ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 53 Questions
Question 1 of 5
Which information about a female patient who wants to start using oral contraceptives is most important to report to the health care provider?
Correct Answer: B
Rationale: Since hypertension increases the risk for morbidity and mortality in women taking oral contraceptives, the patient's blood pressure should be controlled before oral contraceptives are prescribed. The other information will also be reported but will not affect the choice of contraceptive.
Question 2 of 5
A male patient who is 53 years of age is scheduled for an annual physical exam. Which of the following information should the nurse include in the teaching plan?
Correct Answer: D
Rationale: A digital rectal examination is required for all men who have symptoms of prostate trouble, such as difficulty in initiating the flow and the urge to void frequently. This examination should be performed annually for all men 50 years of age or older. There is no indication that the other patient teaching topics are appropriate for this patient.
Question 3 of 5
The nurse is providing teaching a patient who has been treated for pelvic inflammatory disease. Which of the following information should the nurse teach the patient about?
Correct Answer: C
Rationale: Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is not affected, the patient will not require HRT, have irregular menstrual cycles, or experience changes in secondary sex characteristics.
Question 4 of 5
A couple who has not been able to conceive is scheduled for a postcoital test for infertility. Which of the following information should the nurse provide to the couple in preparation for the test?
Correct Answer: C
Rationale: For the postcoital test, the couple should have intercourse at the estimated time of ovulation and then arrive for the test 2-8 hours after intercourse. The other instructions would be used for other types of fertility testing.
Question 5 of 5
The nurse is performing a physical assessment on a male patient and obtains this information. Which of the following findings is most important to report to the health care provider?
Correct Answer: D
Rationale: Clear penile discharge may be indicative of a sexually transmitted infection (STI). The other findings are normal and do not need to be reported.