Medical Surgical Nursing Assessment and Management of Clinical Problems, 10th Edition by Sharon L. Lewis
Medical Surgical Nursing Assessment and Management of Clinical Problems, 10th Edition by Sharon L. Lewis
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Chapter 50: Assessment of Reproductive System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Have you noticed any unusual discharge from your penis?” |
| b. | “Has there been any change in your sex life in the past year?” |
| c. | “Has there been a decrease in the force of your urinary stream?” |
| d. | “Have you been experiencing any difficulty in achieving an erection?” |
ANS: C
Enlargement of the prostate blocks the urethra, leading to urinary changes such as a decrease in the force of the urinary stream. The other questions address possible problems with infection or sexual difficulties, but they would not be helpful in determining whether there were functional changes caused by BPH.
DIF: Cognitive Level: Apply (application) REF: 1194
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
| a. | use of hormone therapy (HT). |
| b. | potential complication of infertility. |
| c. | irregularities in the menstrual cycle. |
| d. | changes in secondary sex characteristics. |
ANS: B
Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is not affected, the patient will not require HT, have irregular menstrual cycles, or experience changes in secondary sex characteristics.
DIF: Cognitive Level: Apply (application) REF: 1194
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
| a. | “Interest in sex frequently decreases as men get older.” |
| b. | “Many men need additional sexual stimulation with aging.” |
| c. | “Erectile dysfunction is a common problem with older men.” |
| d. | “Tell me more about how your sexual response has changed.” |
ANS: D
The initial response by the nurse should be further assessment of the problem. The other statements by the nurse are accurate but may not respond to the patient’s concerns.
DIF: Cognitive Level: Analyze (analysis) REF: 1191
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | not have sexual intercourse the day before the Pap test. |
| b. | shower, but not take a tub bath, before the examination. |
| c. | avoid douching for at least 24 hours before the examination. |
| d. | schedule to have the Pap test just after her menstrual period. |
ANS: C
Because the results of a Pap test may be affected by douching, the patient should not douche before the examination. The examination may be scheduled without regard to the menstrual period. The patient may shower or bathe before the examination. Sexual intercourse does not affect the results of the examination or Pap test.
DIF: Cognitive Level: Apply (application) REF: 1199
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
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$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
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