ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 53 : Caring for Clients With Disorders of the Female Reproductive System Questions
Question 1 of 5
A client reports loss of interest in sexual relations and discomfort during intercourse. Which is the best response by the nurse?
Correct Answer: B
Rationale: Diminished libido and/or dyspareunia are common symptoms associated with perimenopause. Explaining that this can be a normal finding may help to alleviate worries for the client and provide hope for management of the symptoms. The nurse should avoid telling a client 'not to worry' or 'talk to someone else' because these can negate client feelings and shut down communication. HRT may not be recommended for this client.
Question 2 of 5
The client asks the nurse if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy?
Correct Answer: C
Rationale: The risk of endometrial or breast cancer in women prescribed HRT may outweigh the benefits of relieving symptoms of menopause and preventing kyphosis or hip fractures associated with osteoporosis.
Question 3 of 5
The nurse is caring for a client who has experienced repeated episodes of vaginitis. Which assessment finding does the nurse explain is the most likely cause?
Correct Answer: D
Rationale: Unregulated blood sugars can result in alteration of the vaginal environment and promote the presence of glycogen in vaginal mucus, which supports the growth of microorganisms. Monitoring and controlling blood sugars would be key in a client with diabetes. Tub baths and participation in a healthy sex life are not associated with vaginitis. Frequent douching should be avoided.
Question 4 of 5
The nurse is providing an educational ver?£o on toxic shock syndrome (TSS) to a group of adolescents. Which preventive measure does the nurse focus on for this group?
Correct Answer: A
Rationale:
Toxic shock syndrome is often associated with the use of supersorbent tampons that are not changed frequently. The infection can also be introduced through unclean birth control devices or keeping the device in place too long after use. Good personal hygiene and safe sexual practices should also be addressed but they are not specific to TSS.
Question 5 of 5
The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese-like in appearance. Which pathogen is the most likely cause for this symptom?
Correct Answer: B
Rationale: Candida albicans is a yeast infection that presents with a thick, curdy white discharge. Gonococcus is the organism that causes gonorrhea and presents with a yellow, mucoppuntent discharge. Trichomonas vaginalis presents with a foamy, white foul-smelling discharge and Gardnerella vaginalis is a watery, fishy-smelling discharge.