Nokea
Which factor influences older women's reluctance to seek medical care for problems of the reproductive system?
- A. Embarrassment and cultural factors
- B. Denial
- C. Religious convictions
- D. Lack of free time
Correct Answer: A
Rationale: Many older women are reluctant to seek medical care for problems of the reproductive system. This may be related to cultural factors, embarrassment, or lack of knowledge.
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A patient, age 46, is recovering from an abdominal hysterectomy. Postoperative nursing assessment findings include a urinary output of $100 \mathrm{~mL}$ in 4 hours. Which action will the nurse take?
- A. Force fluids.
- B. Report urinary retention to the charge nurse.
- C. Milk' the urinary catheter.
- D. Turn the patient onto her right side.
Correct Answer: B
Rationale: Postoperative nursing interventions for patients with abdominal hysterectomy focus on monitoring vital signs and preventing urinary retention. The patient should have an output of at least 30 mL/hr. Anything less than that should be reported.
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
- A. Don't worry, that is a normal reaction.'
- B. I'll report the findings immediately to the head nurse.'
- C. That is a symptom that resulted from your position on the operating table.'
- D. That is from the carbon dioxide passing from the fallopian tubes into your abdomen.'
Correct Answer: D
Rationale: The Rubin insufflation test determines tubal patency. Carbon dioxide escapes into the abdominal cavity through the patent left fallopian tube.
Which statement is true of the Gardasil vaccine?
- A. It requires two more immunizations at 6 months after the first dose.
- B. It reduces incidence of cervical cancer.
- C. It reduces the incidence of human papilloma virus (HPV).
- D. It can be given only to females.
- E. It should be given before a person becomes sexually active.
- F. It is safe for people as young as 8 years of age.
Correct Answer: A,B,C,E
Rationale: Gardasil is a vaccine that is effective against HPV and reduces the incidence of cervical cancer; it can be given to males and females before they become sexually active. It is not recommended for children under 11 years of age.
Which statement is TRUE regarding diagnostic tests for cervical cancer?
- A. All persons who have a cervix remaining should be screened up to the age of 75.
- B. Cervical cancer screening should begin at 25 years of age
- C. Traditional Pap tests are less than 30% accurate in screening for cervical cell abnormalities
- D. False-positive and false-negative results rarely occur with traditional Pap diagnostic tests.
Correct Answer: B
Rationale: The American Cancer Society recommends that annual cervical cancer screening begin at 25 years of age. Pap tests are less than 100% accurate in screen for abnormalities.
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.