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
The nurse is caring for a 63-year-old patient with ovarian cancer. The patient is to receive chemotherapy consisting of Taxol and Paraplatin. For what adverse effect of this treatment should the nurse monitor the patient?
Correct Answer: A
Rationale: Taxol and Paraplatin commonly cause leukopenia, a manageable toxicity. Acid-base imbalances and hyperphosphatemia are not typical adverse effects of these drugs.
Question 2 of 5
The nurse is caring for a patient with a diagnosis of vulvar cancer who has returned from the PACU after undergoing a wide excision of the vulva. How should this patients analgesic regimen be best managed?
Correct Answer: B
Rationale: Scheduled analgesia prevents severe pain post-vulvar excision, enhancing comfort. PRN dosing may be inadequate, and opioids are often necessary rather than relying solely on NSAIDs.
Question 3 of 5
A 45-year-old woman has just undergone a radical hysterectomy for invasive cervical cancer. Prior to the surgery the physician explained to the patient that after the surgery a source of radiation would be placed near the tumor site to aid in reducing recurrence. What is the placement of the source of radiation called?
Correct Answer: C
Rationale: Brachytherapy involves placing a radiation source near the tumor to reduce recurrence. Internal beam radiation is not a standard term, and trachelectomy is a surgical procedure.
Question 4 of 5
A 25-year-old patient diagnosed with invasive cervical cancer expresses a desire to have children. What procedure might the physician offer as treatment?
Correct Answer: D
Rationale: Radical trachelectomy preserves the uterus for potential pregnancy in young women with cervical cancer. Hysterectomy removes the uterus, and culposcopy/trabeculectomy are not relevant.
Question 5 of 5
A nurse providing prenatal care to a pregnant woman is addressing measures to reduce her postpartum risk of cystocele, rectocele, and uterine prolapse. What action should the nurse recommend?
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic muscles, reducing the risk of cystocele, rectocele, and uterine prolapse. Hygiene, constipation prevention, and fluid intake do not directly address pelvic muscle strength.