Nokea
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, 'Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore.' Which response from the nurse is most therapeutic?
- A. Don't be concerned. All young women get upset before this kind of surgery.'
- B. Certainly, I will be glad to tell her about hormone replacement.'
- C. She will get over this feeling soon.'
- D. No matter what I may say to her, it is you that needs to listen to her concerns and assure her.'
Correct Answer: D
Rationale: Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful.
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The nurse instructs a group of women who attend the health clinic that persons who are particularly at risk for cervical cancer are persons who have which risk factor?
- A. smoke.
- B. wear tampons.
- C. have been sexually active since their teens.
- D. have multiple sexual partners.
- E. had chickenpox as a child.
- F. have a history of sexually transmitted infections (STI).
Correct Answer: A,C,D,F
Rationale: Women who have been sexually active since their teens, have multiple sexual partners, and have a history of STDs are more at risk for cancer of the cervix.
Which situation does the diagnosis of secondary infertility refer to?
- A. Has never conceived.
- B. Is infertile because of repeated infection.
- C. Has conceived but is now unable to do so.
- D. Is over the age of 38.
Correct Answer: C
Rationale: Secondary infertility refers to a woman who has conceived in the past and now is unable to do so.
Although menopause is a normal part of aging, why do some women enter menopause at an earlier age?
- A. Having become sexually active at an early age
- B. Living at high altitudes
- C. Excessive use of alcohol
- D. Morbid obesity
Correct Answer: B
Rationale: Early menopause may be brought on at an earlier age because of living in high altitudes, smoking, cancer treatment, and family history.
The nurse is assisting the health care provider in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical ___
Correct Answer: conization
Rationale: Conization of the cervix is indicated when eroded or infected tissue is to be removed or when there is a need for confirmation of cervical cancer. A cone-shaped section is removed when the mass is confined to the epithelial tissue.
Select the intervention that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy.
- A. Vaccinations
- B. Taking of blood pressure or samples
- C. Insertion of IV line
- D. Physical therapy on uninvolved arm
- E. Wear watch and jewelry on involved arm
- F. Carry purse on involved arm or shoulder
Correct Answer: A,B,C
Rationale: Patients should be taught not to have any procedures involving the arm on the affected side-BP readings, injections, intravenous infusion of fluids, or the drawing of blood, which may cause edema or infection-and to guard against infections from burns, needle pricks (sewing), and gardening injuries.