A 45-year-old client informs the nurse that they think the signs of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
menopause have started and would like to know if they can stop
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their birth control pills. Which response by the nurse is best?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A. "It is possible for you to become pregnant during developing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
menopause."
B. "That would be fine. You should not take the pills during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
menopause."
C. "You cannot become pregnant during this time due to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decreased ovarian function." |\ |\
D. "Your symptoms are probably related to some other disorder."
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. "It is possible for you to become pregnant during developing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
menopause."
The nurse is obtaining a menstrual history from a female client.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The client states that at times, they experiences cramps about 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weeks after their menstrual cycle ends. Which information would
|\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse provide the client?
|\ |\ |\ |\
A. The client will have to have a biopsy to determine cancerous
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ovaries.
B. The cramps may occur due to ruptured ovarian cysts.
|\ |\ |\ |\ |\ |\ |\ |\ |\
C. The cramps usually indicate ovulation.
|\ |\ |\ |\ |\
D. No education is required since there is nothing wrong with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client.
C. The cramps usually indicate ovulation.
|\ |\ |\ |\ |\
,Which nursing action would be provided to a client who has a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decrease in estrogen production? |\ |\ |\
A. Discuss the necessity for hormone replacement.
|\ |\ |\ |\ |\ |\
B. Discuss the need for a low-fat, low-salt diet.
|\ |\ |\ |\ |\ |\ |\ |\
C. Discuss the increase in hair growth on the scalp, axillae, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
external genitalia. |\
D. Discuss the likelihood of an increase in musculature of upper
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arms and legs. |\ |\
B. Discuss the need for a low-fat, low-salt diet.
|\ |\ |\ |\ |\ |\ |\ |\
A 13-year-old girl arrives in the clinic and informs the nurse that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they just had their first menstrual period on April 23. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
documentation for this event is accurate? |\ |\ |\ |\ |\
A. Onset of menstruation on April 23
|\ |\ |\ |\ |\ |\
B. Onset of menarche on April 23
|\ |\ |\ |\ |\ |\
C. Onset of menopause on April 23
|\ |\ |\ |\ |\ |\
D. Onset of puberty on April 23
|\ |\ |\ |\ |\ |\
B. Onset of menarche on April 23
|\ |\ |\ |\ |\ |\
A client and their partner have been trying to conceive without
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
results over the past 3 months. Which suggestion can the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
make that is noninvasive and may increase the probability of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
success?
,A. Medications can be taken.
|\ |\ |\ |\
B. It has only been 3 months, let nature take its course.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Determine time of ovulation by checking basal body
|\ |\ |\ |\ |\ |\ |\ |\ |\
temperature.
D. It is time to seek the advice of a fertility specialist.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. Determine time of ovulation by checking basal body
|\ |\ |\ |\ |\ |\ |\ |\ |\
temperature.
A client is scheduled for a pelvic examination. In preparation for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the procedure, which intervention by the nurse is appropriate?
|\ |\ |\ |\ |\ |\ |\ |\
A. Ask the client to empty their bladder.
|\ |\ |\ |\ |\ |\ |\
B. Instruct the client to hold their breath when the speculum is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inserted.
C. Place the client in the prone position.
|\ |\ |\ |\ |\ |\ |\
D. Have a Vaseline-based gel available to lubricate the speculum.
|\ |\ |\ |\ |\ |\ |\ |\ |\
A. Ask the client to empty their bladder.
|\ |\ |\ |\ |\ |\ |\
A client requests an office visit for a Pap test. When is the best
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
time for the nurse to schedule the client?
|\ |\ |\ |\ |\ |\ |\
A. The timing of the test is not significant and the appointment
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
can be scheduled at any time.
|\ |\ |\ |\ |\
B. The appointment should be scheduled while the client is on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their menstrual period.
|\ |\
C. The appointment should be scheduled the day after the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's menstrual period. |\ |\
, D. The appointment should be scheduled between the client's
|\ |\ |\ |\ |\ |\ |\ |\ |\
menstrual periods. |\
D. The appointment should be scheduled between the client's
|\ |\ |\ |\ |\ |\ |\ |\ |\
menstrual periods. |\
A client is having a breast biopsy with the entire lump to be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
removed and analyzed. Which type of breast biopsy would the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse prepare the client for?
|\ |\ |\ |\
A. Needle biopsy
|\ |\
B. Excisional biopsy
|\ |\
C. Incisional biopsy
|\ |\
D. Aspiration biopsy
|\ |\
B. Excisional biopsy
|\ |\
A client is postoperative after a laparoscopy. After the procedure,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client reports severe pain under the right clavicle. Which is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the priority action by the nurse?
|\ |\ |\ |\ |\
A. Prepare the client to return to surgery.
|\ |\ |\ |\ |\ |\ |\
B. Turn the client on the right side.
|\ |\ |\ |\ |\ |\ |\
C. Notify the healthcare provider.
|\ |\ |\ |\
D. Administer an analgesic.
|\ |\ |\
C. Notify the healthcare provider.
|\ |\ |\ |\