exam 6

Question 1

what side effect should the nurse educate the patient who is taking danazol (danocrine), an androgenic seroid, on for the treatment of menorrhagia.

Answer 1

masculine side effects

Question 2

at what age a woman should have an annual mammogram

Answer 2

50

Question 3

know what teaching for a patient with endometriosis should include (s/s of common complications)

Answer 3

obstruction of the bowel and ureters

Question 4

how can the nurse minimize the problem of lymphedema after a patient has a mastectomy

Answer 4

keep it elevated

Question 5

If a patient tells a nurse they are afraid of getting cervical cancer, because their mother died of cervical cancer, what would be the best response by the nurse.

Answer 5

regular pap smears screen for it

Question 6

if a nurse is caring for a patient after a modified radical mastectomy, for a breast tumor that is positive for estrogen receptor (ER+) and the patient is placed on “Tamoxifen”. if the patient asks, should I take this medications, which response by the nurse is most appropriate?

Answer 6

yes because of the type of tumor it was ER+

Question 7

If a female patient has a vaginal discharge, that is cottage cheese like in appearance, what is this a common sign of.

Answer 7

candida albicans

Question 8

know on self breast exams, the most common area for breast tumors to occur

Answer 8

upper outer quadrant

Question 9

if after months of infertility, the physician informs a 32 year old patient that she will never conceive and the patient states, I guess I am a failure as a woman, what would the most appropriate nursing diagnosis be?

Answer 9

ineffective coping

Question 10

know what has to be present for a woman to be diagnosed with primary infertility

Answer 10

inability to conceive within 1 year of regular unprotected sex

Question 11

if a patient is admitted with a possible cancer of the ovary, know what the nurse should know about malignant tumors of the ovary

Answer 11

because there are no symptoms frequently advanced and inoperable by the time it is diagnosed

Question 12

a mastectomy care plan should address psychosocial problems of the patient. know what that should be directed toward

Answer 12

give support talk about it

Question 13

know what medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility

Answer 13

clomid

Question 14

if a nurse reads that the patients breast tumor is a stage 2 know what the nurse realized about the tumor

Answer 14

2.5 diameter
0-1 lymph nodes
no metastases

Question 15

if a nurse is reviewing drugs taken by a 50 year old male the nurse would recognize what drug was most probably causing ED

Answer 15

vasodilators for hypertension

Question 16

if a young male is being treated for infertility,. know what semen analysis will show

Answer 16

sperm count # of sperm and motility

Question 17

know what the purpose of an urethral smear is

Answer 17

STD

Question 18

know what a patients home instructions should include after a vasectomy

Answer 18

should be considered permanent

Question 19

if a 65 year old male patient has a “transillumination test” on the left testicle, that glows red, know what that would indicate

Answer 19

hydrocele

Question 20

if the mother of a newborn with cryptorchidism asks the nurse if the condition is permanent, know what the nurse should say

Answer 20

should be corrected after 1rst birthday

Question 21

if a 50 year old patient has been taking nilutamide (nilandron) a testosterone blocker, know what the patient should expect while on the drug

Answer 21

liver function needs to be monitored

Question 22

if a 60 year old man who had a prostatectomy 3 weeks earlier asks the nurse if the ongoing incontinence will ever stop, know what the nurses best response would be

Answer 22

usually subsides within 6 months

Question 23

after an accident at a track meet, a young male runner comes into the ER c/o intense pain in his scrotum and nausea and vomiting. Based on these findings, know what the nurse should suspect

Answer 23

testicular torsion

Question 24

a 30 year male has just been diagnosed with testicular cancer, then the patient covers his face with both hands and sighs. Know what the nurses most therapeutic intervention at this time would be. what would the nurse say?

Answer 24

tell me what your fears are regarding this diagnosis

Question 25

know what the nurse should take into account in making a teaching plan for a patient with acute prostatitis. what will the treatment include?

Answer 25

antibiotic and anti inflammatory

Question 26

after a patient has surgery to correct a testicular torsion, know what the nurse should caution the patient about.

Answer 26

possibility of infertility

Question 27

if a man has suffered a spinal cord injury with resultant ED, know what prosthetic device the man can use to be able to have sexual intercourse

Answer 27

penile implant

Question 28

if a nurse is assessing a young man who is being treated for sterility, which common childhood disease would the nurse want to inquire about?

Answer 28

mumps

Question 29

know what an elevation in PSA (prostatic-specific antigen) from 4ng/L to 6ng/L would indicate?

