Deck 65: Coordinating Care for Female Patients With Reproductive and Breast Disorders

Question 1

Which patient statement about vasomotor symptoms of menopause indicates the need for further teaching?
1)"I might have trouble sleeping at night."
2)"I will apply estrogen cream to my labia to decrease vaginal dryness."
3)"I might experience central weight gain increasing my risk for diabetes."
4)"I will place a fan in my office in case I experience hot flashes while I am at work."

Answer 1

3

Question 2

Which statement by the patient with stage IV breast cancer indicates the need for further teaching?
1)"The tumor is large but there is not metastasis."
2)"The dimpling of the breast is a sign of cancer."
3)"This stage of cancer is usually in the lymph nodes."
4)"There is a risk of this stage of cancer spreading to other parts of my body."

Answer 2

1

Question 3

Which statement by the patient with stage I breast cancer indicates understanding of this diagnosis?
1)"There is no lymph node involvement."
2)"The tumor is larger than 2 cm."
3)"This cancer has a high risk of spreading."
4)"I will need probably need a mastectomy."

Answer 3

1

Question 4

In caring for a patient complaining of pain with menstruation, the nurse correlates this to which information related to the etiology and pathophysiology of this condition?
1)Primary dysmenorrhea is caused by decreased levels of prostaglandins, causing the contractions of the uterus to increase in strength.
2)Primary dysmenorrhea begins within the first three or four menstrual periods after menarche and occurs with each ovulatory cycle during the teens and 20s of a woman's life.
3)Secondary dysmenorrhea is more common than primary dysmenorrhea.
4)Primary dysmenorrhea causes include endometriosis, tumors, cysts, pelvic adhesions, pelvic inflammatory disease, infections, cervical stenosis, uterine leiomyomas, and adenomyosis.

Question 5

The nurse monitors for which clinical manifestations in the patient diagnosed with ovarian cancer?
1)Vaginal bleeding
2)Pelvic pain
3)Flank pain
4)Dysuria

Question 6

The nurse correlates which finding in a patient's health history as the greatest risk factor for the development of endometriosis?
1)Mother with history of endometriosis
2)Grandmother with history of endometriosis
3)Identical (monozygotic) twin with a history of endometriosis
4)Sister with history of endometriosis

Question 7

During an assessment, the nurse notes that a patient receiving radiation treatments for breast cancer has excoriated skin. What is the priority nursing diagnosis for this patient?
1)Excess Fluid Volume
2)Ineffective Breathing Pattern
3)Risk for Infection
4)Body Image Disturbance

Question 8

A patient with a history of breast cancer who is entering menopause is seeking information about how to manage hot flashes. What information can be provided to the patient?
1)Black cohosh can be used to manage the hot flashes associated with menopause.
2)The patient should be advised that she will have to wait until menopause has finished for the hot flashes to cease.
3)Estrogen is the only reliable method of treatment for hot flashes.
4)Olive oil is effective in the management of hot flashes.

Question 9

Which statement by the patient with stage IV uterine cancer indicates the need for further teaching?
1)"This will be able to be cured with surgery."
2)"This cancer may involve my bladder."
3)"The tumors may spread to my bowel."
4)"Chemotherapy will be needed after surgery."

Question 10

The nurse determines which patient is at greatest risk of ovarian cancer?
1)40-year-old nulliparous patient
2)50-year-old patient who took oral contraceptives for 20 years
3)60-year-old patient who breastfed three children
4)70-year-old patient who took estrogen hormone replacement during menopause

Question 11

A young adolescent patient is concerned about experiencing severe cramps with menstruation. How should the nurse respond to this patient?
1)"This is not normal but is something that can be treated."
2)"You have cramps because you started your periods so early."
3)"Cramps happen when you first start having periods and should become less severe as you get older."
4)"You need to see a gynecologist for a pelvic examination."

Question 12

The nurse is caring for a patient with metastatic breast cancer receiving chemotherapy. Even though the prognosis is poor, the patient tells the nurse that the plan is to do everything to survive. What is the best response by the nurse?
1)"You have a great attitude, and I am here to support you through education."
2)"It is important to plan for your death, even though there is a chance you will survive."
3)"You should face the reality of the situation. You do not have a good chance of survival."
4)"I am going to speak with your family regarding your unrealistic expectations."

Question 13

The nurse reinforces education to a patient who will have a fine-needle aspiration breast biopsy. Which patient statement indicates a need for additional teaching?
1)"I will have local anesthesia to decrease discomfort."
2)"A sample of the mass will be suctioned out into a syringe."
3)"I will apply ice to the biopsy site to decrease pain and inflammation."
4)"Although my mass is palpable, I will still require ultrasound imaging with the biopsy."

