A 25-year-old woman who is scheduled for a routine gynecologic examination tells the nurse that she ...

A 25-year-old woman who is scheduled for a routine gynecologic examination tells the nurse that she has had intercourse during the last year with several men. The nurse will plan to teach about the reason for
 
  a. contraceptive use.
  b. antibiotic therapy.
  c. Chlamydia testing.
  d. pregnancy testing.

Question 2

A 24-year-old patient with pelvic inflammatory disease (PID) is being treated with oral antibiotics as an outpatient. Which instruction will be included in patient teaching?
 
  a. Abdominal pain may persist for several weeks.
  b. Return for a follow-up appointment in 2 to 3 days.
  c. Instruct a male partner to use a condom during sexual intercourse for the next week.
  d. Nonsteroidal antiinflammatory drug (NSAID) use may prevent pelvic organ scarring

Question 3

The nurse is caring for a 20-year-old patient with pelvic inflammatory disease (PID) requiring hospitalization. Which nursing intervention will be included in the plan of care?
 
  a. Monitor liver function tests.
  b. Use cold packs PRN for pelvic pain.
  c. Elevate the head of the bed to at least 30 degrees.
  d. Teach the patient how to perform Kegel exercises.

Question 4

A female patient tells the nurse that she has been having nightmares and acute anxiety around men since being sexually assaulted 3 months ago. The most appropriate nursing diagnosis for the patient is
 
  a. anxiety related to effects of being raped.
  b. sleep deprivation related to frightening dreams.
  c. rape-trauma syndrome related to rape experience.
  d. ineffective coping related to inability to resolve incident.

Question 5

Which statement by the patient indicates that the nurse's teaching about treating vaginal candidiasis has been effective?
 
  a. I should clean carefully after each urination and bowel movement.
  b. I can douche with warm water if the itching continues to bother me.
  c. I will insert the antifungal cream right before I get up in the morning.
  d. I will tell my husband that we cannot have intercourse for the next month.

Question 6

A 49-year-old woman is considering the use of combined estrogen-progesterone hormone replacement therapy (HT) during menopause. Which information will the nurse include during their discussion?
 
  a. Use of estrogen-containing vaginal creams provides most of the same benefits as oral HT.
  b. Increased incidence of colon cancer in women taking HT requires more frequent colonoscopy.
  c. HT decreases osteoporosis risk and increases the risk for cardiovascular disease and breast cancer.
  d. Use of HT for up to 10 years to prevent symptoms such as hot flashes is generally considered safe.

Question 7

A 47-year-old woman asks whether she is going into menopause if she has not had a menstrual period for 3 months. The best response by the nurse is which of the following?
 
  a. Have you thought about using hormone replacement therapy?
  b. Most women feel a little depressed about entering menopause.
  c. What was your menstrual pattern before your periods stopped?
  d. Since you are in your mid-40s, it is likely that you are menopausal.

Question 8

When caring for a 58-year-old patient with persistent menorrhagia, the nurse will plan to monitor the
 
  a. estrogen level.
  b. complete blood count (CBC).
  c. gonadotropin-releasing hormone (GNRH) level.
  d. serial human chorionic gonadotropin (hCG) results.