Nokea
The nurse is providing teaching a patient who has been treated for pelvic inflammatory disease. Which of the following information should the nurse teach the patient about?
- A. Irregularities in the menstrual cycle
- B. Changes in secondary sex characteristics
- C. Possible difficulty with becoming pregnant
- D. Use of hormone replacement therapy (HRT)
Correct Answer: C
Rationale: Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is not affected, the patient will not require HRT, have irregular menstrual cycles, or experience changes in secondary sex characteristics.
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The nurse is assessing a patient who has amenorrhea with a weight of 41 kg. The patient makes all of the following statements. Which one indicates a need for immediate teaching by the nurse?
- A. I have not been able to eat much at all for the past three months.
- B. I drink at least three glasses of nonfat milk daily.
- C. I am not sexually active but currently have a boyfriend.
- D. I was recently treated for a sexually transmitted infection.
Correct Answer: A
Rationale: Not being able to eat much at all for the past three months indicates that the patient may be experiencing anorexia. Anorexia can cause amenorrhea. The other statements by the patient do not suggest any urgent teaching needs.
The nurse is assessing a patient who had a hysterosalpingogram, endometrial biopsy, and cervical biopsy in the outpatient clinic this morning and now reports feeling light-headed and short of breath. Which of these symptoms is most important to report to the health care provider?
- A. Abdominal cramping
- B. Vaginal spotting
- C. Light-headedness
- D. Dyspnea
Correct Answer: C
Rationale: The patient's light-headedness suggests a possible vasovagal response or other complication post-procedure, requiring immediate attention. Dyspnea could also be significant, but light-headedness is prioritized due to its potential to indicate hypoperfusion or shock. Abdominal cramping and vaginal spotting are expected after these procedures.
The nurse is admitting a young adult female patient to the emergency department after an automobile accident and is scheduled for abdominal x-rays. Which of the following information is most important to report to the health care provider before the x-rays are obtained?
- A. Abdominal pain
- B. Positive hCG testing
- C. Temperature 38.9°C
- D. Bruising on the abdomen
Correct Answer: B
Rationale: A positive hCG test indicates pregnancy, and radiation from x-rays could harm the fetus, making this the most critical information to report. Abdominal pain, fever, and bruising are important but less urgent in this context.
A male patient who is 53 years of age is scheduled for an annual physical exam. Which of the following information should the nurse include in the teaching plan?
- A. Increased risk for testicular cancer
- B. Possible changes in erectile function
- C. Normal decreases in testosterone level
- D. Annual digital rectal examination
Correct Answer: D
Rationale: A digital rectal examination is required for all men who have symptoms of prostate trouble, such as difficulty in initiating the flow and the urge to void frequently. This examination should be performed annually for all men 50 years of age or older. There is no indication that the other patient teaching topics are appropriate for this patient.
A patient calls the clinic because of an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. Which of the following amounts of blood loss should the nurse estimate from the patient's information?
- A. 10-20 mL
- B. 20-30 mL
- C. 30-40 mL
- D. 40-60 mL
Correct Answer: D
Rationale: The average tampon absorbs 20-30 mL. Since the patient saturated two tampons in 2 hours, the estimated blood loss is 40-60 mL.