female alterations NCLEX style questions
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| 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.
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| 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.
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| 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.
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| 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.
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| 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.
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| 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.
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| 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.
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