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Assignment: The Term Metrorrhagia
Assignment: The Term Metrorrhagia
NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: The Term Metrorrhagia
The nurse reviewing a patient’s chart sees the term “metrorrhagia” and knows that this woman is experiencing:
a.
excess bleeding in either the amount or in the length of time.
b.
bleeding that occurs at abnormal times during an ovulatory cycle; more often than every 21 days.
c.
variable bleeding that occurs between the regular menses.
d.
bleeding at abnormal times during an anovulatory cycle.
32.
A patient with painful menstrual periods (dysmenorrhea) is advised to take a nonsteroidal anti-inflammatory drug such as ibuprofen (Motrin) for her discomfort. When she asks why ibuprofen is better than acetaminophen (Tylenol), the nurse explains that ibuprofen works better because:
a.
acetaminophen tends to cause more side effects when taken for cramps.
b.
ibuprofen tends to work more quickly than either acetaminophen or aspirin.
c.
menstrual cramps are related to an inflammation of the cervical tissue and ibuprofen decreases the inflammation.
d.
the pain is related to an excessive production of prostaglandins, and ibuprofen inhibits the synthesis of prostaglandins.
33.
A physician tells the nurse that a patient has a positive “whiff test.” The nurse anticipates that the physician will write the patient a prescription for:
a.
metronidazole (Flagyl).
b.
miconazole (Monistat).
c.
boric acid gelatin capsules.
d.
clotrimazole (Gyne-Lotrimin).
34.
A patient has come to the clinic for a physical exam and complains of having her fourth vaginal yeast infection in 6 months. The diagnostic test results that the nurse would be most interested in is the:
a.
Pap test.
b.
blood glucose.
c.
complete blood count.
d.
absolute neutrophil count.
35.
The nurse evaluates that teaching related to toxic shock syndrome (TSS) has been effective when the patient states:
a.
“I should change my tampons frequently.”
b.
“I can use super absorbent tampons any time.”
c.
“I should not use tampons at all during my period.”
d.
“I can take ibuprofen for fever if I think I have TSS.”
36.
A woman is being prescribed leuprolide (Lupron) for endometriosis. The nurse determines that patient teaching has been effective when the patient states:
a.
“Side effects will be similar to menopause.”
b.
“A serious side effect is permanent bone loss.”
c.
“I can take this medication for years if needed.”
d.
“If I get ankle swelling, I should call my doctor.”
37.
The nurse understands that “dysfunctional uterine bleeding” is diagnosed:
a.
most often in women who experience normal monthly menstrual periods.
b.
more often than any other cause of abnormal vaginal bleeding.
c.
after all pathologic causes of bleeding have been excluded.
d.
when menstrual bleeding is either abnormally heavy or lengthy.
38.
A woman with heavy vaginal bleeding who does not wish to have more children is discussing endometrial ablation with the nurse. Which statement by the nurse is inconsistent with knowledge about this procedure? The nurse tells the patient:
a.
“Since the endometrium scars after this procedure, the bleeding is halted.”
b.
“Following this procedure, you will not need to use any contraception when you resume sexual activity.”
c.
“There are several methods that have been approved for endometrial ablation.”
d.
“Endometrial ablation is usually reserved for patients who have not responded to other treatments.”
39.
A patient undergoing a workup for infertility also complains of hirsutism and acne. The nurse anticipates diagnostic testing for:
a.
uterine fibroids.
b.
benign leiomyomata.
c.
follicular ovarian cysts.
d.
polycystic ovary syndrome.
40.
A nurse counseling a patient about infection with the Human Immunodeficiency Virus (HIV) explains that the virus is detectable in plasma within:
a.
3 days.
b.
5 days.
c.
1 week.
d.
1 month.
41.
A nurse in a women’s health clinic explains to a new graduate nurse that they follow current recommendations for opt-out Human Immunodeficiency Virus (HIV) testing. The nurse explains this means that patients:
a.
are told about the testing but need to give specific consent for it.
b.
are informed about testing but consent is assumed unless they decline.
c.
can choose not to be informed of the test results when they are available.
d.
can specify that they want results sent directly to them, not to the provider.
42.
A woman just diagnosed with chlamydia tells the nurse she is relieved that it’s “just chlamydia” and not something “serious.” The best response by the nurse is to say:
a.
“You’re right; chlamydia is easily cured with common antibiotics.”
b.
“Yes, chlamydia is not as serious as other STDs since it isn’t associated with any long-term effects.”
c.
“Chlamydia can increase the risk of contracting ‘serious’ infections like HIV.”
d.
“All STDs are equally serious because they show that you engage in unsafe behavior.”
43.
The nurse caring for a woman with a chlamydial infection anticipates an order for which medication?
a.
metronidazole (Flagyl) 2 grams orally administered one time
b.
ceftriaxone (Rocephin) 250 mg IM administered once
c.
doxycycline (Vibramycin) 100 mg orally bid for 7 days
d.
acyclovir (Zovirax) 800 mg every 4 hours orally for 7 days
44.
A patient diagnosed with gonorrhea was treated in the clinic with a single dose of cefixime (Suprax), 400 mg orally. Two weeks later she returns stating her symptoms are back. The nurse would most likely conclude that:
a.
the woman’s sex partner(s) had not been treated.
b.
cefixime is not the best drug to use in this patient.
c.
the patient’s particular strain of gonorrhea is resistant to this medication.
d.
the prescribed dose was too low to be effective against N. gonorrhoeae.
45.
A patient is being treated for trichomoniasis with metronidazole (Flagyl). Which instruction specific to this medication should the nurse give the patient?
a.
“Don’t drink alcohol until 24 hours after you have finished this medication.”
b.
“Avoid getting any direct sunlight for 1 week after you finish the Flagyl.”
c.
“Make sure you take all the medication that has been prescribed for you.”
d.
“Since only one dose is needed, we will watch you take it before you leave.”
46.
A nurse is assisting with a pelvic examination and the provider comments that the patient has “cervical motion tenderness.” With which condition does the nurse associate this finding?
a.
gonorrhea
b.
chlamydia
c.
trichomoniasis
d.
pelvic inflammatory disease
47.
A patient in the clinic has what appears to be a chancre. The nurse anticipates ordering tests to confirm which disease?
a.
syphilis
b.
chlamydia
c.
gonorrhea
d.
trichomoniasis
Assignment: The Term Metrorrhagia
Assignment: The Term Metrorrhagia