ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 56 Questions
Question 1 of 5
The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the patients menstrual history? Select all that apply.
Correct Answer: A,B,E
Rationale: Menstrual history assessment includes questions about cycle length, presence of cramps or pain, and bleeding after intercourse, which are relevant to dysmenorrhea. Family menarche history and past STIs are less directly related to current menstrual symptoms.
Question 2 of 5
A nurse presenting an educational event for a local community group is addressing premenstrual syndrome (PMS). What treatment guideline should the nurse teach this group?
Correct Answer: B
Rationale: In general, the patient is encouraged to increase or initiate an exercise program to help relieve symptoms of PMS. Increased fluid intake is recommended, not avoidance. Opioids are not used to treat PMS, and while stress reduction has general benefits, it is not specifically noted to alleviate PMS symptoms.
Question 3 of 5
The nurse is planning the sexual assessment of a new adolescent patient. The nurse should include what assessment components? Select all that apply.
Correct Answer: A,B,C
Rationale: A sexual assessment includes both subjective and objective data, such as health and sexual histories, physical examination findings, and laboratory results. Assessing interpersonal skills or understanding of menopause is not relevant to a sexual assessment for an adolescent.
Question 4 of 5
The nurse is working with a patient who expects to begin menopause in the next few years. What educational topic should the nurse prioritize when caring for a healthy woman approaching menopause?
Correct Answer: A
Rationale: Fostering healthy lifestyles through patient teaching and counseling is a priority, as it supports overall health and well-being during the menopausal transition. This encompasses specific topics like osteoporosis prevention, support groups, and drug therapy but is broader in scope.
Question 5 of 5
A patient in her late fifties has expressed to the nurse her desire to explore hormone replacement therapy (HRT). Based on what aspect of the patients health history is HRT contraindicated?
Correct Answer: C
Rationale: The use of HRT is contraindicated in women with a history of vascular thrombosis, active liver disease, some cases of uterine cancer, and undiagnosed vaginal bleeding. HRT is beneficial in women with a risk for osteoporosis and can relieve symptoms like vaginal dryness, hot flashes, and night sweats. A history of vascular thrombosis is a clear contraindication.