Nokea
The nurse is teaching a patient preventative measures regarding vaginal infections. The nurse should include which of the following as an important risk factor?
- A. High estrogen levels
- B. Late menarche
- C. Nonpregnant state
- D. Frequent douching
Correct Answer: D
Rationale: Risk factors associated with vulvovaginal infections include pregnancy, premenarche, low estrogen levels, and frequent douching. Frequent douching disrupts the normal vaginal flora, increasing infection risk.
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When reviewing the electronic health record of a female patient, the nurse reads that the patient has a history of adenomyosis. The nurse should be aware that this patient experiences symptoms resulting from what pathophysiologic process?
- A. Loss of muscle tone in the vaginal wall
- B. Excessive synthesis and release of unopposed estrogen
- C. Invasion of the uterine wall by endometrial tissue
- D. Proliferation of tumors in the uterine wall
Correct Answer: C
Rationale: Adenomyosis involves the invasion of endometrial tissue into the uterine wall, causing symptoms. It is not related to vaginal muscle tone, unopposed estrogen, or tumor proliferation.
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.
A public health nurse is participating in a campaign aimed at preventing cervical cancer. What strategies should the nurse include is this campaign? Select all that apply.
- A. Promotion of HPV immunization
- B. Encouraging young women to delay first intercourse
- C. Smoking cessation
- D. Vitamin D and calcium supplementation
- E. Using safer sex practices
Correct Answer: A,B,C,E
Rationale: Cervical cancer prevention includes HPV immunization, delaying first intercourse, smoking cessation, and safer sex practices to reduce HPV risk. Vitamin D and calcium supplementation are not relevant.
A 45-year-old woman has just undergone a radical hysterectomy for invasive cervical cancer. Prior to the surgery the physician explained to the patient that after the surgery a source of radiation would be placed near the tumor site to aid in reducing recurrence. What is the placement of the source of radiation called?
- A. Internal beam radiation
- B. Trachelectomy
- C. Brachytherapy
- D. External radiation
Correct Answer: C
Rationale: Brachytherapy involves placing a radiation source near the tumor to reduce recurrence. Internal beam radiation is not a standard term, and trachelectomy is a surgical procedure.
The nurse is planning health education for a patient who has experienced a vaginal infection. What guidelines should the nurse include in this program regarding prevention?
- A. Wear tight-fitting synthetic underwear.
- B. Use bubble bath to eradicate perineal bacteria.
- C. Avoid feminine hygiene products, such as sprays.
- D. Restrict daily bathing.
Correct Answer: C
Rationale: To prevent vaginal infections, patients should avoid feminine hygiene products like sprays, wear cotton underwear instead of synthetic, avoid douching, and maintain daily bathing. Tight-fitting synthetic underwear and bubble baths increase infection risk.