Deck 34: Women's Health Problems

Question 1

A client with a history of a cystocele should contact the physician if she experiences:

A) backache.
B) constipation.
C) urinary frequency and burning.
D) involuntary loss of urine when she coughs.

Answer 1

urinary frequency and burning.

Question 2

Which client is most likely to have osteoporosis?

A) A 50-year-old client on estrogen therapy
B) A 55-year-old client with a sedentary lifestyle
C) A 65-year-old client who walks 2 miles each day
D) A 60-year-old client who takes supplemental calcium

Answer 2

A 55-year-old client with a sedentary lifestyle

Question 3

Which treatment option minimizes the development of lymphedema in the surgical management of a client with breast cancer?

A) Radical mastectomy procedure
B) Radiation therapy
C) Sentinel lymph node mapping
D) Ultrasound

Answer 3

Sentinel lymph node mapping

Question 4

The drug of choice to treat gonorrhea is:

A) penicillin G (Pfizerpen).
B) tetracycline (Achromycin).
C) ceftriaxone (Rocephin).
D) acyclovir (Zovirax).

Question 5

You are taking care of a client who has had a colporrhaphy. Which option would indicate a priority assessment during the postoperative period?

A) Documentation of a pessary in the operative procedure notes by the physician
B) Removal of vaginal packing as ordered by the physician
C) Use of a cell saver for transfusion therapy in the postoperative period
D) Order for removal of staples 2 to 3 days post-procedure

Question 6

A client, age 49, confides in the nurse that she has started experiencing pain with intercourse. She asks, "Is there anything I can do about this?" The nurse's best response is:

A) "No, it is part of the aging process."
B) "Water-soluble vaginal lubricants may provide relief."
C) "You need to be evaluated for a sexually transmitted disease."
D) "You may have vaginal scar tissue that is producing the discomfort."

Question 7

A 38-year-old client presents to the clinic office complaining of increased bilateral tenderness of her breasts prior to the onset of menses. On questioning the client, this presentation has occurred off and on for several years, but the pain has increased. Physical examination reveals lumpy areas bilaterally on the upper outer quadrants of each breast tissue. The areas of concern are approximately 2 cm in size. Based on this assessment, what diagnostic testing would be required? (Select all that apply.)

A) Ultrasound examination
B) Open biopsy
C) Fine-needle aspiration (FNA) biopsy
D) CBC with differential
E) Mammogram

Question 8

Which should the nurse stress in teaching a client to deal with the symptoms of PMS?

A) Decrease her consumption of caffeine.
B) Drink a small glass of wine with her evening meal.
C) Decrease her fluid intake to prevent fluid retention.
D) Eat three large meals a day to maintain glucose levels.

Question 9

Which option could be used for the treatment and management of a client who reports mild pain associated with a clinical diagnosis of fibrocystic breast disease?

A) Chamomile tea as a relaxant therapy
B) Danazol (Danocrine)
C) Tamoxifen (Nolvadex)
D) Over-the-counter nonsteroidal antiinflammatory drug (NSAID) therapy

Question 10

A benign breast condition that includes dilation and inflammation of the collecting ducts is:

A) fibroadenoma.
B) ductal ectasia.
C) intraductal papilloma.
D) chronic cystic disease.

Question 11

Which should the nurse teach to assist a client to regain control of her urinary sphincter?

A) Do Kegel exercises.
B) Void every hour while awake.
C) Drink 8 to 10 glasses of water each day.
D) Allow the bladder to become distended before voiding.

Question 12

The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old client. You expect the initial treatment to include:

A) beginning hormone therapy.
B) scheduling a laparoscopy to remove the cyst.
C) examining the client after her next menstrual period.
D) aspirating the cyst and sending the fluid to pathology.

Question 13

A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:

A) "Men are not usually sympathetic to PMS sufferers."
B) "You are probably right. You should remind your doctor of your symptoms every time you visit."
C) "Since you feel certain you are right, you should just treat yourself with over-the-counter medications."
D) "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."

Question 14

Which statement is true about primary dysmenorrhea?

A) Primary dysmenorrhea is experienced by all women.
B) It is unaffected by oral contraceptives.
C) It occurs in young multiparous women.
D) It may be caused by excessive endometrial prostaglandin.

Question 15

Which client is most at risk for fibroadenoma of the breast?

A) Janice, 38 years old
B) Helen, 50 years old
C) Mary, 16 years old
D) Anna, 27 years old

Question 16

In reviewing genetic testing for a female client, you note the presence of BRCA1, BRCA2, and CHEK2. How should these findings be interpreted?

A) There is no increased likelihood that the client will develop breast or ovarian cancer.
B) There is an increased likelihood only for the development of breast cancer in a woman.
C) More information is needed to interpret these findings based on the client's family history and the client's current and past medical history.
D) A radical bilateral mastectomy is required immediately because the cancer may have already undergone sub-metastasis.

Question 17

Which are the most common sites of breast cancer metastasis?

A) Kidneys
B) Bones and liver
C) Heart and blood vessels
D) Central nervous system

Question 18

Which statement by a client diagnosed with premenstrual syndrome indicates that further health teaching is needed?

A) "I will not eat chips or pickles."
B) "I'll eat only three meals per day."
C) "Drinking alcohol makes me more depressed."
D) "Coffee and chocolate can make me more irritable and nervous."

Question 19

Which sexually transmitted disease can be cured?

A) Herpes
B) AIDS
C) Chlamydia
D) Venereal warts