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female alterations N

female alterations NCLEX style questions

QuestionAnswer
1. At what age does the American Cancer Society recommend that women perform monthly breast self-examination (BSE)? A. At menarche B. At onset of sexual activity C. Starting at age 20 D. Starting at age 35 ANS: C The American Cancer Society recommends that all women begin performing a monthly breast self-examination no later than age 20.
The client is returned to the nursing unit after a posterior pelvic exenteration procedure for cancer. How will the nurse manage the client's elimination? A. Foley catheter B. Ileal conduit C. Foley catheter and colostomy D. Ileal conduit and colostom ANS: C A posterior pelvic exenteration involves removal of all pelvic organs except the bladder. A colostomy is created for the passage of feces.
What is the priority nursing diagnosis during the first postoperative days after a radical vulvectomy? A. Constipation B. Risk for Infection C. Anticipatory Grieving D. Disturbed Body Image ANS: B Wound complications, such as infection and dehiscence, often occur after radical vulvectomy, delaying complete wound healing for up to 6 months. Infection can increase the depth of the wound and the degree of scarring.
Which health problem is associated with large breasts? A. Increased breast tenderness B. Increased libido C. Chest pain D. Back pain ANS: D The added weight of large breasts and the altered center of gravity increase spinal pull and contribute to back pain.
Which clinical manifestation in a client with invasive cervical cancer alerts the nurse to the possibility of metastasis? A. Amenorrhea B. Weight gain C. Breast tenderness D. Swelling of the left leg ANS: D Leg pain or unilateral swelling of a leg is a symptom of disease progression as the tumor enlarges, presses on the sciatic nerve, and impedes venous return.
For a client with which type of gynecologic problem should the nurse recommend Kegel exercises? A. Cyst B. Fistula C. Cystocele D. Rectocele ANS: C Kegel exercises, alternately tightening and relaxing the pelvic floor muscles, can strengthen muscles sufficiently to support the bladder and reduce the discomfort that accompanies a cystocele.
What is the priority nursing diagnosis for the client with vaginitis? A. Risk for Injury B. Impaired Comfort C. Disturbed Body Image D. Ineffective Health Maintenance ANS: B The major clinical manifestation accompanying most types of vaginitis is intense itching. The sensation may make the client so uncomfortable that the ability to concentrate on tasks or to obtain a good night's sleep may be impaired.
Created by: misc