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Chapter 51: Care of the Patient with a Reproductive Disorder Test Questions Solved Correctly.
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1.Which condition would prevent the use of a vaginal hysterectomya. A woman with more than four pregnancies b. Large uterine fibroids c. Menorrhagia for over 6 months d Women over the age of 50 - Answer ANS: B In the case of large uterine fibroids, a vaginal hysterectomy is not an option...

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Chapter 51: Care of the Patient with a
Reproductive Disorder Test Questions
Solved Correctly.
1.Which condition would prevent the use of a vaginal hysterectomya.

A woman with more than four pregnancies

b. Large uterine fibroids

c. Menorrhagia for over 6 months

d Women over the age of 50 - Answer ANS: B



In the case of large uterine fibroids, a vaginal hysterectomy is not an option.



9.Which statement made by a patient who has been taught the technique of testicular self-examination
indicates the need for further teaching?



a. The testes feel smooth and egg-shaped.

b. The best time to perform TSE is after a shower.

c. I will examine my scrotum after every ejaculation.

d. The epididymis feels like a soft tube. - Answer ANS: C



It is not recommended for a patient to perform a testicular self-examination after every ejaculation.
Perform testicular self-examination after a bath or shower when the scrotum is warm and most relaxed.
The testes should feel smooth and be firm to the touch. The epididymis feels like a soft tube.



2.On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas
and abdominal distention. Which intervention would be most appropriate to stimulate a bowel
movement?



a. Offering carbonated beverages

b. Encouraging ambulation at least four times per

,day

c. Administering a 1000-mL soapsuds enema

d. Applying an abdominal binder - Answer ANS: B



Early ambulation is very helpful to return the bowel to normal function.



3.The young husband of a patient who has been scheduled for a hysterectomy because of the discovery
of ovarian cancer in both ovaries says to the nurse, Please go talk to my wife. She is real upset and says
she wont be a woman anymore. What is the nurses most therapeutic response?



a. Dont be concerned. All young women get upset before this kind of surgery.

b. Certainly, I will be glad to tell her about hormone replacement.

c. She will get over this feeling soon.

d. No matter what I may say to her, it is you that needs to listen to her concerns and assure her. - Answer
ANS: D



Assisting patients with recognizing and clarifying fears and with developing coping strategies for those
fears by listening is helpful.



4.A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for
endometriosis. She asks the nurse if she will have hot flashes. What knowledge will guide the nurses
response?



a. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot
flashes.

b. The patient is too young to have hot flashes associated with menopause.

c. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced
menopause and may have hot flashes.

d. The uterus and fallopian tubes were removed, and she will not experience hot flashes. - Answer
ANS: C

, A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus,
fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce
menopause and hot flashes may occur.



5.On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with
her back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husband will
not be in love with her anymore. The nurse bases subsequent nursing interventions on what diagnosis?



a. Disturbed body image related to removal of her breast

b. Deficient knowledge related to inadequate education

c. Impaired social interaction related to depression

d. Fear related to the cancer diagnosis and surgical intervention - Answer ANS: A



After losing a breast, many patients experience grief over the loss of a body part. The process of grieving
is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping
mechanisms



6.Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to
exercise the affected arm?



a. To reduce pain

b. To stimulate appetite

c. To reduce lymphedema

d. To increase muscle tension - Answer ANS: C



An exercise regimen, built up gradually, can help reduce lymphedema following a modified radical
mastectomy.



7.A 20-year-old patient presents in the emergency room with a temperature of 103 F, blood pressure of
92/58, headache, and desquamation of both palms. What should the nurse make sure to ask about
during the interview?

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