Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
- A. Super-absorbency tampons are effective for overnight absorption.
- B. Tampons should be changed at least every 4 hours.
- C. Gloves should be worn when changing tampons.
- D. TSS can be prevented by using a pad for the first 2 days of menstrual flow.
Correct Answer: B
Rationale: Tampons should be changed every 4 hours, because a blood-soaked tampon is an excellent environment for bacteria.
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A 48-year-old woman tells the nurse, 'I missed my period last month. Am I in menopause?' The nurse knows that at which point is a woman considered to be menopausal?
- A. Her periods have stopped for 1 year.
- B. Her periods have been irregular and light for 12 months.
- C. She has symptoms of vasomotor instability.
- D. She experiences symptoms of decreased estrogen, such as dyspareunia.
Correct Answer: A
Rationale: When a woman's menstrual periods have stopped for 1 year, she is considered menopausal.
The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?
- A. High protein, low fat
- B. High carbohydrate, high fiber
- C. Low calorie, low fat
- D. Low carbohydrate, high protein
Correct Answer: B
Rationale: Treatment of PMDD includes a diet rich in complex carbohydrates and fiber (to lengthen effects of the carbohydrate meal).
The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
- A. Abstain from sex.
- B. Use the male condom.
- C. Use the female condom.
- D. Use the barrier method.
Correct Answer: A
Rationale: Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.
What information will the nurse provide when educating a woman about the correct use of a diaphragm?
- A. Use of a spermicidal cream or jelly is not recommended.
- B. Leave in place for at least 6 hours after intercourse.
- C. Remove immediately after intercourse for douching.
- D. It is effective for up to 48 hours if positioned properly.
Correct Answer: B
Rationale: To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours.
A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. With what are these findings consistent?
- A. Candidiasis
- B. Trichomoniasis
- C. Bacterial vaginosis
- D. Chlamydia
Correct Answer: A
Rationale: The signs and symptoms of candidiasis include inflammation of the vagina and vulva and a cottage cheese appearance to the vaginal discharge.
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