Nokea
Which of the following information about a patient indicates that the nurse will need to teach the patient about endometrial biopsy?
- A. The patient has had 6 full-term pregnancies.
- B. The patient has 3-4 alcoholic drinks daily.
- C. The patient has used various oral contraceptives since she was 20 years old.
- D. The patient has a family history of hereditary nonpolyposis colorectal cancer.
Correct Answer: D
Rationale: Patients with a personal or familial history of hereditary nonpolyposis colorectal cancer are at increased risk for endometrial cancer. Alcohol addiction does not increase this risk. Multiple pregnancies and oral contraceptive use offer protection from endometrial cancer.
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The nurse is caring for a patient recently diagnosed with polycystic ovary syndrome. Which of the following information is most important for the nurse to teach the patient?
- A. Reasons for a total hysterectomy
- B. How to decrease facial hair growth
- C. Ways to reduce the occurrence of acne
- D. Methods to maintain appropriate weight
Correct Answer: D
Rationale: Obesity exacerbates the problems associated with polycystic ovary syndrome, such as insulin resistance and type 2 diabetes. The nurse will also address the problems of acne and hirsutism, but these symptoms are lower priority because they do not have long-term health consequences. Although some patients do require total hysterectomy, this is usually performed only after other therapies have been unsuccessful.
The nurse is caring for a patient who has a radium implant for treatment of cancer of the cervix. Which of the following actions should the nurse implement?
- A. Maintain the patient on complete bed rest.
- B. Use gloves when changing the patient's bed.
- C. Allow extra time for patient discussion of concerns.
- D. Flush the toilet several times after the patient voids.
Correct Answer: A
Rationale: To prevent displacement of the implant, absolute bed rest is required. Wearing of gloves when changing linens and flushing the toilet several times are not necessary because the isotope is confined to the implant. The nurse should spend minimal time in the patient's room to avoid exposure to radiation.
The nurse is planning an educational session at a local community centre related to health promotion during menopause. Which of the following information should the nurse include related to management of hot flashes?
- A. Limit daily calcium intake
- B. Vitamin E daily supplement
- C. Have a glass of wine before bedtime
- D. Daily rigorous exercise in the evening
Correct Answer: B
Rationale: Daily intake of vitamin E in doses up to 800 IU may help reduce hot flashes in some women. Changing sleep patterns may be helped by avoiding alcohol and controlling hot flashes. A regular moderate program (three to four times per week) of aerobic and weight-bearing exercises is appropriate but it has no effect on hot flashes.
The nurse is counselling a couple who are interested in intrauterine insemination (IUI) with sperm from a donor and ask the nurse how long the procedure will take. Which of the following time frames is the basis for the nurses' response?
- A. About 1 hour
- B. 2-4 hours
- C. At least a full day
- D. 2-3 days
Correct Answer: D
Rationale: The option is intrauterine insemination (IUI) with sperm from the partner or a donor and takes 2-3 days for the complete procedure.
Which of the following statements by a patient who has just been instructed in the treatment for a Chlamydia trachomatis vaginal infection indicates that the nurse's teaching has been effective?
- A. I can purchase an over-the-counter medication to treat this infection.
- B. The symptoms are due to the overgrowth of normal vaginal bacteria.
- C. The medication will need to be inserted once daily with an applicator.
- D. Both my partner and I will need to take the medication for a full week.
Correct Answer: D
Rationale: Chlamydia is a sexually transmitted bacterial infection that requires treatment of both partners with antibiotics for 7 days. The other statements are true for the treatment of Candida albicans infection.