Nokea
By initiating an assessment about sexual concerns what does the nurse convey to the patient? Select all that apply.
- A. That sexual issues are valid health issues
- B. That it is safe to talk about sexual issues
- C. That sexual issues are only a minor aspect a persons identity
- D. That changes or problems in sexual functioning should be discussed
- E. That changes or problems in sexual functioning are highly atypical
Correct Answer: A,B,D
Rationale: By initiating an assessment about sexual concerns, the nurse communicates that issues about changes or problems in sexual functioning are valid and significant health issues, that it is safe to discuss them, and that they should be addressed. Sexual issues are not portrayed as minor or highly atypical.
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A nurse is collecting assessment data from a premenopausal patient who states that she does not have menses. What term should the nurse use to document the absence of menstrual flow?
- A. Amenorrhea
- B. Dysmenorrhea
- C. Menorrhagia
- D. Metrorrhagia
Correct Answer: A
Rationale: Amenorrhea refers to the absence of menstrual flow, which aligns with the patient's report. Dysmenorrhea indicates painful menstruation, menorrhagia refers to prolonged or excessive bleeding during menstruation, and metrorrhagia denotes bleeding between periods. Amenorrhea is the correct term for documentation.
A patient in her late fifties has expressed to the nurse her desire to explore hormone replacement therapy (HRT). Based on what aspect of the patients health history is HRT contraindicated?
- A. History of vaginal dryness
- B. History of hot flashes and night sweats
- C. History of vascular thrombosis
- D. Family history of osteoporosis
Correct Answer: C
Rationale: The use of HRT is contraindicated in women with a history of vascular thrombosis, active liver disease, some cases of uterine cancer, and undiagnosed vaginal bleeding. HRT is beneficial in women with a risk for osteoporosis and can relieve symptoms like vaginal dryness, hot flashes, and night sweats. A history of vascular thrombosis is a clear contraindication.
The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the patients menstrual history? Select all that apply.
- A. Do you ever experience bleeding after intercourse?
- B. How long is your typical cycle?
- C. Did you have any sexually transmitted infections in early adulthood?
- D. When did your mother and sisters get their first periods?
- E. Do you experience cramps or pain during your cycle?
Correct Answer: A,B,E
Rationale: Menstrual history assessment includes questions about cycle length, presence of cramps or pain, and bleeding after intercourse, which are relevant to dysmenorrhea. Family menarche history and past STIs are less directly related to current menstrual symptoms.
A 51-year-old woman has come to the OB/GYN clinic for her annual physical. She tells the nurse that she has been experiencing severe hot flashes, but that she is reluctant to begin hormone therapy (HT). What potential solution should the nurse discuss with the patient?
- A. Sodium restriction
- B. Adopting a vegan diet
- C. Massage therapy
- D. Vitamin supplements
Correct Answer: D
Rationale: For some women, vitamins B6 and E have proven beneficial for the treatment of hot flashes, making this a viable option to discuss. Sodium restriction, a vegan diet, and massage therapy have not been noted to relieve hot flashes in perimenopause.
A couple with a diagnosis of ovarian failure discusses their infertility options with their physician. The nurse should recognize which of the following as the treatment of choice for a patient with ovarian failure?
- A. Intracytoplasmic sperm injection
- B. Artificial insemination
- C. Gamete intrafallopian transfer
- D. In vitro fertilization
Correct Answer: C
Rationale: Gamete intrafallopian transfer (GIFT), a variation of IVF, is the treatment of choice for ovarian failure, as it addresses the lack of functional ovaries. Intracytoplasmic sperm injection is used for male factor infertility, and artificial insemination and standard IVF are less specific to ovarian failure.