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
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 2 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 3 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.
Question 4 of 5
A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is identified as cis-gender Smith. The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?
Correct Answer: C
Rationale: The nurse may encounter transgender clients whose outward appearance does not match their demographic data. In this case, the nurse should greet the client and ask the client to explain his or her preferred forms of address. Legally, a polygender client creates embarrassment. The nurse should not assume the client is not present in the room. The chart may or may not contain errors, but that is not related to determining how the client prefers to be addressed.
Question 5 of 5
A nurse is providing health teaching to a middle-aged male-to-female (MtF) client who has undergone gender reassignment surgery. What information is most important to this client?
Correct Answer: A
Rationale: The MtF client retains the prostate, so annual screening examinations for prostate cancer remain important. The other statements are good general health teaching ideas for any client.