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
Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess?
Correct Answer: C
Rationale: Gardnerella vaginalis is associated with a gray white, watery, fisy smelling vaginal discharge. The discharge associated with a Candida infection is curry white and thick, and has a strong odor. Discharge due to trichomonas vaginalis is yellow white, foamy, and has a foul odor.
Question 2 of 5
The nurse is caring for a client who has just been diagnosed with o endometriosis. The client has been hoping to have children with her partner. Which statement by the nurse is most appropriate to provide the client with support and guidance about treatment options?
Correct Answer: C
Rationale: The nurse assists the client through the decision-making process as it applies to family planning and medical or surgical treatment. Suggesting that the client include a partner or significant other in the discussion of options would be most helpful and therapeutic. The client does not need to make a decision immediately. The nurse should not give advice or offer personal opinions to influence the client's choice. The nurse should support the client's option of seeking a second opinion.
Question 3 of 5
The nurse is teaching a client about the use of a pessary. Which statement by the client indicates the need for additional instruction?
Correct Answer: A
Rationale: A white or yellow discharge from the vagina is not a normal finding and should be reported to the physician because it may indicate an infection. A sterile lubricant is applied to the pessary before it is reinserted. After removal, the pessary should be washed thoroughly with warm soapy water, followed by rinsing and drying. Discomfort may indicate that a pessary has been inserted incorrectly, it has moved, or that it is causing irritation. These problems should be reported to the physician.
Question 4 of 5
A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?
Correct Answer: B
Rationale: A localized malignancy is referred to as carcinoma in situ. Stage I endometrial cancer is confined to the body (corpus) of the uterus, stage II involves the corpus and cervix, and stage III extends outside the uterus but not the true pelvis.
Question 5 of 5
A client tells the nurse that she is struggling with symptoms of irritability and 'feeling crazy' around the same time each month. Which assessment data would provide the most important information needed in the development of a treatment plan for this client?
Correct Answer: B
Rationale: Diagnosis of premenstrual disorder and/or premenstrual dysphoric disorder is based on data recorded in a menstrual diary over the time period lasting at least 2 months or more. Symptoms are absent during the period between onset of menstruation and ovulation as recorded in the diary. Reproductive history, vital signs, and dietary assessment are not significant in the diagnosis of the PMS or PMIDD.