ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 53 Questions
Question 1 of 5
Which of the following questions should the nurse ask when assessing a patient who has a history of benign prostatic hyperplasia (BPH)?
Correct Answer: C
Rationale: Enlargement of the prostate blocks the urethra, leading to urinary changes. Benign prostatic hyperplasia is a common problem of older men. It can alter normal urination, causing retention and difficulty in initiating the urinary stream. The other questions address possible problems with infection or sexual difficulties but would not be helpful in determining whether there were functional changes caused by BPH.
Question 2 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 3 of 5
The nurse is assessing an older-adult male patient and the patient says that he does not respond to sexual stimulation the way he did when he was younger. Which of the following responses to the patient's comment is best?
Correct Answer: D
Rationale: The initial response by the nurse should be further assessment of the problem. The other statements by the nurse are accurate but might not respond to the patient's concerns.
Question 4 of 5
When scheduling a pelvic examination and Pap test, which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The results of a Pap test may be affected by douching, which can remove cells from the cervix. The patient may shower or take a bath before the examination, and sexual intercourse or timing relative to the menstrual period do not significantly impact the results.
Question 5 of 5
The nurse is assessing a patient who has amenorrhea with a weight of 41 kg. The patient makes all of the following statements. Which one indicates a need for immediate teaching by the nurse?
Correct Answer: A
Rationale: Not being able to eat much at all for the past three months indicates that the patient may be experiencing anorexia. Anorexia can cause amenorrhea. The other statements by the patient do not suggest any urgent teaching needs.