Chapter 47 Management of Patients with Female Reproductive Disorders

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Chapter 47  Management of Patients with Female Reproductive Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. While taking a health history on a 20-year-old female the nurse ascertains that this patient is taking miconazole (Monistat). The nurse knows that this medication is used to treat what medical condition?
A) Bacterial vaginosis

B) Human papillomavirus (HPV) C) Candidiasis
D) Toxic shock syndrome (TSS)

Ans: C
Chapter: 47
Client Needs: D-2
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 1
Page and Header: 1438, Candidiasis

Feedback: Candidiasis is a fungal or yeast infection caused by strains of Candida. Miconazole (Monistat) is an antifungal medication used in the treatment of candidiasis. This agent is inserted into the vagina with an applicator at bedtime and may be applied to the vulvar area for

pruritus. (Refer to Table 47-1.) HPV, bacterial vaginosis, and TSS are not treated by Monistat.

2. A patient with genital herpes is having an acute exacerbation. What medication would the nurse expect to be ordered to suppress the symptoms and shorten the course of the infection? A) Clotrimazole (Gyne-Lotrimin)
B) Metronidazole (Flagyl)

C) Podophyllin (Podofin) D) Acyclovir (Zovirax)

Ans: D
Chapter: 47
Client Needs: D-2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 1443, Herpesvirus Type 2 Infection (Herpes Genitalis, Herpes Simplex Virus)

Feedback: Acyclovir (Zovirax) is an antiviral agent that can suppress the symptoms of genital herpes and shorten the course of the infection. It is effective at reducing the duration of lesions and preventing recurrences. Clotrimazole is used in the treatment of yeast infections. Metronidazole is the most effective treatment for trichomoniasis. Posophyllin is used to treat external genital warts. Acyclovir is utilized in the treatment of genital herpes.

3. A patient with trichomoniasis comes to the walk-in clinic. In developing a care plan for this patient the nurse would know to include what as an important aspect of treating this patient? A) Both partners are treated with metronidazole (Flagyl).
B) Constipation and menstrual difficulties may occur.

C) Perform Kegel exercises 30 to 80 times daily.
D) Care will involve hormonal therapy to control the pain.

Ans: A
Chapter: 47
Client Needs: B
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 2
Page and Header: 1440, Trichomoniasis

Feedback: The most effective treatment for trichomoniasis is metronidazole (Flagyl). Both partners receive a one-time loading dose or a smaller dose three times a day for 1 week. In pelvic inflammatory disease, menstrual difficulties and constipation may occur. Kegel exercises are prescribed to help strengthen weakened muscles associated with cystocele. (Refer to Chart 47-4.) A treatment of endometriosis is hormonal therapy, which is effective in suppressing the endometriosis and relieving menstrual pain.

4. A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea has presented at the clinic. The student knows that the care plan for this patient should be include what in the treatment of gonorrhea?
A) Radiation therapy to destroy cancerous cells
B) Avoid use of tampons
C) Vaginal smear
D) The patient should also be treated for chlamydia

Ans: D
Chapter: 47
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 1445, Endocervicitis and Cervicitis

Feedback: Because of the high incidence of coinfection with chlamydia and gonorrhea, treatment for gonorrhea should also include treatment for chlamydia. One cause of cervicitis is chlamydia. A management strategy used in the treatment of chlamydia is a cytologic examination of cervical smear. Avoiding the use of tampons is part of the self-care management of a patient with possible toxic shock syndrome (TSS). Gonorhhea is considered a sexually transmitted disease (STD), not a carcinoma.

5. As a class project a group of student nurses are developing a care plan for patients being screened for cervical cancer. When teaching patients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor?
A) Late childbearing

B) Human papillomavirus (HPV) C) Postmenopausal bleeding
D) Obesity

Ans: B

Chapter: 47
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 5
Page and Header: 1457, Cancer of the Cervix

Feedback: Adenocarcinomas of the cervix begin in the mucus-producing glands and are often due to HPV infection. Risk factors for cervical cancer include multiple sex partners, IV infection, smoking, and early childbearing. Postmenopausal bleeding and obesity are risk factors for uterine cancer.

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