A client is having a hysterosalpingogram what action by the nurse is most important

assist the client in sitting up after the procedure

The mother of an 18 year old girl asks the nurse which screening her daughter would receive now based on evidence based recommendations which suggestion by the nurse is best

No screenings at this time

A client is scheduled for a laparoscopy to remove endometriosis tissue which response by the client alerts the nurse of the need for further teaching

I can return to jogging my 3 mile(5km) routine in a few days

A 67 year old male client had serum laboratory tests performed during his annual examination the nurse reviews his results as follows testosterone 680 ng/dl prostate -specific antigen 10 ng/mL prolactin 5ng/mL what action by the nurse is best

prepare the client for further diagnostic testing

A 72 year old woman is being assessed by the nurse for an annual physical which finding is of concern to the nurse

increased size of the uterus

The nurse is assessing a client for reproductive health problems what assessments are most important SATA

bleeding

pain

masses

discharge

The nurse is reviewing discharge plans with a client who is recovering from a cervical biopsy which statements indicate good understanding by the client SATA

I cannot carry my toddler for 2 weeks

I cannot douche until the biopsy site is healed

I need to wait for about 2 weeks to have intercourse

The nurse is teaching a 45 year old woman about her fibrocystic breast changes which statement by the client indicates lack of understanding

This condition will become malignant over time

The nurse is examining a womans breast and notes multiple small mobile lumps which question would be most appropriate for the nurse to ask

Do the small lumps seem to change with your menstrual period

The nurse is working with a male client who has gynecomastia what action by the nurse is most appropriate

Educate him on the side effects of tamoxifen

Which finding in a female client by the nurse would receive the highest priority for further diagnostics

Nontender fixed mass in the upper outer quadrant of the breast

The nurse has taught a female client about the modifiable risk factors for breast cancer which statement made by the client indicates that more teaching is needed

I am glad that we can still have wine with every evening meal

A younger woman from an unfamiliar culture is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy what action by the nurse is most appropriate

Offer to include the support people such as the male partner in the decision making

A client has just returned from a right radical mastectomy which action by the assistive personnel would require the nurse to intervene

Taking the blood pressure on the right arm

A client is discharged to home after a modified radical mastectomy with two drainage tubes which statement by the client would indicate that further teaching is needed

I am glad that these tubes will fall out at home when I finally shower

During dressing changes the nurse assesses a client who had breeast reconstruction which finding would cause the nurse to take immediate action

Dusky color of the breast flap

A client is starting hormonal therapy with tamoxifen to lower the risk of breast cancer what information needs to be explained by the nurse regarding the action of this drug

It selectively blocks estrogen in the breast

A client is placed on a medical regimen of doxorubicin(Adriamycin) cyclophosphamide and flurouracil for breast cancer which side effect seen in the client would the nurse report to the primary healthcare provider immediately

shortness of breath

A client is concerned about the risk of lymphedema after a mastectomy which response by the nurse is best

be careful not to injure that arm to get any infection in that arm

A woman diagnosed with breast cancer had these laboratory tests perfomed at an office visit which test results indicate to the nurse that some further diagnostics are needed

Elevated alkaline phosphatase and calcium suggests bone involvement

The nurse is taking a history of a 68 year old woman what assessment findings would indicate a high risk for the development of breast cancer SATA

Age greater than 65 yrs

increased breast density

genetic factors

early menarche

The nurse is formulating a teaching plan according to evidence based breast cancer screening guidelines for a 50 year old woman with low risk factors which diagnostic methods would be included in the plan SATA

Annual mammogram

breast self awareness

clinical breast examination

After a breast examination the nurse is documenting assessment findings that indicate possible breast cancer which abnormal findings need to be included as part of the clients electronic medical record SATA

Peau d orange

nipple retraction

mobile mass at 2 o clock

skin ulceration

A woman is interested in alternative and complementary treatments for the nausea and vomiting caused by the side effects of chemotherapy for breast cancer which therapies would the nurse suggest SATA

Acupuncture

Aromatherapy

Shiatsu

A nurse is caring for a woman who had a hysteroscopic surgery for uterine leimyomas on initial assessment the nurse notes the following pulse 114 beats/min respiratory rate 20 breaths/min crackles in bilateral lung bases what action by the nurse takes priority

Call the rapid response team

The nurse is educating a client on the prevention of toxic shock syndrome(TSS) which statement by the client indicates a lack of understanding

I need to change my tampon every 8 hours during the day

A client is admitted to the emergency department with toxic shock syndrome which action by the nurse is the most important

remove the tampon as the source of infection

The nurse is caring for a postoperative client following an anterior colporrhaphy what action can be delegated to the assitive personnel

drawing a shallow hot bath for comfort measures

A nurse recieves hand off report on four postoperative clients who each had total hysterectomies which client would the nurse assess first upon initial rounding

Vaginal hysterectomy two saturated perineal pads in 2 hours

A client has undergone a vaginal hysterectomy with a bilateral salpingo -oophorectomy she is concerned about a loss of libido what intervention by the nurse be best

teach that estrogen cream inserted vaginally may help

A client has recently been diagnosed with type II endometrial cancer and will be treated with brachytherapy what statement by the client indicates a need for further education on this treatment

