Adult Health Care 7th edition By Cooper
Adult Health Care 7th edition By Cooper
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Chapter 12: Care of the Patient with a Reproductive Disorder
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | A woman with more than four pregnancies |
| b. | Large uterine fibroids |
| c. | Menorrhagia for over 6 months |
| d. | Women over the age of 50 |
ANS: B
In the case of large uterine fibroids, a vaginal hysterectomy is not an option.
DIF: Cognitive Level: Application REF: Page 588 OBJ: 14
TOP: Hysterectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| 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 |
ANS: B
Early ambulation is very helpful to return the bowel to normal function.
DIF: Cognitive Level: Analysis REF: Page 588 OBJ: 14
TOP: Hysterectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | “Don’t 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.” |
ANS: D
Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful.
DIF: Cognitive Level: Application REF: Page 597, NCP
OBJ: 12 TOP: Ovarian cancer
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
| 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.” |
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.
DIF: Cognitive Level: Analysis REF: Page 588 OBJ: 14
TOP: Hysterectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| 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 |
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.
DIF: Cognitive Level: Analysis REF: Page 599 OBJ: 18
TOP: Mastectomy KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity
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