Chapter 50: Assessment of
Reproductive System Lewis:
Medical-Surgical Nursing, 10th Edition
A 19-year-old affected person calls the college medical institution and tells the nurse, "My
menstrual duration may be very heavy this time. I ought to trade my tampon every four hours."
Which action should the nurse take subsequent?
A. Tell the affected person that her waft is not unusually heavy.
B. Schedule the patient for an appointment later that day.
C. Ask the patient how heavy her traditional menstrual drift is.
D. Have the patient call again if the heavy float continues. - ANS-ANS: C
Because a heavy menstrual float is generally indicated with the aid of saturating a pad or
tampon in 1 to two
hours, the nurse ought to first examine how heavy the affected person's regular waft is. There
isn't any need to
time table the affected person for an appointment that day. The patient might also want to call
once more, however this
isn't the primary action that the nurse should take. Telling the affected person that she does no
longer have a
heavy flow implies that the patient's difficulty isn't crucial.
DIF: Cognitive Level: Apply (application) REF: 1190
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
A 22-year-old patient reviews her subject approximately now not having a menstrual length for
the beyond 7
months. Which declaration with the aid of the patient shows a likely associated issue to the
amenorrhea?
A. "I drink as a minimum three glasses of nonfat milk each day."
b. "I run 7 to 8 miles every day to manipulate my weight."
c. "I am now not sexually lively however presently I have an IUD."
d. "I was dealt with for a sexually transmitted contamination 2 years ago." - ANS-ANS: B
Intense patience exercise can reason amenorrhea. The different statements via the patient do
not
endorse any urgent teaching wishes.
DIF: Cognitive Level: Apply (utility) REF: 1194
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
A 24-yr-vintage woman says she desires to start the use of oral contraceptives. Which data
from the nursing evaluation is important to record to the health care provider earlier than a
prescription is taken into consideration?
, A. The patient stop smoking five months formerly.
B. The patient's blood pressure is a hundred and fifty/86 mm Hg.
C. The patient has now not been vaccinated for rubella.
D. The patient has continual iron-deficiency anemia. - ANS-Because hypertension increases the
threat for morbidity and mortality in girls taking oral
contraceptives, the patient's blood pressure must be controlled before oral contraceptives are
prescribed. The different statistics will now not affect the choice of contraceptive.
DIF: Cognitive Level: Apply (software) REF: 1193
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
A 49-year-vintage guy who has kind 2 diabetes, excessive blood strain, hyperlipidemia, and
gastroesophageal reflux tells the nurse that he has had current issue in achieving an
erection. Which of the subsequent drugs from his modern medications list may additionally
reason erectile
dysfunction (ED)?
A. Ranitidine (Zantac) c. Propranolol (Inderal)
b. Atorvastatin (Lipitor) d. Metformin (Glucophage) - ANS-ANS: C
Some antihypertensives may additionally motive ED, and the nurse have to count on a
exchange in
antihypertensive remedy. The other medications will not have an effect on erectile function.
DIF: Cognitive Level: Apply (application) REF: 1192
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
A 68-12 months-vintage male affected person tells the nurse that he's worried due to the fact he
does not reply to
sexual stimulation the equal manner he did when he became more youthful. Which is the
nurse's nice
response to the patient's situation?
A. "Interest in intercourse frequently decreases as guys grow old."
b. "Many men want additional sexual stimulation with getting old."
c. "Erectile dysfunction is a commonplace problem with older guys."
d. "Tell me more about how your sexual response has modified." - ANS-ANS: D
The initial response by using the nurse must be further assessment of the problem. The other
statements via the nurse are correct however won't respond to the affected person's concerns.
DIF: Cognitive Level: Analyze (evaluation) REF: 1191
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
A couple is scheduled to have a Huhner test for infertility. In instruction for the take a look at, the
nurse
will coach the couple about
a. Being sedated at some point of the process.
B. Figuring out the predicted time of ovulation.
C. Experiencing shoulder pain after the manner.
D. Refraining from intercourse before the appointment. - ANS-ANS: B
For the Huhner test, the couple should have sex on the expected time of ovulation and
then arrive for the take a look at 2 to eight hours after sex. The different commands could be
used for
Reproductive System Lewis:
Medical-Surgical Nursing, 10th Edition
A 19-year-old affected person calls the college medical institution and tells the nurse, "My
menstrual duration may be very heavy this time. I ought to trade my tampon every four hours."
