Deck 33: Preventive Care for Women

Question 1

A 45-year-old client asks how often she should have a mammogram. The most appropriate answer is:

A) whenever she feels a lump.
B) every year beginning at age 40.
C) they are unnecessary until age 50.
D) every year if you have risk factors.

Answer 1

every year beginning at age 40.

Question 2

While performing a self-breast exam, the client notes an area on the right breast that is nodular, with some associated tenderness. This is a new onset finding because the exams were not problematic in the past,. The left breast examination is unremarkable. The client calls to report her findings to the clinical nurse because this is not her typical result. What action should the nurse take next?

A) Refer the client to an oncologist because the results sound suspicious.
B) Ask the client to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation.
C) Have the client wear a tight-fitting bra and tell her that the tenderness is associated with ovulation and will pass.
D) Have the client repeat the self-breast exam in 2 weeks and call back with findings to provide a basis for comparison.

Answer 2

Ask the client to come in for an office visit so that the findings can be validated but tell her that this information is within the normal range of presentation.

Question 3

While interviewing a 48-year-old client during her annual physical examination, the nurse learns that she has never had a mammogram. The American Cancer Society recommends annual mammography screening starting at age 40. Before the nurse encourages this client to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? (Select all that apply.)

A) Fear of x-ray exposure
B) Expense of the procedure
C) Reluctance to hear bad news
D) Having heard that the test is painful
E) Belief that lack of family history makes this test unnecessary

Answer 3

Fear of x-ray exposure
Expense of the procedure
Reluctance to hear bad news
Having heard that the test is painful

Question 4

Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS). The Pap test is repeated at 6 months and the same finding of ASCUS are reported. Which therapeutic treatment option would the nurse expect the practitioner to order?

A) Mammography
B) Bone scan
C) Transvaginal ultrasound
D) Biopsy

Question 5

Which administration concern is included in the plan of care for the HPV (human papillomavirus) vaccine?

A) It is available in liquid form.
B) It involves a series of two injections.
C) Injections should be given over a 3-month period.
D) The individual should sit down for 15 minutes following the injection.

Question 6

Healthy People 2020 goals directed at women's health issues focus on which areas? (Select all that apply.)

A) Increased screening for cervical and colorectal cancers
B) Reduction of cancer survivor rate based on clinical management treatment
C) Decreased morbidity and mortality related to breast cancer
D) Reduction in hospitalization for hip fractures in the older female population
E) Reduction in deaths associated with cardiovascular causes such as stroke and coronary artery disease (CAD)

Question 7

Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap smear?

A) Lubricant
B) Speculum
C) Fixative agent
D) Gloves and eye protectors