Female Repro-Student CJM Qs Flashcards

1
Q

The nurse admits a post op TAH/BSO who reports finding a pool of blood on her bed upon waking up.What priority action should the nurse perform?
A) Reinforce the Abdominal Dressing
B) Assess Vital Signs
C) Call the Dr.
D) Ask for her pain level
E) Administer IV fluids

A

B) Assess vital signs

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2
Q

The nurse Assess a Client who just underwent a TAH +BSO. Which statement by the client indicates further need for teaching?
A) I should avoid heavy lifting for 2 weeks
B) I should avoid sexual intercourse
C) I should avoid calcium and vitamin D in my diet
D) I need to follow up with my oncologist

A

C) I should avoid calcium and vitamin D in my diet

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3
Q

The nurse educated their client on their TAH/BSO. Which statements made by the client require further education? SATA
A) When should I resume my birth control
B)When can I try to get pregnant
C)I will contact myPCP if I have slightly blood discharge
D) I no longer have to use protection

A

A) When should I resume my birth control
B)When can I try to get pregnant
D) I no longer have to use protection

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4
Q

The nurse prepares to teach a client discharge education on diet of good sources of magnesium SATA

A) leafy Green
B) nuts
C) tap/mineral water
D) legumes
E) Avocado
F) pancakes
G) Cheese
H) Pasta

A

A) leafy Green
B) nuts
C) tap/mineral water
D) legumes
E) Avocado

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5
Q

The nurse participates in a community health fair for cervical cancer prevention. What should the nurse instruct the client who reports a family history of cervical cancer ?
A) HPV vaccine at 11-12 years old
B)Hysterectomy is needed
C) patient may receive brachytherapy
D) delay sex until 35years old

A

A) HPV vaccine at 11-12 years old

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6
Q

Which findings indicate an unexpected outcome related to TAH/BSO postop? SATA
A) Pain 7/10
B) Altered level of consciousness
C) EBL 800ml during surgery
D) RR: 12

A

B) Altered level of consciousness
C) EBL 800ml during surgery

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7
Q

The RN prepares to teach a surgical patient about a radical hysterectomy. Which instruction is most important for the RN to give the patient?
A)Responsible expectations for sexual practice post op; non vaginal intercourse
B)Bath instead of shower
C) wear tampons after 1 week
D)all activity can be resumed in 2 days

A

A)Responsible expectations for sexual practice post op; non vaginal intercourse

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8
Q

What would reduce the risk of ovarian cancer? SATA
A)Use of progesterone based contraceptive
B) Smoking
C) sedentary lifestyle
D) Nulliparity
E) Birth control rest every 5 years

A

A)Use of progesterone based contraceptive
E) Birth control rest every 5 years

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9
Q

The nurse cares for a client who underwent a TAH/BSO. Which new finding is of greater concern?
A) BP80/60 HR 120
B) RR16
C) Urine output 200mL clear, yellow, non odorous
D) _#### didn’t scan from DR. Reimer

A

A) BP80/60 HR 120

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10
Q

A nurse is caring for a client diagnose with trichomoniasis, what statement by the patient indicated a need for further education?
A) I am legally obligated to notify all of my recent sexual partners
B) I may resume sex with my partner after day 3 of taking my antibiotics
C) I should not drink alcohol while taking ABX
D) The ABX may cause a metallic taste in my mouth

A

B) I may resume sex with my partner after day 3 of taking my antibiotics

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11
Q

The nurse assesses a client who had a total hysterectomy with saplingo-oopherectomy. The assessment finding include frank blood in dressing. What is the priory action by the nurse?
A) Reinforce dressing
B) call DR
C) take vitals
D) document findings

A

C) take vitals

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12
Q

the nurse reviews newly written order for a patient admitted form PACU status post op TAH/BSO with general anesthesia. what order should the nurse question? SATA
A) PO acetaminophen
B) aspirin
C)Foley Catheter DC immediately
D) IV ABX
E) SCDs

A

A) PO acetaminophen
B) aspirin

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13
Q

The nurse cares for a patient (should be a childbearing patient) of islamic (or any faith), who has diagnosed with positive BRCA1 gene mutation. The doctor suggests radical hysterectomy. what nursing diagnosis would be appropriate for this patient?
A) disturbed body image
B) acute patin related to symptoms
C) sexual disfunction
D) ineffective coping due to the loss of reproductive organs

A

D) ineffective coping due to the loss of reproductive organs

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14
Q

A client has undergone a TAH/BSO as treatment for endometrial cancer. when providing post op care the nurse would be alert for S/S of which of the following?
A) neurotoxin
B) leukopenia
C) bladder dysfunction
D) clotting deficiencies

A

C) bladder dysfunction

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15
Q

The PACU nurse administers Narcan to a post op client, Which client problem should the nurse include on the plan of care based on this medication?
A) Potential for infection
B) fluid and electrolyte imbalance
C) risk of depressed respiratory system
D) Alteration in comfort

A

C) risk of depressed respiratory system

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