The nurse is developing a teaching plan for a client who is scheduled for her first papanicolaou test what instruction by the nurse is the most accurate
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
Bleeding from the vagina
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy which finding would be reported to the primary health care provider immediately
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
exercise is healthy but can decrease body fat and cause irregular periods
A client is having a hysterosalpingogram what action by the nurse is most important
assist the client in sitting up after the procedure
The mother of an 18 year old girl asks the nurse which screening her daughter would receive now based on evidence based recommendations which suggestion by the nurse is best
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
I can return to jogging my 3 mile(5km) routine in a few days
A 67 year old male client had serum laboratory tests performed during his annual examination the nurse reviews his results as follows testosterone 680 ng/dl prostate -specific antigen 10 ng/mL prolactin 5ng/mL what action by the nurse is best
prepare the client for further diagnostic testing
A 72 year old woman is being assessed by the nurse for an annual physical which finding is of concern to the nurse
increased size of the uterus
The nurse is assessing a client for reproductive health problems what assessments are most important SATA
bleeding
pain
masses
discharge
The nurse is reviewing discharge plans with a client who is recovering from a cervical biopsy which statements indicate good understanding by the client SATA
I cannot carry my toddler for 2 weeks
I cannot douche until the biopsy site is healed
I need to wait for about 2 weeks to have intercourse
The nurse is teaching a 45 year old woman about her fibrocystic breast changes which statement by the client indicates lack of understanding
This condition will become malignant over time
The nurse is examining a womans breast and notes multiple small mobile lumps which question would be most appropriate for the nurse to ask
Do the small lumps seem to change with your menstrual period
The nurse is working with a male client who has gynecomastia what action by the nurse is most appropriate
Educate him on the side effects of tamoxifen
Which finding in a female client by the nurse would receive the highest priority for further diagnostics
Nontender fixed mass in the upper outer quadrant of the breast
The nurse has taught a female client about the modifiable risk factors for breast cancer which statement made by the client indicates that more teaching is needed
I am glad that we can still have wine with every evening meal
A younger woman from an unfamiliar culture is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy what action by the nurse is most appropriate
Offer to include the support people such as the male partner in the decision making
A client has just returned from a right radical mastectomy which action by the assistive personnel would require the nurse to intervene
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
I am glad that these tubes will fall out at home when I finally shower
During dressing changes the nurse assesses a client who had breeast reconstruction which finding would cause the nurse to take immediate action
Dusky color of the breast flap
A client is starting hormonal therapy with tamoxifen to lower the risk of breast cancer what information needs to be explained by the nurse regarding the action of this drug
It selectively blocks estrogen in the breast
A client is placed on a medical regimen of doxorubicin(Adriamycin) cyclophosphamide and flurouracil for breast cancer which side effect seen in the client would the nurse report to the primary healthcare provider immediately
shortness of breath
A client is concerned about the risk of lymphedema after a mastectomy which response by the nurse is best
be careful not to injure that arm to get any infection in that arm
A woman diagnosed with breast cancer had these laboratory tests perfomed at an office visit which test results indicate to the nurse that some further diagnostics are needed
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 SATA
Age greater than 65 yrs
increased breast density
genetic factors
early menarche
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 would be included in the plan SATA
Annual mammogram
breast self awareness
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 SATA
Peau d orange
nipple retraction
mobile mass at 2 o clock
skin ulceration
A woman is interested in alternative and complementary treatments for the nausea and vomiting caused by the side effects of chemotherapy for breast cancer which therapies would the nurse suggest SATA
Acupuncture
Aromatherapy
Shiatsu
A nurse is caring for a woman who had a hysteroscopic surgery for uterine leimyomas on initial assessment the nurse notes the following pulse 114 beats/min respiratory rate 20 breaths/min crackles in bilateral lung bases what action by the nurse takes priority
Call the rapid response team
The nurse is educating a client on the prevention of toxic shock syndrome(TSS) which statement by the client indicates a lack of understanding
I need to change my tampon every 8 hours during the day
A client is admitted to the emergency department with toxic shock syndrome which action by the nurse is the most important
remove the tampon as the source of infection
The nurse is caring for a postoperative client following an anterior colporrhaphy what action can be delegated to the assitive personnel
drawing a shallow hot bath for comfort measures
A nurse recieves hand off report on four postoperative clients who each had total hysterectomies which client would the nurse assess first upon initial rounding
Vaginal hysterectomy two saturated perineal pads in 2 hours
A client has undergone a vaginal hysterectomy with a bilateral salpingo -oophorectomy she is concerned about a loss of libido what intervention by the nurse be best
teach that estrogen cream inserted vaginally may help
A client has recently been diagnosed with type II endometrial cancer and will be treated with brachytherapy what statement by the client indicates a need for further education on this treatment
I have to be alone in the room during treatment so I dont expose others
The outpatient clinic nurse has assessed a woman who reports a month long history of feeling full urinary frequency and bloating what action by the nurse is best
