Exam 51: Care of the Patient with a Reproductive Disorder

A patient, age 46, is recovering from an abdominal hysterectomy. Postoperative nursing assessment findings include a urinary output of 100 mL in 4 hours. What should the nurse do?

Vaginal fistulas are caused by an ulcerating process resulting from (select all that apply):

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

Which of the following are true of the Gardasil vaccine? (Select all that apply.)

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

Select the interventions that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy. (Select all that apply.)

An alternative remedy, ____________ , is used by men for the treatment of impotence.

________are produced in the seminiferous tubules and stored in the epididymis.

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 patient is most at risk for the infection of epididymitis?

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 my stomach." Which response is most informative?

At what age should a male be taught testicular self-examination (TSE)?

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

The 69-year-old patient laughs at the nurse when the nurse suggests that she should have a Pap smear and says, "I had my uterus removed except for the cervix 30 years ago and I am almost 70. Why in the world would I want to get a Pap smear at my age?" What is the nurse's most informative reply?

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

Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching?

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

The nurse is assisting the physician in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical _______________.

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?