TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version

TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version Which action should the nurse take when a 35-year-old patient has a result of minor cellular changes on her Pap test? - ANS-a. Teach the patient about colposcopy. b. Teach the patient about punch biopsy. C. Schedule another Pap test in 4 months. d. Administer the human papillomavirus (HPV) vaccine. A 48-year-old woman in the emergency department reports that she has been sexually assaulted. Which action by the nurse will be MOST important in maintaining the medicolegal chain of evidence? - ANS-A. Labeling all specimens and other materials obtained from the patient. b. Assisting the patient in filling out the application for financial compensation. c. Discussing the availability of the morning-after pill for pregnancy prevention. d. Educating the patient about baseline sexually transmitted infection (STI) testing. Rational: The careful labeling of specimens and materials will assist in maintaining the chain of evidence. Assisting with paperwork, and discussing STIs and pregnancy prevention are interventions that might be appropriate after sexual assault, but they do not help maintain the legal chain of evidence. A 31-year-old patient has just been instructed in the treatment for aChlamydia trachomatis vaginal infection. Which patient statement indicates that the nurses teaching has been effective? - ANS-a. I can purchase an over-the-counter medication to treat this infection. b. The symptoms are due to the overgrowth of normal vaginal bacteria. c. The medication will need to be inserted once daily with an applicator. D. Both my partner and I will need to take the medication for a full week. The nurse will plan to teach the female patient with genital warts about the - ANSA. importance of regular Pap tests. b. increased risk for endometrial cancer. c. appropriate use of oral contraceptives. d. symptoms of pelvic inflammatory disease (PID). Rational: Genital warts are caused by the human papillomavirus (HPV) and increase the risk for cervical cancer. There is no indication that the patient needs teaching about PID, oral contraceptives, or endometrial cancer. A 50-year-old patient is diagnosed with uterine bleeding caused by a leiomyoma. Which information will the nurse include in the patient teaching plan? - ANS-A. The symptoms may decrease after the patient undergoes menopause. b. The tumor size is likely to increase throughout the patients lifetime. c. Aspirin or acetaminophen may be used to control mild to moderate pain. d. The patient will need frequent monitoring to detect any malignant changes. Rational: Leiomyomas appear to depend on ovarian hormones and will atrophy after menopause, leading to a decrease in symptoms. Aspirin use is discouraged because the antiplatelet effects may lead to heavier uterine bleeding. The size of the tumor will shrink after menopause. Leiomyomas are benign tumors that do not undergo malignant changes. The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient should the nurse see FIRST? - ANS-a. 22-year-old with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy b. 42-year-old with secondary amenorrhea who says that her last menstrual cycle was 3 months ago c. 35-year-old with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago D. 19-year-old with menorrhagia who has been using superabsorbent tampons and has fever with weakness Rational: The patients history and clinical manifestations suggest possible toxic shock syndrome, which will require rapid intervention. The symptoms for the other patients are consistent with their diagnoses and do not indicate life-threatening complications