ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 57 : Management of Patients with Female Reproductive Disorders Questions
Question 1 of 5
A female patient tells the nurse that she thinks she has a vaginal infection because she has noted inflammation of her vulva and the presence of a frothy, yellow-green discharge. The nurse recognizes that the clinical manifestations described are typical of what vaginal infection?
Correct Answer: A
Rationale: The clinical manifestations indicate Trichomonas vaginalis, characterized by frothy, yellow-green discharge and vulvar inflammation, treated with metronidazole. Candidiasis produces a white, cheese-like discharge. Gardnerella is characterized by gray-white discharge. Gonorrhea often produces no symptoms.
Question 2 of 5
The nurse notes that a patient has a history of fibroids and is aware that this term refers to a benign tumor of the uterus. What is a more appropriate term for a fibroid?
Correct Answer: D
Rationale: A leiomyoma is a benign tumor of the uterus, commonly referred to as a fibroid. Bartholins cyst is a cyst in a vestibular gland in the vulva. A dermoid cyst is a benign ovarian tumor. A hydatidiform mole is a gestational neoplasm.
Question 3 of 5
A nurse practitioner is examining a patient who presented at the free clinic with vulvar pruritus. For which assessment finding would the practitioner look that may indicate the patient has an infection caused by Candida albicans?
Correct Answer: A
Rationale: Candida albicans infection is characterized by itching and a scant white, cottage cheese-like discharge. Yellow-green discharge indicates Trichomonas vaginalis. Gray-white discharge and a fishy odor are signs of Gardnerella vaginalis.
Question 4 of 5
The nurse is planning health education for a patient who has experienced a vaginal infection. What guidelines should the nurse include in this program regarding prevention?
Correct Answer: C
Rationale:
To prevent vaginal infections, patients should avoid feminine hygiene products like sprays, wear cotton underwear instead of synthetic, avoid douching, and maintain daily bathing. Tight-fitting synthetic underwear and bubble baths increase infection risk.
Question 5 of 5
A patient has herpes simplex 2 viral infection (HSV2). The nurse recognizes that which of the following should be included in teaching the patient?
Correct Answer: D
Rationale: HSV-2 causes genital herpes, not cold sores (which are caused by HSV-1). It is not curable with antibiotics, as it is a viral infection. The virus is transmissible during active outbreaks. Treatment focuses on symptom relief.