NR 443 CHAPTER 49: FEMALE REPRODUCTIVE DISORDERS

Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be prepared for? a. Heavy menses b. Masculinizing c. Acnelike skin eruptions d. Anemia . What instruction should a nurse provide to a patient after a culdoscopy? a. Clean the incision site daily with hydrogen peroxide. b. Avoid vaginal intercourse. c. Return to the clinic for suture removal in 7 days. d. Use tampons. A patient asks a nurse, “Will the laparoscopy be painful?” What is the best reply by the nurse? a. “You will probably have some pain below the rib cage and around the shoulder.” b. “Most patients state that the procedure is painless during and afterward.” c. “You may have some mild to moderate pain around the umbilicus and in the back.” d. “Every person is different. It’s difficult to say whether you’ll have pain.” . A nurse is teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene. What should the nurse be sure to include? a. Wear clean polyester panties daily and at night. b. Douche weekly with a mild vinegar solution. c. Wash the external and internal genitalia daily. d. Wipe the perineal–anal area from front to back. A nurse is teaching patients with endometriosis. What signs and symptoms of common complications should be included? a. Pelvic inflammatory disease b. Obstruction of the bowel and ureters c. Cancer of the endometrium d. Ovarian cancer After a mastectomy, many patients experience lymphedema. What action can the patient take to minimize this problem? a. Keep the arm elevated as much as possible. b. Take Lasix, 20 mg twice daily as ordered. c. Use a sling during the day to rest the arm. d. Avoid exercising the arm for several weeks A patient tells a nurse that she is afraid of getting cervical cancer because her mother died of cervical cancer. What is the most appropriate response by the nurse? a. “You need to a have a pelvic examination every 6 months because of your history.” b. “If you have regular Pap smears, cervical cancer is usually diagnosed early and cured.” c. “There’s no need to worry so much. Cervical cancer does not run in families.” d. “Cervical cancer is sexually transmitted. Don’t switch partners often, and you don’t have to worry.” A nurse is instructing a patient on breast self-examination. When is the best time of the month to instruct this patient to perform a breast self-examination? a. Before the menstrual period b. During the menstrual period c. After the menstrual period d. On the first day of the month