Nokea
The young woman comes to the free clinic for the complaint of stomach cramps. During the examination, the nurse recommends that she be tested for chlamydia. The woman says 'I don't need any test...I don't have any symptoms for a sexual infection...I just came for irregular bleeding.' Which response is most informative?
- A. Well, if you get more symptoms come back for testing.'
- B. The health care provider may have to order medicine for syphilis and chlamydia. You probably have that too. You need to be tested today!'
- C. Testing is not mandatory...I probably wouldn't bother either since you have no symptoms.'
- D. The irregular bleeding may be part of a chlamydia infection.'
Correct Answer: D
Rationale: Chlamydia frequently displays no signs or symptoms in women. Some patients do have symptoms of vaginal pruritis, burning, dull pelvic pain, low-grade fever, vaginal discharge or irregular bleeding.
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Why do false-negative results in mammography occur in specific age-groups?
- A. Older women have greater density of breast tissue.
- B. Older women have less density of breast tissue.
- C. Younger women have greater density of breast tissue.
- D. Younger women have less density of breast tissue.
Correct Answer: C
Rationale: Because of the greater density of breast tissue, mammography is less sensitive in younger women, which may result in more false-negative results.
Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching?
- A. I understand I can lift as much as 20 lb.'
- B. I'm leaving today to stay with my daughter who lives 20 miles away. My husband plans to drive the family car.'
- C. The health care provider said I can't have sexual intercourse for 4 to 6 weeks.'
- D. I'm going to miss wearing my girdle or knee-high hose.'
Correct Answer: A
Rationale: If there has been an abdominal incision, there may be further restrictions on heavy lifting (nothing over 10 lb).
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.
A Gram stain smear of the patient's discharge reveals the presence of Neisseria gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information will the nurse include in response to his comment?
- A. Women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.'
- B. When gonorrhea infections occur in women, the disease affects only the ovaries and not the other genital organs.'
- C. Many women are not aware that they have gonorrhea because they often do not have symptoms of infection.'
- D. Women develop subclinical cases of gonorrhea that do not cause tissue damage or symptoms.'
Correct Answer: C
Rationale: Most women remain asymptomatic but may show a greenish-yellow discharge from the cervix.
A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole for 7 days. Which advice will the nurse give to the patient?
- A. Avoid alcohol while on metronidazole
- B. Be aware that her urine may turn blue and will stain clothing.
- C. Wear snug underwear during treatment.
- D. Be aware that she need not notify her sexual partners as trichomoniasis is not contagious.
Correct Answer: A
Rationale: Alcohol should be avoided as it can cause disorientation, cramps, and possibly convulsions.