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NUR200 EXAM 4 - Student Questions And Answers
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NUR200 EXAM 4 - StudentQuestions And Answers
A 44-year-old female patient has been experiencing symptoms that she believes may be
associated with perimenopause. She schedules an appointment with her doctor, and
after confirming that she is going through perimenopause, she asks the doctor how long
she will have to go through this. What is the most accurate response from the doctor? -
Answer The time frame that perimenopause can last is one to ten years, but averages
around 3-4 years.
A 41-year-old female patient goes to the doctors and complains of menstrual
irregularity, hot flashes, mood changes and vaginal dryness. After the doctor conducts
a full physical assessment and medical history, what does the doctor determine is
wrong with the patient? - Answer Perimenopause
What is the initial symptom of perimenopause? - Answer Hot flashes
What hormone can be tested to see if a woman is in perimenopause? - Answer Follicle
-stimulating hormone (FSH)
Menopause marks the end of a women's reproductive capacity. Which of the following is
a common complaint that may be due to a cystocele? - Answer Dyspareunia
With of the following facts is/are true about the physiology of menopause? Select all that
apply. - Answer The menopausal period marks the natural biologic end of reproductive
ability.
Surgical menopause often occurs during cancer chemotherapy, when cytotoxic drugs
arrest ovarian function.
What percentage of women are affected by hot flashes and night sweats? - Answer
75-80
Common menopausal symptoms include? Select all that apply - Answer Hot flashes
Night sweats
Shivering
Nausea
A 30 year old woman comes to a clinic for a routine physical exam. During her H&P the
RN discovers that she is native to Kenya and underwent a female circumcision at the
age of 9. She shares this information but refuses to elaborate on the topic and becomes
,extremely uncomfortable when asked further questions. What would be the RN's
primary nursing diagnosis for this patient? - Answer Anxiety
Based on your knowledge of FGM or female circumcision, what would be the immediate
risks posed to girls and young women undergoing this procedure? Select all that apply. -
Answer Pain
Hemorrhage
Shock
FGM is most widely practiced in - Answer Africa
The most invasive form of FGM is - Answer Infibulation
Woman who have undergone FGM are at a higher risk for HIV due to - Answer tearing of
scar tissue
A long-term complication of FGM is - Answer pelvic infections
Your friend Monica is doing her monthly breast self-exams; she call you frantically after
she finds a lump in her breast. She also noted some unusual discharge and
inflammation. Whe also noticed a few weeks ago that her breasts have been really
tender. As a friend, what should you tell her to do? - Answer Call her doctor to make an
appointment
Adult women of all ages are encouraged to perform a breast self-examination every
month. A breast self-exam is a way to inspect your breasts at home for possible breast
cancer. You use your hands and eyes to inspect all aspects of the breast tissue
observing for lumps, alterations, discharge or enlargement. What percent of woman will
discover a lump at some point though out their life? - Answer 40%
A 21 year old female comes in to the office were you are a nurse and would like to know
more about self-breast exams. You would explain to her that one of the best places to
perform them is where? - Answer In the shower
During a breast self-exam you notice discharge from the nipple, what color would
suggest an infection? - Answer Green
Which nursing diagnosis would take priority when caring for a patient who has just been
informed she has an abnormal pap smear? - Answer Anxiety r/t uncertainty of test
results
A 22 year old patient has presented to her primary care provider for her scheduled pap
smear. Abnormal results of this diagnostic test may imply infection with: - Answer
Human papillomavirus
A pap smear screens for which of the following? - Answer Cervical cancer
A client arrived at the clinical for her annual Pap smear. Which of the following
, scenarios would cause the nurse to be concerned about the integrity of the test? -
Answer The client states, "I believe I've started my period"
A 22 year old patient was told by the doctor that he will perform a D&C for further
testing of some concerns he has but says nothing else to the patient. When the doctor
leaves the room the nurse observes the patient become upset and starts to cry. She
informs the nurse that she had a miscarriage last year and her previous doctor
performed a D&C following her incomplete miscarriage and she doesn't understand why
this procedure is being done now. The nurses best response would be: - Answer Explain
that a D&C can also be used as a diagnostic tool and ask her if she would like to talk
about what she is feeling.
A patient is being prepared to undergo an endometrial biopsy when she becomes visibly
upset. She explains to the nurse that when the doctor said he was going to perform a
"biopsy", she now thinks she may have cancer. The nurses best response would be: -
Answer Explain the exact procedure to the patient and explain that, although this tool
can be used to identify cancerous cells, there are many other indications for this type of
procedure.
During a scheduled visit, a 38 year old pre-menopausal woman who has completed
childbearing told her doctor that she has been experiencing heavy and prolonged
menstrual periods. He prescribed hormone medication to help control the bleeding and
wants her to return for a visit in 3 months. When she returns, she says the medication
hasn't worked and she doesn't want to undergo a hysterectomy. What is another option
she can consider that will allow for a more normal period? - Answer Endometrial
ablation
For the past 6 months, a 34 year old patient has been trying to become pregnant, but
hasn't been able to do so. At her OB/GYN appointment, she voices her concerns to the
doctor. After performing a physical exam, the doctor will suggest which diagnostic test
to evaluate for infertility? - Answer Hysterosalpingography
A 42 year old female patient attenders her OBGYN office for an annual exam and PAP
smear. Upon physical exam the physician feels a nodule in her right breast near the
areola and begins to question if the patient has noticed the nodule or had any
symptoms. The patient claims she has had a small amount of discharge from her right
nipple but didn't want to say anything until she was seen at the appointment. What type
of study or studies can the nurse expect to be ordered and educate the patient on? -
Answer Galactography
A 36 year old Asian female attends an office visit with her primary physician. The patient
has a family history of breast cancer with her mother and grandmother being previously
diagnosed. The patient has never had a mammogram, nor has she performed self-breast
examinations. When asked why by her physician, she states "I have heard
mammograms are very painful and I thought since I was still young I didn't need to follow
through with the exams". With this information, what nursing diagnosis would be priority
for the patients? - Answer Knowledge deficit r/t screening mammograms and risk
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