ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 52 Questions
Question 1 of 5
Which condition would prevent the use of a vaginal hysterectomy?
Correct Answer: B
Rationale: In the case of large uterine fibroids, a vaginal hysterectomy is not an option.
Question 2 of 5
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
Correct Answer: B
Rationale: Early ambulation is very helpful to return the bowel to normal function.
Question 3 of 5
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, 'Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore.' Which response from the nurse is most therapeutic?
Correct Answer: D
Rationale: Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful.
Question 4 of 5
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have 'hot flashes.' Knowledge of which fact will guide the nurse's response?
Correct Answer: C
Rationale: A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce menopause and hot flashes may occur.
Question 5 of 5
On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore. The nurse recognizes the interventions in the plan of care will be based which patient problem?
Correct Answer: A
Rationale: After losing a breast, many patients experience grief over the loss of a body part. The process of grieving is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping mechanisms.