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
You are caring for a patient who has been diagnosed with genital herpes. When preparing a teaching plan for this patient, what general guidelines should be taught?
Correct Answer: A
Rationale: Handwashing reduces the risk of reinfection and spread to others or other body parts. Sunbathing does not eradicate the virus, and lesions should not be massaged with ointment to avoid irritation.
Touching lesions can lead to self-infection if hygiene is not maintained.
Question 2 of 5
A patient comes to the clinic complaining of a tender, inflamed vulva. Testing does not reveal the presence of any known causative microorganism. What aspect of this patients current health status may account for the patients symptoms of vulvitis?
Correct Answer: B
Rationale: Vulvitis, an inflammation of the vulva, may result from disorders like diabetes, which can predispose to inflammation due to altered immune response or glucose levels. Obesity, kidney disease, and allergies are less likely causes.
Question 3 of 5
A 14-year-old is brought to the clinic by her mother. The mother explains to the nurse that her daughter has just started using tampons, but is not yet sexually active. The mother states I am very concerned because my daughter is having a lot of stabbing pain and burning. What might the nurse suspect is the problem with the 14-year-old?
Correct Answer: B
Rationale: Vulvodynia is a chronic vulvar pain syndrome with symptoms like burning and stabbing pain, often triggered by initial tampon use. Vulvitis is typically infectious. Vaginitis involves vaginal inflammation, and Bartholins cyst involves a blocked gland.
Question 4 of 5
A patient has been diagnosed with polycystic ovary syndrome (PCOS). The nurse should encourage what health promotion activity to address the patients hormone imbalance and infertility?
Correct Answer: C
Rationale: Weight loss, even as little as 5% of body weight, can improve hormone imbalance and infertility in PCOS. Kegel exercises and fluid intake do not address PCOS. Antibiotics are irrelevant as PCOS is not infectious.
Question 5 of 5
A patient has been diagnosed with endometriosis. When planning this patients care, the nurse should prioritize what nursing diagnosis?
Correct Answer: B
Rationale: Endometriosis causes pain due to misplaced endometrial tissue, making acute pain a priority nursing diagnosis. It is not transmissible, so anxiety about transmission is irrelevant. Hemorrhage and fluid volume excess are not typical.