Deck 6: Common Gynecologic Problems

Question 1

A nonpregnant client reports a fishy-smelling,thin,white,watery vaginal discharge.She is diagnosed with bacterial vaginosis (BV).The nurse would be expecting to administer:

A)Penicillin G (Bicillin)2 million units IM one time.
B)Zithromax (Azithromycin)1 mg p.o.b.i.d.for 2 weeks.
C)Doxycycline (Vibramycin)100 mg p.o.b.i.d.for a week.
D)Metronidazole (Flagyl)500 mg p.o.b.i.d.for a week.

Answer 1

Metronidazole (Flagyl)500 mg p.o.b.i.d.for a week.

Question 2

A client comes in complaining of wart-like lesions on the vulva,painful wrist and finger joints,and a chronic and hoarse sore throat.The appropriate treatment would be:

A)Penicillin G (Bicillin)IM.
B)Acyclovir (Zovirax)p.o.
C)Ceftriaxone (Rocephin)IM.
D)Azithromycin (Zithromax)p.o.

Answer 2

Penicillin G (Bicillin)IM.

Question 3

The nurse walks in to find the client crying after the physician informed her of her diagnosis of human papillomavirus (HPV).Which of the following statements by the nurse conveys an attitude of acceptance toward the client with a sexually transmitted infection?

A)"Don't worry about it.In a few weeks,with treatment,the lesions will disappear."
B)"You seem upset.I'll get the doctor."
C)"You seem upset.Can I help answer any questions?"
D)"I think you need to see a therapist."

Answer 3

"You seem upset.Can I help answer any questions?"

Question 4

The couple demonstrates understanding of the consequences of not treating Chlamydia when they state:

A)"She could become pregnant."
B)"She could have severe vaginal itching."
C)"He could get an infection in the tube that carries the urine out."
D)"It could cause us to develop a rash."

Question 5

The client being given discharge instructions with a diagnosis of vulvovaginal candidiasis (VVC)demonstrates understanding when she states:

A)"I need to apply the miconazole (Monistat)for 10 days."
B)"I need to douche daily."
C)"I need to add yogurt to my diet."
D)"I need to wear nylon panties."

Question 6

The nurse interviews a 28-year-old client with a new medical diagnosis of endometriosis.Which of the following questions are most appropriate? Select all that apply.

A)"Are you having hot flashes?"
B)"Are you experiencing pain during intercourse?"
C)"Is a discharge present?"
D)"Are you having pain during your period?"
E)"Have you noticed any skin rashes?"
F)"Do you have any children?"

Question 7

A nurse is taking care of a client after an abdominal hysterectomy.A priority nursing diagnosis in the early postoperative period would be:

A)Acute pain.
B)Powerlessness.
C)Hyperthermia.
D)Constipation.

Question 8

Which of the following clients should be treated with ceftriaxone (Rocephin)IM and doxycycline (Vibramycin)orally?

A)A pregnant client with gonorrhea and yeast infection
B)A nonpregnant client with gonorrhea and Chlamydia
C)A pregnant client with syphilis
D)A nonpregnant client with Chlamydia and trichomoniasis

Question 9

The client gives correct information regarding ways to prevent a recurrence of her urinary tract infection when she states:

A)"I should wipe from back to front after urination."
B)"I should urinate when I feel the urge."
C)"I should try to restrict my intake of fruits."
D)"I should use a diaphragm."

Question 10

A client is hospitalized for pelvic inflammatory disease.Which of the following nursing interventions would have priority?

A)Encourage oral fluids.
B)Administer cefotetan IV.
C)Enforce bedrest.
D)Remove IUD,if present.

Question 11

A nurse is assessing a pregnant client for right-sided flank pain.The nurse explains to the client that this type of pain is a common symptom of pyelonephritis in the pregnant client because of:

A)Temporary suspension of urine output.
B)Nausea and vomiting.
C)The position of the uterus in the abdomen.
D)A colicky large intestine.

Question 12

In teaching women about ways of preventing toxic shock syndrome (TSS),it is important for the nurse to know that women at increased risk include those who:

A)Use high-absorbency tampons.
B)Use an IUD.
C)Use oral contraception.
D)Have multiple sexual partners.

Question 13

Which of the following statements by the client verifies correct knowledge about vaginal herpes?

A)"I should douche daily to prevent infection."
B)"I could have another breakout during my period."
C)"I am more likely to develop cancer of the cervix."
D)"I should use sodium bicarbonate on the lesions to relieve discomfort."

Question 14

The nurse obtains a health history from the following clients.To which one should she give priority for teaching about cervical cancer prevention?

A)Age 30,treated for PID
B)Age 25,monogamous
C)Age 20,pregnant
D)Age 27,uses a diaphragm.

Question 15

A client describes breast swelling and tenderness.What piece of data would be most important for the nurse to gather initially?

A)Timing of the symptoms
B)Birth control method
C)Method of breast self-examination
D)Diet history