Question 14

Which statement by the patient about dysmenorrhea indicates the need for further teaching?
1)"I will use a heating pad to decrease my menstrual cramps."
2)"I will take acetaminophen to decrease my menstrual cramps."
3)"I will keep a menstrual calendar to track my symptoms and treatments."
4)"I will take oral contraceptives as prescribed to treat my menstrual symptoms."

Question 15

Which patient statement about endometriosis indicates the need for further teaching?
1)"Excessive bleeding during my menstrual period is expected with my condition."
2)"I should increase my intake of calcium-rich foods to decrease pain."
3)"I will maintain a menstrual calendar to document my symptoms in relation to my cycle."
4)"The gonadotropin-releasing hormone agonists prescribed by my doctor will decrease symptoms."

Question 16

In preparing education for a patient diagnosed with endometriosis, what information does the nurse include as a first-line treatment option?
1)Oral contraceptives
2)Aromatase inhibitors
3)NSAIDs
4)Gonadotropin-releasing hormone agonists

Question 17

The nurse incorporates which information into the teaching plan for the patient receiving gonadotropin-releasing hormone (GnRH) agonists for the treatment of endometriosis?
1)Avoid milk products in diet
2)Take a vitamin D supplement daily
3)Minimize aerobic exercise
4)Decrease protein in diet

Question 18

The nurse instructing a group of women between the ages of 40 and 50 about early detection of breast cancer includes which information?
1)Perform monthly breast self-exams
2)Have an annual mammogram with magnetic resonance imaging (MRI)
3)Have a yearly mammogram
4)Have a clinical breast exam performed by a healthcare provider every 5 years

Question 19

The nurse correlates which finding in the health history of a female patient to an increased risk of ovarian cancer?
1)Two noted pregnancies
2)Long-term oral contraceptive use
3)Currently breastfeeding an infant
4)Body mass index 34

Question 20

In developing a teaching session for a group of young women about strategies to relieve menstrual cramping, the nurse includes what content as the focus of these strategies?
1)Minimization of menstrual flow
2)Avoidance of uterine contraction
3)Increase of blood flow to the uterine muscle
4)Decrease in estrogen production

Question 21

In assessing the patient who is at risk for endometrial cancer, what is the priority question for the nurse to include in the health history?
1)"How many times have you been pregnant?"
2)"Do you experience irregular or heavy periods?"
3)"How often do you engage in sexual intercourse?"
4)"Have you ever been diagnosed with a sexually transmitted infection?"

Question 22

The nurse monitors for which clinical manifestation in the patient diagnosed with uterine cancer?
1)Dysuria
2)Polyuria
3)Severe flank pain
4)Vaginal bleeding

Question 23

The nurse recognizes which patient as having an increased risk for diagnosis of cervical cancer in the later stages of the disease process?
1)55-year-old Hispanic woman with a Papanicolaou (Pap) smear 1 year ago
2)55-year-old Caucasian woman with a Pap smear 3 years ago
3)55-year-old Native American woman with a Pap smear 4 years ago
4)55-year-old African American woman with a Pap smear 6 years ago

Question 24

The nurse determines which patient is at greatest risk for the development of cervical cancer?
1)35-year-old African American female
2)45-year-old American Indian female
3)50-year-old Hispanic female
4)55-year-old Caucasian female

Question 25

The nurse is reviewing data collected during a health history and physical assessment and determines that a patient is at risk for developing breast cancer. Which data support this patient's risk for developing breast cancer? Select all that apply.
1)Age 60
2)Breastfed both children
3)Sister had breast cancer
4)Body mass index 22
5)Menopause at age 58

Question 26

In planning an educational presentation for a high school health class, the nurse includes information about which risk factors for human papillomavirus (HPV)? Select all that apply.
1)Douching
2)Smoking
3)Alcohol consumption
4)Marijuana use
5)Multiple sex partners

Question 27

In planning an educational session about risk factors of uterine cancer, the nurse includes which information? Select all that apply.
1)Early menarche
2)Estrogen therapy
3)Tamoxifen therapy
4)Sexually transmitted infection
5)Obesity

Question 28

The nurse recognizes that which diagnostic test provides the most specific information regarding cervical dysplasia?
1)Pap smear
2)Colposcopy
3)Cervical biopsy
4)MRI

Question 29

The nurse correlates an increased incidence of which complications in the 55-year-old female who is post-menopausal? Select all that apply.
1)Osteoporosis
2)Hyperlipidemia
3)Hypertension
4)Cervical cancer
5)Insulin resistance