Unit 4 Quiz Flashcards
Which of the following disorders of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment?
a) erectile dysfunction
b) intravaginal testicular torsion
c) spermatocele
d) benign prostatic hyperplasia (BPH)
B
When evaluating a client with suspected benign prostatic hypertrophy (BPH), the health care worker should collect data related to which of the following signs/symptoms? Select all that apply.
a) frequency of erectile dysfunction
b) straining to empty the bladder
c) urinary frequency issues
d) weak urine stream
e) enlarged inguinal lymph nodes
B, C, D
An elderly male client has been diagnosed with prostate cancer. However, because he has a history of heart failure with an ejection fraction of 20% and chronic obstructive pulmonary disease due to many years of smoking, the client is not a candidate for major surgery. Which of the following treatments should the nurse anticipate being utilized for this client?
a) stent placed to widen and maintain the patency of the urethra
b) transurethral prostatectomy (TURP) that only utilizes epidural blocks and small amounts of Versed and Fentanyl
c) brachytherapy inserted into the penis and instilled into the prostate tissue
d) teaching the client how to perform a straight catheterization every time they feel the need to empty their bladder
A
Which of the following complaints by middle-aged women should prompt a care provider to assess for the possibility of ovarian cancer?
a) “I have a sharp, stabbing pain on my side for the last few days”
b) “I’m having a lot of indigestion and bloating, which I’ve never had before”
c) “my periods have become quite irregular since last winter”
d) “I’m having a lot of vaginal discharge lately and it’s quite foul”
B
While breastfeeding her 3 month old infant, the mother notices the breast area is hard, inflamed, and tender to touch. The clinic nurse explains that this is likely caused by:
a) fibrocystic tissue changes
b) ascending bacterial infection
c) secretory cell hyperplasia
d) intraductal papillomas
B
A client is complaining to the healthcare provider about several vague signs/symptoms. Which of the following raises a “red flag” indicating the client may have developed endometrial cancer?
a) difficulty emptying the bladder
b) lumps palpated in her breasts
c) painless abnormal bleeding
d) small, atrophied ovaries
C
A nurse is conducting a health living workshop for a group of women in their 20s. Which of the following screening recommendations should the nurse provide to the participants?
a) monthly breast self-examination (BSE)
b) clinical breast examination every 3 years until age 40
c) annual clinical breast examination until age 65
d) BSE or mammography each year starting at age 40
B
Which of the following phenomena is thought to underlie the decreased reported incidence of some sexually transmitted infections (STIs)?
a) increased knowledge of the correct use of condoms
b) decreased numbers of sexual partners among young adults
c) decreased reporting of cases of certain STIs
d) increased public funding for health promotion activities
C
A 22-year-old client has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:
a) trichomonas vaginalis
b) chlamydia trachomatis
c) candida albicans
d) human papillomavirus (HPV)
D
A sexually transmitted infection that is caused by a microorganism with two morphologically distinct forms is:
a) trichomonas vaginalis
b) chlamydia
c) candidiasis
d) chancroid
B
The nurse is caring for a patient with an intact uterus who requests hormone replacement for short-term use to reduce menopausal symptoms. What combination drug would be appropriate for this patient?
a) estratab
b) premarin
c) estrace
d) premphase
D
A patient tells the nurse she is taking soy, calcium, and a multivitamin as an alternative to taking hormone replacement pills. What is the nurse’s priority response?
a) increase her iron supplement
b) discontinue her calcium supplement
c) decrease the amount of carbohydrates in her diet
d) increase calcium supplementation
B
A child in renal failure is taking androgens to promote red blood cell production and is seen in the clinic every other month. What adverse drug effect would the nurse monitor for with this child?
a) epiphyseal closure
b) acne
c) weight gain
d) skin color
A
A 68-year-old male patient tells the nurse that he has been unable to get an erection for the past 6 months and he guesses his sex life is over. The provider orders diagnostic testing to determine whether sildenafil (Viagra) is appropriate for the patient. What is the most correct nursing diagnosis for this patient?
a) sexual dysfunction
b) ineffective sexuality pattern
c) disturbed tactile sensory perception
d) disturbed body image
A
A patient will begin taking sildenafil (Viagra) for penile erectile dysfunction (ED). What is the nurse’s priority teaching point about this drug?
a) he will have an erection exactly 1 hour after taking this drug
b) it is important to know the cause of ED because sildenafil does not treat all causes
c) the drug should not be taken with a penile implant or any anatomic penile obstruction
d) avoid drinking grapefruit juice for 2 days before and after taking the drug
D