Answer 29

prostate cancer

Question 30

if a patient has a prostatectomy 1 year earlier and now has elevations in serum alkaline phosphatase and calcium, know what that would be indicators

Answer 30

metastatic cancer

Question 31

if a nurse is giving instructions about taking Sildenafil (Viagra), know what instruction the nurse would give concerning on when to take the medication

Answer 31

1 hour before sexual activity

Question 32

if a patient who has been taking opioid medication for post operative pain, exhibits pin point pupils, know what anatomic portion of the eye has been affected by the medication

Answer 32

choroid

Question 33

know what portion of the eye makes it possible for a person to see in a dark environment

Answer 33

rods

Question 34

know how vision changes from near to far occur

Answer 34

accommodation - shape of the lens of the eye changes when ciliary muscles relax and contract

Question 35

if a patient had their eyes tested and their vision was 20/50 know what that means

Answer 35

a person can read at 20 feet what a person with normal vision can read at 50 ft

Question 36

know how a nurse would know that a patient being evaluated for a visual impairment, does not have glaucoma, related to the tonometry test measurement of intraocular pressure

Answer 36

within 10-20 is normal, above that would be glaucoma

Question 37

know what a pneumatonometric study of the eye is

Answer 37

a puff of air directed at the surface of the eye

Question 38

know how a nurse would perform an eye irrigation

Answer 38

inner canthus to outer canthus

Question 39

know what information to give a patient who is using topical eye medications

Answer 39

pull conjunctiva down, drop it down in that sack

Question 40

know what electroretinography is supposed to measure

Answer 40

test for retinal response

Question 41

know what a nurse should tell a patient about protecting vision

Answer 41

regular eye exams every two years after 40

Question 42

know how a nurse would instruct a family member of a visually impaired person, to guide the patient when ambulating

Answer 42

let them grab you behind the arm

Question 43

know the correct term for a patient with a vision disorder

Answer 43

visually impaired

Question 44

know what nursing implementations are appropriate for a visually impaired person

Answer 44

announce yourself

Question 45

know what a patient with glaucoma, who is taking a beta-adrenergic blocking agent, Timolol (timoptic) should be monitored for

Answer 45

wheezing

Question 46

if a patient complains that they must hold a piece of paper further and further away to see it, know what the nurses most informative response would be

Answer 46

presbyopia - need glasses

Question 47

if a patient tells a home health nurse that they are having cloudy vision and seeing spots and halos around lights, know what the nurse would evaluate for

Answer 47

cataracts

Question 48

if a patient in the ER complains of severe pain in his eye and is seeing halos around lights and feeling nauseous, what do these s/s indicate

Answer 48

angle closure glaucoma

Question 49

know what surgical implementation is most effective for retinal detachment

Answer 49

scleral bucking

Question 50

know what Otaglia is

Answer 50

ear pain

Question 51

if a nurse is assisting with a caloric test and the specific patient response indicates that the hearing disorder is with the labyrinth, what s/s would indicate that

Answer 51

nystagmus

Question 52

know what normal age-related changes in the ear are

Answer 52

dry and wrinkled skin, dry cerumen, hair in ear

Question 53

when making an initial assessment on a patient with a hearing deficit, if the patient often feels off balance and dizzy when they stand up, what could explain those s/s

Answer 53

sinus infection

Question 54

if a 75 year old patient complains to the nurse, that although she has cleaned her ears with cotton-tipped applicators for weeks, she still cannot hear her television unless the volume is loud and she misses out on a great deal of conversations, on ear exam what would the nurse anticipate?

Answer 54

wax is dryer so its not coming out, dry cerumen across the canal

Question 55

if a patient reports a hearing loss has become more severe over the last 3 months, what professional would the patient need evaluation by

Answer 55

audiologist

Question 56

if a patient has a suspected vestibular disorder and the physician orders an electronystagmography, what nursing instruction before the test would be given to the patient

Answer 56

NPO for 3 hours

Question 57

know what the results of a rinne test would be that was as follows BC>AC

Answer 57

conductive hearing loss

Question 58

if a patient is undergoing a Weber test and says that the sound is louder in the left ear, know what that would indicate

Answer 58

conductive hearing loss in the left ear

Question 59

if a patient with diabetes says that he needs a hearing aid because he cannot hear well and everything sounds garbled and distant. the nurses most informative response would be that a hearing aid may not help him. why

Answer 59

sensory neural hearing loss

Question 60

for the patient with menier’s disease, which nursing diagnosis would take priority

Answer 60

risk for injury related to falls

Question 61

for the patient self administering ear drops what do you tell the patient

Answer 61

tilt the head to the side for a few minutes

Question 62

if a patient is being discharged after ear surgery what do you tell them

Answer 62

do not blow your nose.

Question 63

know how to teach a patient with Meniere’s disease about managing the disorder, what should the nurse stress

Answer 63

no tobacco or alcohol

Question 64

if an 85 year old has had age related changes in the cochlea, what intervention should the nurse provide

Answer 64

assistance with ambulation

Question 65

if a patient comes in to a clinic c/o a head cold and ear pain, what should the nurse suspect

Answer 65

acute otitis media

Question 66

if a young woman being admitted to a clinic service states that all the members of her family have been hard of hearing and states her hearing loss would this be (ie. what caused the hearing loss)

Answer 66

otosclerosis

Question 67

know what patient teaching for a patient with Meniere’s disease includes

Answer 67

low sodium diet, diuretics

Question 68

if a 75 year old patient reports having difficulty hearing in crowds but can hear just fine at home with his wife, what type of hearing loss would that indicate?

Answer 68

presbycusis

Question 69

if a patient reports taking 10 aspirin tablets a day for arthritis, what should the nurse ask the patient

Answer 69

do you have ringing in the ears