Chapter 51: Care of the Patient with a Reproductive Disorder, Chapter 52: Care of the Patient with a Sensory Disorder, Chapter 53: Care of the Patient with a Neurologic Disorder, Chapter 54: Care of the Patient with an Immune Disorder, Chapter 55: Ca… Which condition would prevent the use of a vaginal hysterectomy?
Large uterine fibroids
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?
Encouraging ambulation at least four times per day
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore." What is the nurse's most therapeutic response?
"No matter what I may say to her, it is you that needs to listen to
her concerns and assure her." A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?
The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
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?
Disturbed body image related to removal of her breast
Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
To reduce lymphedema
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?
Use of tampons At what age should a male be taught testicular self-examination (TSE)?
15
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
"I will examine my scrotum after every ejaculation."
Which patient is most at risk for the infection of epididymitis?
17-year-old athlete who trains for several hours a day
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
"That is from the carbon dioxide passing from the fallopian tubes into your abdomen."
The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?
"I should sleep on the side opposite my mastectomy."
A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination? Papanicolaou smear
What is the recommended age range for a baseline mammogram?
35 and 39 years
What does the diagnosis of secondary infertility refer to?
Has conceived but is now unable to do so
What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?
"Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present."
The 10-year-old clinic patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
"No case is considered cured until you have had three consecutive negative cervical smears."
A Gram stain smear of the patient's discharge reveals the presence of N. gonorrhoeae. He tells the nurse that he had sexual
contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information should the nurse include in response to his comment?
"Many women are not aware that they have gonorrhea because they often do not have symptoms of infection."
Large uterine fibroids
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?
Encouraging ambulation at least four times per day
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore." What is the nurse's most therapeutic response?
"No matter what I may say to her, it is you that needs to listen to
her concerns and assure her." A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." What knowledge will guide the nurse's response?
The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
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?
Disturbed body image related to removal of her breast
Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
To reduce lymphedema
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?
Use of tampons At what age should a male be taught testicular self-examination (TSE)?
15
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
"I will examine my scrotum after every ejaculation."
Which patient is most at risk for the infection of epididymitis?
17-year-old athlete who trains for several hours a day
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
"That is from the carbon dioxide passing from the fallopian tubes into your abdomen."
The nurse provides discharge teaching for a patient regarding her activity level as she recovers from her modified radical mastectomy. Which statement by her indicates to the nurse that the teaching has been successful?
"I should sleep on the side opposite my mastectomy."
A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination? Papanicolaou smear
What is the recommended age range for a baseline mammogram?
35 and 39 years
What does the diagnosis of secondary infertility refer to?
Has conceived but is now unable to do so
What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?
"Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present."
The 10-year-old clinic patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
"No case is considered cured until you have had three consecutive negative cervical smears."
A Gram stain smear of the patient's discharge reveals the presence of N. gonorrhoeae. He tells the nurse that he had sexual
contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information should the nurse include in response to his comment?
"Many women are not aware that they have gonorrhea because they often do not have symptoms of infection."