I have to be alone in the room during treatment so I dont expose others

The outpatient clinic nurse has assessed a woman who reports a month long history of feeling full urinary frequency and bloating what action by the nurse is best

teach the woman about CA-125 test

The nurse has educated a community group risk factors of ovarian cancer which statement by a participant shows the need for reviewing the information

this is a disease of young women

A nurse has taken an informed consent to a woman who is having transvaginal repair of a prolapsed uterus what client statement indicates a need for more information

the mesh they use may become infected

A 25 year old woman is concerned about contracting HPV what information by the nurse is most appropriate

we can provide HPV testing along with your papsmear

A 28 year old client is diagnosed with uterine leimyoma and is experiencing severe symptoms which actions by the nurse are the most appropriate at this time SATA

teach nonpharmacologic comfort measures

relieve anxiety by relaxation techniques and education

review complete blood count for possible iron deficiency anemia

The nurse is giving discharge instructions to a client who had a total abdominal hysterectomy with a vaginal repair which statements by the client indicate a need for further teaching SATA

I should not have any problems driving to see my mother who lives 3 hours away

now that i have time off from work i can return to my exercise routine next week

The nurse is taking the history of a 24 year old client diagnosed with cervical cancer what possible risk factors would the nurse assess SATA

smoking

multiple births

infections with HPV

A client is scheduled to start external beam radiation therapy for her endometrial cancer which teaching by the nurse is accurate SATA

your skin needs to be inspected daily for any breakdown

it is not wise to stay out in the sun for long periods of time

the perineal area may become damaged with the radiation

you will not be radioactive or pose any danger to anyone else

The nurse is teaching a client who is undergoing brachytherapy about what to immediately report to her primary health care provider which signs and symptoms would be included in this teaching SATA

Abdominal pain

visible blood in the urine

heavy vaginal bleeding

a client has recurrent vulvovaginitis which statements by the client indicate a need for further teaching SATA

I can take a long hot bath to relieve itching

I need to take all of my antibiotics as prescribed

I should use antibacterial soap to clean the area

The nurse is doing home care teaching for a client who has undergone cryotherapy which statements by the client indicate a correct understanding of the instructions SATA

I should not use tampons douche or have sexual activity

i should shower than take a tub bath

there should be little or no discomfort

The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement which finding is cause for prompt action by the nurse

hematuria

A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable after assessing the clients behavior which statement by the nurse would seem to be the most appropriate

nocturia could cause interruption of your sleep and causes changes in mood

the nurse is providing education to a new 55 year old african american client about screening for prostate cancer what action by the nurse is most appropriate

teach the client that he is in a high risk group and should discuss screening

the nurse us teaching a client with benign prostatic hyperplasia what statement indicates the client needs further information

there should be no problem with drinking wine with dinner each night

a client has returned from a transurethral resection of the prostate with a continous bladder irrigation five hours after the operation the nurse notes the drainage is bright red with clots what action should the nurse take first

take vital signs and begin immediate irrigation with sterile water

A new nurse care for several client after radical prostectomies for prostate cancer what action by the nurse indicates a need to review care measures for this type of client

administers a suppository and recording contents of the drainage devices

a client with metastic prostate cancer has been prescribed leuprolide a bisphonate and flutamide which statement by the client warrants further investigation by the nurse

my wife has noticed my eyes looking a little yellow

the nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer what statement by the client indicates the need to review the information

there should be no effect on my ability to reproduce

the nurse has provided postvasectomy discharge instructions to the client what statement by the client demonstrates good understanding

an icepack to my scrotum will help with the swelling

a client comes to the clinic with conerns about an enlarged left testicle and heaviness in his lower abdomen which diagnostic test would the nurse expect to be ordered

alpha fetoprotein

a client presents to the emergency department reporting vomiting severe lower. abdominal pain and a tender mass above one testis what action by the nurse is most important

determine when he last ate or drank anything

a client from a transurethral resection of the prostate 8 hours ago with a continous bladder irrigation the client reports headaches and dizziness what action by the nurse is most appropriate

report the findings to the surgeon immediately

the nurse is teaching an uncircumcised 65 year old client about self management of a urinary catheter in preparation for discharge to his home what statement indicates the client needs more information

i have to wash the outside of the catheter once a day with soap and water

the nurse is teaching a client about side effects and adverse reactions of a PDE5 inhibitor what information does the nurse include SATA

stop using this drug if your primary health care provider prescribes a nitrate

do not drink achohol before having sexual intercourse

muscle cramps nausea and vomiting are possible if you take more than 1 pill a day

change psoitions slowly especially if you also an antihypertensive drug

a client is interested in learning about the risk factors for prostate cancer which factors does the nurse include in the teaching SATA

first degree relative with prostate cancer

advanced age

eating too much red meat

race

a client came to the clinic with erectile dysfunction what are some possible causes of this condition that the nurse could discuss with the client during history taking SATA

recent prostatectomy

long term hypertension

diabetes mellitus

consumption of beer each night