ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 69 Questions
Question 1 of 5
A 67-year-old male client had some serum tests performed during his annual examination. The nurse reviews his results, as follows: testosterone: 600 g/L, prostate-specific antigen: 10 mg/L, prolactin: 5 mg/L. What is the nurse's best action?
Correct Answer: D
Rationale: The prostate-specific antigen is increased from the normal range of 0 to 2.5 mg/L, which could indicate benign prostatic hyperplasia or prostate cancer. Further testing is required. The values of testosterone and prolactin are within normal range. If prolactin were increased, there would be a possibility of galactorrhea. An increase in testosterone could indicate a possible testicular tumor.
Question 2 of 5
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding should be reported to the health care provider immediately?
Correct Answer: B
Rationale: Chills and fever could indicate an infection and should be reported immediately to the health care provider. Mild cramping, spotting, and fatigue are normal findings after an endometrial biopsy.
Question 3 of 5
The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
Correct Answer: C
Rationale: Vaginal bleeding is not normal for the postmenopausal woman and requires immediate action to investigate potential serious conditions such as endometrial cancer. Vaginal dryness and leakage of urine are common findings in adults of this age range. Pap tests may not be needed for women over 65 who have had regular cervical cancer screening with normal results.
Question 4 of 5
A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the gym to 2 hours each day. What is the nurse's best response?
Correct Answer: B
Rationale: A certain level of body fat is necessary to maintain regular menstrual cycles. Increased exercise can reduce body fat, potentially leading to irregular periods. This response educates the client on the relationship between exercise, body fat, and menstrual irregularities.
Question 5 of 5
A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client alerts the nurse of the need for further teaching?
Correct Answer: D
Rationale: The client's statement about returning to a normal routine in a few days indicates a need for further teaching, as recovery from laparoscopy typically requires avoiding strenuous activity for about a week to ensure proper healing.