Nokea
A woman diagnosed with endometriosis reports 'painful intercourse.' What is the appropriate medical term for the nurse to document when describing this symptom?
- A. Dyspnea
- B. Dysmenorrhea
- C. Dyspareunia
- D. Dysrhythmia
Correct Answer: C
Rationale: Dyspareunia is the term for painful sexual intercourse. Dyspnea is shortness of breath. Dysmenorrhea is painful menstruation. Dysrhythmia is irregular heart rhythm.
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On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5?°C (97.7?°F). What will her temperature measurement most likely be if ovulation takes place on day 14?
- A. 35.9?°C (96.7?°F)
- B. 36.3?°C (97.3?°F)
- C. 36.7?°C (98.1?°F)
- D. 37.1?°C (98.9?°F)
Correct Answer: C
Rationale: At the time of ovulation, body temperature will increase slightly, about 0.2?°C (0.4?°F).
The nurse is instructing a man considering a vasectomy. What instruction will the nurse provide to address the postoperative time period?
- A. Intercourse should be delayed for 6 weeks.
- B. Sperm will still be ejaculated for a month.
- C. Erections will be difficult to maintain.
- D. Monthly sperm counts for a year will be necessary.
Correct Answer: B
Rationale: Because sperm are distal to the severed vas deferens, sperm will be in the ejaculate for about a month. A sperm count after that period of time should be performed to confirm the absence of sperm.
The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
- A. Abstain from sex.
- B. Use the male condom.
- C. Use the female condom.
- D. Use the barrier method.
Correct Answer: A
Rationale: Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.
What side effect would the nurse instruct a woman to look for when starting hormone replacement therapy (HRT)?
- A. Fatigue
- B. Headache
- C. Weight loss
- D. Amenorrhea
Correct Answer: B
Rationale: Patients initiating HRT are reminded to have regular follow-up care and report headaches, vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
The nurse is providing an informational session on oral contraceptives. Which of the following decrease effectiveness of oral contraceptives?
- A. Antihistamines for seasonal allergies
- B. Iron preparations for treatment of anemia
- C. Appetite suppressants for weight reduction
- D. Anticonvulsants for treatment of epilepsy
Correct Answer: D
Rationale: Anticonvulsants decrease the effectiveness of oral contraceptives.