Which action should the nurse take subsequent?
A. Tell the affected person that her waft is not unusually heavy.
B. Schedule the patient for an appointment later that day.
C. Ask the patient how heavy her traditional menstrual drift is.
D. Have the patient call again if the heavy float continues. - ANS-ANS: C
Because a heavy menstrual float is generally indicated with the aid of saturating a pad or
tampon in 1 to two
hours, the nurse ought to first examine how heavy the affected person's regular waft is. There
isn't any need to
time table the affected person for an appointment that day. The patient might also want to call
once more, however this
isn't the primary action that the nurse should take. Telling the affected person that she does no
longer have a
heavy flow implies that the patient's difficulty isn't crucial.
DIF: Cognitive Level: Apply (application) REF: 1190
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
A 22-year-old patient reviews her subject approximately now not having a menstrual length for
the beyond 7
months. Which declaration with the aid of the patient shows a likely associated issue to the
amenorrhea?
A. "I drink as a minimum three glasses of nonfat milk each day."
b. "I run 7 to 8 miles every day to manipulate my weight."
c. "I am now not sexually lively however presently I have an IUD."
d. "I was dealt with for a sexually transmitted contamination 2 years ago." - ANS-ANS: B
Intense patience exercise can reason amenorrhea. The different statements via the patient do
not
endorse any urgent teaching wishes.
DIF: Cognitive Level: Apply (utility) REF: 1194
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
A 24-yr-vintage woman says she desires to start the use of oral contraceptives. Which data
from the nursing evaluation is important to record to the health care provider earlier than a
prescription is taken into consideration?
, A. The patient stop smoking five months formerly.
B. The patient's blood pressure is a hundred and fifty/86 mm Hg.
C. The patient has now not been vaccinated for rubella.
D. The patient has continual iron-deficiency anemia. - ANS-Because hypertension increases the
threat for morbidity and mortality in girls taking oral
contraceptives, the patient's blood pressure must be controlled before oral contraceptives are
prescribed. The different statistics will now not affect the choice of contraceptive.
DIF: Cognitive Level: Apply (software) REF: 1193
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
A 49-year-vintage guy who has kind 2 diabetes, excessive blood strain, hyperlipidemia, and
gastroesophageal reflux tells the nurse that he has had current issue in achieving an
erection. Which of the subsequent drugs from his modern medications list may additionally
reason erectile
dysfunction (ED)?
A. Ranitidine (Zantac) c. Propranolol (Inderal)
b. Atorvastatin (Lipitor) d. Metformin (Glucophage) - ANS-ANS: C
Some antihypertensives may additionally motive ED, and the nurse have to count on a
exchange in
antihypertensive remedy. The other medications will not have an effect on erectile function.
DIF: Cognitive Level: Apply (application) REF: 1192
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
A 68-12 months-vintage male affected person tells the nurse that he's worried due to the fact he
does not reply to
sexual stimulation the equal manner he did when he became more youthful. Which is the
nurse's nice
response to the patient's situation?
A. "Interest in intercourse frequently decreases as guys grow old."
b. "Many men want additional sexual stimulation with getting old."
c. "Erectile dysfunction is a commonplace problem with older guys."
d. "Tell me more about how your sexual response has modified." - ANS-ANS: D
The initial response by using the nurse must be further assessment of the problem. The other
statements via the nurse are correct however won't respond to the affected person's concerns.
DIF: Cognitive Level: Analyze (evaluation) REF: 1191
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
A couple is scheduled to have a Huhner test for infertility. In instruction for the take a look at, the
nurse
will coach the couple about
a. Being sedated at some point of the process.
B. Figuring out the predicted time of ovulation.
C. Experiencing shoulder pain after the manner.
D. Refraining from intercourse before the appointment. - ANS-ANS: B
For the Huhner test, the couple should have sex on the expected time of ovulation and
then arrive for the take a look at 2 to eight hours after sex. The different commands could be
used for
