Chapter 42. Nursing Care of Women With Reproductive System Disorders

Chapter 42. Nursing Care of Women With Reproductive System Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is assisting with a community education class on breast cancer prevention. Which risk factors should the nurse include in this training?

a.	History of breastfeeding
b.	Large or pendulous breasts
c.	High-fat diet and alcohol intake
d.	Early first pregnancy and late menarche

 

 

____     2.   The nurse is caring for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. Why is a mastectomy patient at risk for pulmonary complications?

a.	Breast cancer has often spread to the lungs before diagnosis.
b.	Pathogens may have been introduced during the surgical procedure.
c.	The chest incision makes the patient hesitant to deep breathe and cough.
d.	Mastectomy patients must remain on bedrest for 48 to 72 hours postoperatively.

 

 

____     3.   The nurse is caring for a patient who had a left mastectomy earlier in the day and informs the nurse of several concerns. Which should the nurse attend to first?

a.	Bowels have not moved in 48 hours.
b.	Pain level of is 7 on a 0-to-10 scale.
c.	A 3-cm area of blood is on the wound dressing.
d.	Feels anxious about how her husband will react to the surgery.

 

 

____     4.   The nurse is assessing a patient after a mastectomy and thinks the patient’s affected arm appears swollen. What is the best way to verify this finding?

a.	Measure and document the circumference of the arm.
b.	Measure and compare the circumferences of both arms.
c.	Press a finger into the arm and measure the indentation.
d.	Ask the patient to hang the arm down for 3 minutes and check for increased swelling.

 

 

____     5.   The nurse enters the room of a patient with a new mastectomy and finds her crying. After confirming that the patient is crying because of the loss of her breast, which response by the nurse is best?

a.	“At least they got all the cancer. You are fortunate.”
b.	“I know how you feel. It is difficult to lose a breast.”
c.	“How have you coped with other problems in your life? Do you have someone you can talk to?”
d.	“Here, have a tissue. I know you feel like crying now, but before you know it, you will feel much better, and this will all be behind you.”

 

MULTIPLE CHOICE

 

1. ANS:  C

Factors that increase the risk of development of breast cancer include increasing age, personal or family history of breast cancer, high-fat diet, high alcohol intake, treatment with estrogens (especially when used without progestins), early menarche, late menopause, no pregnancy or late first pregnancy, and no breastfeeding or breastfeeding for short periods of time following delivery.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Application

 

2. ANS:  C

Patients can have ineffective breathing patterns and difficulty coughing because of pain with chest movement. D. Bedrest is not necessary. B. Pathogens should not be introduced during surgery, and the mastectomy site is not the same as the lungs. A. Breast cancer does not often spread to the lungs before diagnosis.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis

 

3. ANS:  B

Pain, constipation, and bleeding are all physiological needs which are a priority according to Maslow’s hierarch. D. Psychosocial needs can be addressed later. A. C. Because 3 cm of blood is not urgent, and a few more minutes of constipation will not make a difference in the outcome, the pain should be treated first.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

 

4. ANS:  B

The best way to verify if the affected arm is swollen is to measure and comparing the affected side with the patient’s opposite side. A. C. Measuring, checking for pitting edema and documenting are not as significant if not compared with the normal side. D. Hanging the arm down will not help and may worsen the swelling.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

5. ANS:  C

The nurse should help the patient remember previous successes in coping and strategies used since the memory of prior successes can encourage hope for future successes. A, B, and D all belittle the patient’s concerns. The nurse does not know how the patient feels.

 

PTS:   1                    DIF:    Moderate

KEY:   Client Need: Psychosocial Integrity | Cognitive Level: Analysis