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Iggy Reproductive Flashcards

The nurse is developing a teaching plan for a client who is scheduled for her first Pap test. What instruction by the nurse is the most accurate?

D. “Results are best if you do not douche 24 hours before the test.”

The nurse is assessing the reproductive history of a 68 year old postmenopausal woman. Which finding is cause for immediate action by the nurse?

C. Bleeding from the vagina

The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding should be reported to the health care provider immediately?

B. Slight chills and fever

A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the gym to 2 hours each day. What is the nurses’ best response?

B. “Exercise is healthy but can decrease body fat and cause irregular periods.”

A nurse and a UAP are heloing a client during a hysterosalpingogram. Which action by the nurse is best delegated to the UAP?

B. Assisting the client into a lithotomy position

The mother of an 18 year old girl asks the nurse which screening her daughter should receive now based on evidence-based recommendations. Which suggestion by the nurse is best?

D. No screenings at this time

A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client alerts the nurse of the need for further teaching?

D. “I can return to jogging my 3-mile routine in a few days.”

A 67 year old male client had serum tests done and his results are: testosterone 680ng.dl, prostate-specific antigen 10ng/dl (high), prolactin 5ng/dl. Which action by the nurse is best?

D. Prepare the client for further diagnostic testing

prostate specific antigen range: 0-2.5
If testosterone incresed- could be teste cancer
If prolactin increased possible galactorrhea

A 72 year-old woman is being assessed by the nurse for annual physical. Which finding is a concern to the nurse?

B. Increased size of the uterus

The nurse is assessing a client for reproductive health problems. What would be the priority assessments? SATA

A. Bleeding
B. Pain
D. Masses
E. Discharge

The nurse is reviewing discharge plants with a client who is recovering from a cervical biopsy. Which statements indicate good understanding by the client?

C. “I cannot douche until the biopsy site is healed.”
D. “I need to wait for about 2 weeks to have sex again.”

The nurse is teaching a 45-year-old woman about her fibrocystic breast condition. Which statement by the client indicates a lack of understanding?

a. This condition will become malignant over time.

The nurse is examining a womans breast and notes multiple small mobile lumps. Which question would be the most appropriate for the nurse to ask?

c. Do the small lumps seem to change with your menstrual period?

A client is diagnosed with a fibrocystic breast condition while in the hospital and is experiencing breast discomfort. What comfort measure would the nurse delegate to the unlicensed assistive personnel (UAP)?

d. Obtain a cold pack to temporarily relieve the pain.

Which finding in a female client by the nurse would receive the highest priority of further diagnostics?

c. Nontender immobile mass in the upper outer quadrant of the breast

With a history of breast cancer in the family, a 48-year-old female client is interested in learning about the modifiable risk factors for breast cancer. After the nurse explains this information, which statement made by the client indicates that more teaching is needed?

c. I am glad that we can still have wine with every evening meal.

A 37-year-old Nigerian woman is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?

d. Include support people, such as the male partner, in the decision making.

A 35-year-old woman is diagnosed with stage III breast cancer. She seems to be extremely anxious. What action by the nurse is best?

c. Explore the idea of a referral to a breast cancer support group.

A client has just returned from a right radical mastectomy. Which action by the unlicensed assistive personnel (UAP) would the nurse consider unsafe?

c. Taking the blood pressure on the right arm

A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?

a. I am glad that these tubes will fall out at home when I finally shower.

What comfort measure can only be performed by a nurse, as opposed to an unlicensed assistive personnel (UAP), for a client who returned from a left modified radical mastectomy 4 hours ago?

c. Administering morphine for pain at a 4 on a 0-to-10 scale

A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?

c. It selectively blocks estrogen in the breast.

A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide (Cytoxan), and fluorouracil (5-FU) for breast cancer. Which side effect seen in the client should the nurse report to the provider immediately?

a. Shortness of breath

A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse is best?

b. A risk factor for lymphedema is infection, so wear gloves when gardening outside.

A woman diagnosed with breast cancer had these laboratory tests performed at an office visit:

Alkaline phosphatase 125 U/L
Total calcium 12 mg/dL
Hematocrit 39%
Hemoglobin 14 g/dL

Which test results indicate to the nurse that some further diagnostics are needed?

a. Elevated alkaline phosphatase and calcium suggests bone involvement.

The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

a. Age greater than 65 years
b. Increased breast density
e. Genetic factors

The nurse is formulating a teaching plan according to evidence-based breast cancer screening guidelines for a 50-year-old woman with low risk factors. Which diagnostic methods should be included in the plan? (Select all that apply.)

a. Annual mammogram
d. Breast self-awareness
e. Clinical breast examination

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the clients electronic medical record? (Select all that apply.)

a. Peau dorange
c. Nipple retraction
d. Mobile mass at two oclock

A woman has been using acupuncture to treat the nausea and vomiting caused by the side effects of chemotherapy for breast cancer. Which conditions would cause the nurse to recommend against further use of acupuncture? (Select all that apply.)

a. Lymphedema
b. Bleeding tendencies
c. Low white blood cell count

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the clients electronic medical record? (Select all that apply.)

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