When caring for clients with neoplasms of the reproductive system, the nurse must begin by assessing the woman's knowledge of the disorder, its management, and prognosis. This assessment should be followed by a nursing diagnosis. Which diagnosis fails to address the psychologic effect of these disorders?

Correct Answer: C

Rationale: The correct answer is option C) Risk for injury, related to lack of skill for self-care, as the nursing diagnosis does not directly address the psychological impact of neoplasms on the reproductive system. Option A) Anxiety related to surgical procedures addresses the emotional distress related to the procedures involved in managing neoplasms. Option B) Disturbed body image as a result of changes in anatomy focuses on the impact of physical changes on body image and self-esteem, which are psychological aspects. Option D) Interrupted family processes considers the potential disruptions within the family unit due to the diagnosis and treatment of neoplasms, which involve psychological and emotional components related to family dynamics. In educational context, it is important for nurses to assess not only the physical but also the psychosocial aspects of clients with neoplasms. Understanding the psychological impact of these disorders is crucial for providing holistic care and addressing the emotional needs of the clients. By identifying the correct nursing diagnosis that encompasses both physical and psychological aspects, nurses can develop effective care plans that promote the overall well-being of clients with neoplasms of the reproductive system.

Correct Answer: A

Rationale: The correct answer is A. The rationale is as follows: 1. Chlamydia is a sexually transmitted infection that requires treatment to prevent transmission. 2. The patient should complete the full course of treatment to ensure the infection is cleared. 3. Waiting 7 days after completing treatment allows time for the medication to be effective and for the patient's partner to also receive treatment. 4. Having sex before completing treatment and ensuring the partner is treated can lead to re-infection and further transmission. Therefore, choice A is the best response. Summary of incorrect choices: B: Incorrect as having sex immediately after finishing the medicine without waiting for partner treatment can lead to re-infection. C: Incorrect as both partners need to complete treatment to prevent re-infection. D: Incorrect as waiting is necessary to ensure the infection is fully treated and transmission is prevented.

Correct Answer: C

Rationale: The correct answer is C: clotrimazole (antifungal). VVC stands for vulvovaginal candidiasis, which is a fungal infection. Clotrimazole is an antifungal medication commonly used to treat VVC. It works by disrupting the cell membrane of the fungus. Metronidazole (A) is an anti-protozoal used for treating infections like trichomoniasis, not VVC. Penicillin G (B) and ampicillin (D) are antibiotics used for bacterial infections, not fungal infections like VVC. Therefore, the nurse should expect to teach the patient about clotrimazole for VVC treatment.

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. Step 1: E. coli is the most common causative agent of pyelonephritis due to its ability to ascend from the lower urinary tract to the kidneys. Step 2: E. coli is a common bacteria found in the gut and can easily infect the urinary tract. Step 3: Neisseria gonorrhoeae, Chlamydia trachomatis, and Candida albicans are not commonly associated with pyelonephritis. Thus, the correct choice is A.

Correct Answer: C

Rationale: The correct answer is C: alcohol use of at least 2 drinks per day. Alcohol consumption is a known risk factor for breast cancer as it can increase estrogen levels in the body, which may contribute to the development of breast cancer. Menarche at age 15 (Choice A) is not a risk factor, as early menarche is associated with a slightly increased risk but not a significant one. Family history of diabetes (Choice B) is unrelated to breast cancer risk. History of three vaginal births by age 25 (Choice D) is actually a protective factor against breast cancer due to the changes in hormonal levels during pregnancy and breastfeeding.