A nurse in the women's health clinic is obtaining a client's health history. What question will elicit information about the client's risk for exposure to diethylstilbestrol (DES)2
Anonymous Quiz
12%
"Were you born before 1971?"
29%
"Have you ever taken oral contraceptives?"
41%
"Have you noticed any lesions in your perineal area?"
18%
"Did your mother take hormones during her pregnancy?"
A 35-year-old client is scheduled for a conization of the cervix to remove dysplastic cervical cells and to determine the extent of involvement. What behavior indicates to a nurse that the client understands the postoperative instructions?
Anonymous Quiz
17%
States she will not resume sexual intercourse for 48 hours.
59%
Verbalizes expectations of a vaginal discharge for 3 to 5 days.
22%
Demonstrates the ability to change Sterile surgical dressings.
2%
None
A client with/cancer of the cervix has an intracavity radioactive sealed implant in place. What precaution should the nurse take to protect against excessive exposure to radiation?
Anonymous Quiz
16%
Dispose of body fluids in special marked containers.
23%
Cohort two clients who haveimplanted radiation therapy.
42%
Exit the room walking backward while wearing a lead apron.
19%
Limit visitors to individuals who are 13 years of age and older.
A client who is scheduled to have an abdominal panhysterectomy asks how the surgery will affect her periods. How should the nurse respond?
Anonymous Quiz
39%
You will not have any more periods."
17%
"Your periods will become more regular."
31%
"Your periods will become lighter until they disappear."
13%
"You will notice that the time between periods will be longer
client is diagnosed uterine fibroids,the health care provider advises hysterectomy.client expresses concern about having hysterectomy age 45 because she heard from friends that feel severe symptoms of menopause efter surgery.What is the nurse's response?
Anonymous Quiz
26%
"You are correct, but there are medicines you can take that will ease the symptoms."
33%
"This sometimes occurs in women of your age, but you needn't worry about it at this time."
9%
"Perhaps you should talk to your surgeon because I am not allowed to discuss this with you.
31%
Some women may experience symptoms of menopause if their ovaries are removed with their uterus."
After a hysterosalpingo-oophorectomy, a client wants to know whether it would be wise for her to take hormones ight away to prevent symptoms of menopause. What is the nurse's most appropriate response?
Anonymous Quiz
8%
"It is best to wait because you may not have any symptoms."
33%
"It is comforting to know that hormones are available it you should ever need them."
25%
"You have to wait until symptoms are severe; otherwise, hormones will have no effect."
34%
"Discuss this with your health care provider, because it is important to know your concerns."
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After an abdominal hysterectomy the client returns to the unit with an indwelling catheter. The nurse identifies that the urine in the client's collection bag has become increasingly sanguineous What complication does a nurse suspect?
Anonymous Quiz
21%
An incisional nick in the bladder
25%
A urinary infection from the catheter
39%
Disseminated intravascular coagulopathy
15%
Uterine relaxation with increased bleeding
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A client who had a mastectomy asks about the term ERPpositive) The nurse explains that tumor cells are evaluated for estrogen receptor protein to determine the:
Anonymous Quiz
10%
need for supplemental estrogen.
21%
feasibility of breast reconstruction.
45%
degree of metastasis that has occurred.
24%
potential response to hormone therapy.
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When encouraging a client to cough and deep breathe after a bilateral mastectomy, the client says, "Leave me alone! Don't you know I'm in pain? What is the nurse's most therapeutic response?
Anonymous Quiz
24%
"I know it hurts to cough, but try to use the incentive spirometer
23%
We'll start this tomorrow: I will give you something for your pain."
25%
"I understand that you are in pain; rest now. and I'll come back later.
28%
"Your pain is to be expected, but you must attempt to expand your lungs.
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A nurse is writing a teaching plan about osteoporosis. The nurse should include in language that most clients would understand that osteoporosis is best described as:
Anonymous Quiz
10%
avascular necrosis.
31%
pathologic fractures.
26%
hyperplasia of osteoblasts.
34%
decrease in bone substance.
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The plan of care for a client with osteoporosis includes active and passive exercises calcium supplements, and daily vitamins. How does a nurse determine that the desired effect of therapy is attained?
Anonymous Quiz
42%
Mobility increases.
36%
Fewer muscle spasms occur.
19%
There is a more regular heartbeat.
3%
None
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A nurse is caring for a client who just had a mastectomy. How should the nurse position the client's arm on the affected side?
Anonymous Quiz
5%
In adduction supported by
20%
In abduction surrounded by sandbags
65%
On pillows with the hand higher than the arm
11%
With the arm lower than the level of the heart
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