ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 73 : Care of Transgender Patients Questions
Question 1 of 5
A client has returned from the postanesthesia care unit after a vaginoplasty. What comfort measure does the nurse provide for this client?
Correct Answer: A
Rationale: Ice is applied to the perineum to reduce pain and discomfort. Elevating the legs on pillows is not recommended after a lengthy procedure in the lithotomy position, which predisposes the client to venous thromboembolism.
Question 2 of 5
A client had a vaginoplasty under epidural anesthetic. Which action by the nurse is most important?
Correct Answer: B
Rationale: Epidural anesthesia will cause the client to not be able to move (or feel) the legs for several hours. It is important to monitor the client closely and help the client to move in the dressing to get out of bed. Securing the catheter to the leg and monitoring dressings and drainage are important for any client after surgery. Positioning the drain to the contralateral side is not needed.
Question 3 of 5
After a vaginoplasty, what instruction by the nurse is most important?
Correct Answer: D
Rationale: Self-care management for this client includes instructions to dilate the new vagina several times a day for months after the procedure, using water-based lubricant. The client also needs to douche regularly, especially after intercourse, to avoid infections. Sexual intercourse is another way to keep the vagina dilated.
Question 4 of 5
The nurse is reviewing possible complications from a phalloplasty. What factors does the nurse include? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Complications from phalloplasty include infection or scarring of the donor site, necrosis, and stenosis of the urinary tract. Rectal perforation can occur with vaginoplasty, as can infections.
Question 5 of 5
A student nurse is learning about the health care needs of lesbian, gay, bisexual, transgender, and queerquestioning (LGBTQ) clients. Which terms are correctly defined? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Gender dysphoria is emotional distress caused by the incongruence between natal sex (sex assigned at birth) and gender identity. Gender queer is a label sometimes used by people whose gender identity does not fit within the binary of male or female. Natal sex refers to the sex assigned at birth. The term 'transition' in the provided options is incorrect as it refers to the process of changing one's gender presentation or physical characteristics to align with gender identity, not establishing a sexual identity. Gender fluid is a valid term for a gender identity that can shift over time, but it was not part of the original options.