Question 5311)
A 39-year-old woman is seen in the gynecology clinic and asks the nurse about
menopause. What is the best explanation for the nurse to give her?
A. “It usually occurs around the age of 40. You can expect severe hot flashes.”
B. “It usually occurs after the age of 45 and frequently marks the end of a woman’s sex life.”
C. “You can expect to have symptoms for about three years while your body adjusts to additional hormones.”
D. “No more ovarian hormones are produced, so you will stop menstruating.”
Answer: D
Explanation: Menopause is the cessation of production of ovarian hormones. Amenorrhea will occur. Not all women
have hot flashes. Menopause is not the end of a woman’s sex life. It is the end of her capacity to reproduce.
Menopause occurs when a woman is in her 40s or 50s.
Question 5312)
A 42-year-old woman sees her physician because of painless spotting between
periods that is worse after intercourse. A Pap smear is done. The results come back as stage III.
The client asks the nurse what a stage III Pap smear means. The nurse’s response is based on the
knowledge that a stage III Pap smear indicates that:
A. only normal cells are present.
B. atypical cells are present.
C. cells suggestive but not diagnostic of malignancy are present
D. many malignant cells are present.
Answer: C
Explanation: Stage III is characterized by cells suggestive but not diagnostic of malignancy. Stage I contains normal
cells. Stage II contains atypical cells. Stage IV contains malignant cells.
Question 5313)
A woman is to have internal radiation as part of her treatment for cancer of the
cervix. In teaching her about the preoperative preparation for this procedure, the nurse should
include which information?
A. A high-residue diet will be ordered.
B. An indwelling catheter will be inserted
C. A nasogastric tube will be inserted.
D. Several units of blood will be ready for transfusion if needed
Answer: B
Explanation: During the time the radium rods are in place, the client should move as little as possible to prevent
dislodgment of the radium. She will have an indwelling catheter in place so her bladder will not become full and
also to prevent damage to the bladder from the radiation. She will have an enema before the procedure and a lowresidue or clear liquid diet before surgery and while the rods are in place. There is no need for a nasogastric tube
or blood transfusions.
Question 5314)
The nurse is caring for a woman after insertion of radium rods for treatment of
cancer of the cervix. The nurse positions her in a supine position with legs extended for which
reason?
A. To keep the rods in the correct position
B. To prevent the urinary bladder from becoming overdistended
C. To reduce pressure on the pelvic and back areas
D. To limit the amount of radiation exposure
Answer: A
Explanation: The client is kept flat to prevent the rods from becoming dislodged. She will have an indwelling
catheter in place. Positioning does not reduce radiation exposure.
Question 5315)
The nurse is caring for a woman after the insertion of radium rods for treatment of
cancer of the cervix. Which discomfort should the nurse anticipate that the client may have while
the rods are in place?
A. Headache
B. Urinary retention
C. Constipation
D. Uterine cramps
Answer: D
Explanation: Uterine cramping occurs frequently. She will be on a clear liquid or low-residue diet so that she is not
likely to be constipated. Prior to the procedure, she will have had a laxative bowel prep. She will have a catheter
in place so she will not have urinary retention.
Question 5316)
The nurse is caring for a woman the day after the insertion of radium rods for
treatment of cancer of the cervix. The woman calls the nurse and says, “There is something
between my legs. It fell out of me.” What is the most appropriate initial action for the nurse to
take?
A. Call the radiation safety officer
B. Put on rubber gloves and put the radiation rod in the bathroom until help arrives
C. Using long forceps, place the radium needle in a lead-lined container
D. Calmly reinsert the rod in the vagina
Answer: C
Explanation: There should always be long forceps and a lead-lined container readily available whenever a person
has radium inserted. The nurse should pick up the rod with the long forceps and immediately place it in a leadlined container. The radiation safety officer should then be notified. Leaving the rod between the client’s legs
exposes her and others to unnecessary radiation. Rubber gloves offer no protection from radiation. The nurse does
not reinsert the radium
Question 5317)
A young woman comes to the clinic for contraceptive advice. She says she wants
to take the pill. Vital signs are within normal limits. She tells the nurse she has been having
intercourse for the past year without protection. What question is it most important for the nurse
to ask her?
A. How much exercise do you get each day?
B. What do you usually eat each day?
C. How many cigarettes do you smoke each day?
D. Are you under stress?
Answer: C
Explanation: Cigarette smoking is a contraindication for the use of the pill. There is a higher incidence of
thromboembolic problems when a person smokes.
Question 5318)
A young woman asks the nurse if oral contraceptives have any side effects. What is
the best response for the nurse to make?
A. “Nausea, fluid retention, and weight gain.”
B. “Why do you ask? Look at the benefits.”
C. “Are you concerned about something?”
D. “Increased libido, decreased breast size, and diarrhea.”
Answer: A
Explanation: These are side effects of the pill. Answers 2 and 3 do not answer the question asked. Answer 4 is not
correct.
Question 5319)
A client asks the nurse the difference between an intrauterine device (IUD) and a
diaphragm. The nurse’s response should be based on which information?
A. The diaphragm is inserted into the uterine cavity, and the IUD covers the cervix.
B. The IUD is 97% effective, and the diaphragm is 50% effective.
C. The IUD is placed into the uterine cavity by the doctor, and the diaphragm is placed into the vagina each time by
the user.
D. The IUD must be used with contraceptive jelly, and the diaphragm does not require contraceptive jelly.
Answer: C
Explanation: The IUD must be inserted into the uterus by the physician. The woman inserts the diaphragm before
each act of intercourse. Both types are very effective when used as directed. The diaphragm requires
contraceptive jelly; the IUD does not.
Question 5320)
A young woman tells the nurse that her boyfriend used a “rubber” once. What is
the most important information about condoms for the nurse to provide the client?
A. Always use Vaseline as a lubricant.
B. Apply the condom to the penis right before ejaculation.
C. You do not need a medical prescription for condoms.
D. The condom must be applied before any penilevaginal contact.
Answer: D
Explanation: Preejaculatory secretions may contain sperm. A condom must be applied before there is any penilevaginal contact. Vaseline should never be used as a lubricant. Lubricants should always be water soluble, such as KY jelly or Surgilube. Answer 3 is a true statement but not the most important information to give the client.
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