Chapter 57 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 57  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. While taking a health history on a 20-year-old female patient, the nurse ascertains that this patient is taking miconazole (Monistat). The nurse is justified in presuming that this patient has what medical condition?

  1. A)  Bacterial vaginosis
  2. B)  Human papillomavirus (HPV)
  3. C)  Candidiasis
  4. D)  Toxic shock syndrome (TSS)

Ans: C

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. 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?

  1. A)  Clotrimazole (Gyne-Lotrimin)
  2. B)  Metronidazole (Flagyl)
  3. C)  Podophyllin (Podofin)
  4. D)  Acyclovir (Zovirax)

Ans: D

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 used in the treatment of genital herpes.

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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?

  1. A)  Both partners will be treated with metronidazole (Flagyl).
  2. B)  Constipation and menstrual difficulties may occur.
  3. C)  The patient should perform Kegel exercises 30 to 80 times daily.
  4. D)  Care will involve hormone therapy to control the pain.

Ans: A

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 and other structural deficits. Hormone therapy does not address the etiology of trichomoniasis.

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 who has presented at the clinic. The student should include which of the following in the care plan for this patient?

  1. A)  The patient may benefit from oral contraceptives.
  2. B)  The patient must avoid use of tampons.
  3. C)  The patient is susceptible to urinary incontinence.
  4. D)  The patient should also be treated for chlamydia.

Ans: D

Feedback:

Because of the high incidence of coinfection with chlamydia and gonorrhea, the patient should also be treated for chlamydia. Avoiding the use of tampons is part of the self- care management of a patient with possible toxic shock syndrome (TSS). The patient is not susceptible to incontinence and there is no indication for the use of oral contraceptives.

5. When teaching patients about the risk factors of cervical cancer, what would the nurse identify as the most important risk factor?

  1. A)  Late childbearing
  2. B)  Human papillomavirus (HPV)
  3. C)  Postmenopausal bleeding
  4. D)  Tobacco use

Ans: B

Feedback:

HPV is the most salient risk factor for cervical cancer, exceeding the risks posed by smoking, late childbearing, and postmenopausal bleeding.

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