive attitude.
Correct Answer: A
Rationale: Emotional support is critical for a patient with a terminal diagnosis to help cope with the prognosis. Informing the family is not the nurses role unless requested. Distraction and positive attitude focus may be inappropriate at this stage.
A patient is post-operative day 1 following a vaginal hysterectomy. The nurse has notes an increase in the patient's abdominal girth and the patient complains of bloating. What is not the nurses most appropriate action?
- A. Provide the patient an with an unsweetened, carbonated beverage.
- B. Apply a warm compress to the patient's lower abdomen.
- C. Provide an ice pack to apply to the patient's perineum and suprapubic region.
- D. Assist the patient into a prone position.
Correct Answer: B
Rationale: Applying a warm compress to the abdomen can relieve bloating and flatus post-hysterectomy. Carbonated beverages and ice packs are not recommended, and prone positioning may be uncomfortable.
A 25-year-old patient diagnosed with invasive cervical cancer expresses a desire to have children. What procedure might the physician offer as treatment?
- A. Radical hysterectomy
- B. Radical culposcopy
- C. Radical trabeculectomy
- D. Radical trachelectomy
Correct Answer: D
Rationale: Radical trachelectomy preserves the uterus for potential pregnancy in young women with cervical cancer. Hysterectomy removes the uterus, and culposcopy/trabeculectomy are not relevant.