Exam 52: Care of the Patient With a Reproductive Disorder

A patient,age 36,is scheduled for a unilateral orchiectomy for treatment of testicular cancer.He is withdrawn and does not initiate interaction with the nurse.What is the most appropriate nursing action at this time?

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." What is the nurse's most therapeutic response?

On the fourth postoperative day after a modified radical mastectomy,the nurse finds the patient with her back to the nurse.She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore.The nurse bases subsequent nursing interventions on what diagnosis?

Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?

The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy.Which statement by her indicates to the nurse that the teaching has been successful?

A male patient,age 23,seeks care at the health clinic because he has developed a profuse,purulent urethral discharge,and urination is painful.During assessment of the patient,it is most important that the nurse gather information related to his history of:

Which patient is most at risk for the infection of epididymitis?

On the second postoperative day,a patient who has had an abdominal hysterectomy complains of gas and abdominal distention.Which intervention would be most appropriate to stimulate a bowel movement?

A female patient,age 48,is undergoing a routine physical examination for the first time in 5 years.Which procedure would be included in this examination?

A patient,age 41,has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis.She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?

A 20-year-old patient presents in the emergency room with a temperature of 103°F,blood pressure of 92/58,headache,and desquamation of both palms.What should the nurse make sure to ask about during the interview?

Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?

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?

The patient with a swollen scrotum is amazed that diagnosis of the condition of hydrocele is such a simple thing as:

What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?

What are some advantages of a vaginal hysterectomy over the abdominal hysterectomy? (Select all that apply. )

The patient,age 52,is recovering from a modified radical mastectomy.Why is postoperative elevation of the patient's arm important after this procedure?

Although menopause is a normal part of aging,why do many women enter menopause at an earlier age?

Why is a mammogram the most useful method of diagnosing breast cancer?

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 should the nurse include in response to his comment?