teach the woman about CA-125 test
The nurse has educated a community group risk factors of ovarian cancer which statement by a participant shows the need for reviewing the information
this is a disease of young women
A nurse has taken an informed consent to a woman who is having transvaginal repair of a prolapsed uterus what client statement indicates a need for more information
the mesh they use may become infected
A 25 year old woman is concerned about contracting HPV what information by the nurse is most appropriate
we can provide HPV testing along with your papsmear
A 28 year old client is diagnosed with uterine leimyoma and is experiencing severe symptoms which actions by the nurse are the most appropriate at this time SATA
teach nonpharmacologic comfort measures
relieve anxiety by relaxation techniques and education
review complete blood count for possible iron deficiency anemia
The nurse is giving discharge instructions to a client who had a total abdominal hysterectomy with a vaginal repair which statements by the client indicate a need for further teaching SATA
I should not have any problems driving to see my mother who lives 3 hours away
now that i have time off from work i can return to my exercise routine next week
The nurse is taking the history of a 24 year old client diagnosed with cervical cancer what possible risk factors would the nurse assess SATA
smoking
multiple births
infections with HPV
A client is scheduled to start external beam radiation therapy for her endometrial cancer which teaching by the nurse is accurate SATA
your skin needs to be inspected daily for any breakdown
it is not wise to stay out in the sun for long periods of time
the perineal area may become damaged with the radiation
you will not be radioactive or pose any danger to anyone else
The nurse is teaching a client who is undergoing brachytherapy about what to immediately report to her primary health care provider which signs and symptoms would be included in this teaching SATA
Abdominal pain
visible blood in the urine
heavy vaginal bleeding
a client has recurrent vulvovaginitis which statements by the client indicate a need for further teaching SATA
I can take a long hot bath to relieve itching
I need to take all of my antibiotics as prescribed
I should use antibacterial soap to clean the area
The nurse is doing home care teaching for a client who has undergone cryotherapy which statements by the client indicate a correct understanding of the instructions SATA
I should not use tampons douche or have sexual activity
i should shower than take a tub bath
there should be little or no discomfort
The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement which finding is cause for prompt action by the nurse
hematuria
A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable after assessing the clients behavior which statement by the nurse would seem to be the most appropriate
nocturia could cause interruption of your sleep and causes changes in mood
the nurse is providing education to a new 55 year old african american client about screening for prostate cancer what action by the nurse is most appropriate
teach the client that he is in a high risk group and should discuss screening
the nurse us teaching a client with benign prostatic hyperplasia what statement indicates the client needs further information
there should be no problem with drinking wine with dinner each night
a client has returned from a transurethral resection of the prostate with a continous bladder irrigation five hours after the operation the nurse notes the drainage is bright red with clots what action should the nurse take first
take vital signs and begin immediate irrigation with sterile water
A new nurse care for several client after radical prostectomies for prostate cancer what action by the nurse indicates a need to review care measures for this type of client
administers a suppository and recording contents of the drainage devices
a client with metastic prostate cancer has been prescribed leuprolide a bisphonate and flutamide which statement by the client warrants further investigation by the nurse
my wife has noticed my eyes looking a little yellow
the nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer what statement by the client indicates the need to review the information
there should be no effect on my ability to reproduce
the nurse has provided postvasectomy discharge instructions to the client what statement by the client demonstrates good understanding
an icepack to my scrotum will help with the swelling
a client comes to the clinic with conerns about an enlarged left testicle and heaviness in his lower abdomen which diagnostic test would the nurse expect to be ordered
alpha fetoprotein
a client presents to the emergency department reporting vomiting severe lower. abdominal pain and a tender mass above one testis what action by the nurse is most important
determine when he last ate or drank anything
a client from a transurethral resection of the prostate 8 hours ago with a continous bladder irrigation the client reports headaches and dizziness what action by the nurse is most appropriate
report the findings to the surgeon immediately
the nurse is teaching an uncircumcised 65 year old client about self management of a urinary catheter in preparation for discharge to his home what statement indicates the client needs more information
i have to wash the outside of the catheter once a day with soap and water
the nurse is teaching a client about side effects and adverse reactions of a PDE5 inhibitor what information does the nurse include SATA
stop using this drug if your primary health care provider prescribes a nitrate
do not drink achohol before having sexual intercourse
muscle cramps nausea and vomiting are possible if you take more than 1 pill a day
change psoitions slowly especially if you also an antihypertensive drug
a client is interested in learning about the risk factors for prostate cancer which factors does the nurse include in the teaching SATA
first degree relative with prostate cancer
advanced age
eating too much red meat
race
a client came to the clinic with erectile dysfunction what are some possible causes of this condition that the nurse could discuss with the client during history taking SATA
recent prostatectomy
long term hypertension
diabetes mellitus
consumption of beer each night