NURS 317 Unit 4 Practice Flashcards
Which of the following clinical manifestations are characteristic for clients with Peyronie disease? Select all that apply.
a) Presence of a hard mass on the tunica albuginea of the penis
b) Thick, nonretractable foreskin of uncircumcised male
c) Thick, yellow discharge from the penis
d)Painful erection
e) Papillary lesions on penis filled with serous-colored fluid
a) Presence of a hard mass on the tunica albuginea of the penis
d)Painful erection
From the following list of clients, which ones are at high risk for developing priapism? Select all that apply.
a) A college student with complete spinal cord injury at T12 level following auto accident
b) An uncircumcised male with poor hygiene habits
c) A sixth grade male returning to school following sickle cell crisis
d) A middle-aged adult male with recent history of myocardial infarction
e) A teenage cocaine abuser who has been “high” for the past 72 hours
a) A college student with complete spinal cord injury at T12 level following auto accident
c) A sixth grade male returning to school following sickle cell crisis
Which of the following physiologic processes results from the synthesis and release of testosterone?
a) Musculoskeletal growth
b) Release of luteinizing hormone (LH)
c) Prostatic hyperplasia
d) Protein catabolism
a) Musculoskeletal growth
Which of the following physiologic changes results in menopause?
a) Gradual resistance of ovarian target cells to LH and FSH stimulation
b) Decreased levels of gonadotropin-releasing hormone (GnRH)
c) Cessation of ovarian function and decreased estrogen levels
d) Changes in anterior pituitary function that alter ovarian hormone production
c) Cessation of ovarian function and decreased estrogen levels
A 59-year-old woman with a recent diagnosis of breast cancer has begun a course of hormone therapy. What is the goal of this pharmacologic treatment?
a) Blocking effects of estrogen on the growth of malignant cells
b) Blocking the entry of malignant cells into the axillary lymph nodes
c) Blocking the effects of progesterone on tumor growth
d) Increasing serum hormone levels to promote tumor cell lysis
a) Blocking effects of estrogen on the growth of malignant cells
Endometriosis is characterized by painful hemorrhagic lesions in the pelvis, which may develop into which of the following potential complications?
a) candidiasis vaginitis
b) Pelvic adhesions
c) Bladder herniation
d) Endometrial cancer
b) Pelvic adhesions
A client visits the OB/GYN clinic complaining of low abdominal pain, purulent cervical discharge, and painful intercourse. The health care worker (HCW) diagnoses pelvic inflammatory disease. The HCW educates the client about that fact that this disease may be associated with:
a) Chronic endometriosis
b) Serous luteal ovarian cysts
c) Ruptured tubal pregnancy
d) STI polymicrobial infection
d) STI polymicrobial infection
A client with herpes simplex virus (HSV) presents to the clinic stating, “I can stop taking my drugs because I’m cured. My lesions are gone.” The health care provider bases his or her response knowing the pathophysiology behind the disappearance of HSV symptoms infection relates to:
a) Periods of latency in the nervous system
b) Replication of the squamous epithelium
c) Production of exotoxins
d) Inhibition of cell-mediated immunity
a) Periods of latency in the nervous system
A 22-year-old client has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:
a) Trichomonas vaginalis
b) Chlamydia trachomatis
c) Human papillomavirus (HPV)
d) Candida albicans
c) Human papillomavirus (HPV)
The most prevalent vaginal infection to be spread through sexual contact is:
a) Vulvovaginitis
b) Candidiasis
c) Bacterial vaginosis
d) Trichomoniasis
d) Trichomoniasis
The nurse is developing a nursing plan of care for a patient who will receive a fast-acting abortifacient. What nursing diagnosis would apply to care provided shortly after administering the medication?
a) Ineffective coping related to abortion or fetal death
b) Deficient knowledge regarding drug therapy.
c) Acute pain related to uterine contractions or headache
d) Risk for fluid volume deficit related to blood loss, diarrhea, and diaphoresis
c) Acute pain related to uterine contractions or headache
An adolescent patient asks the nurse, “What should I do if I forget to take my birth control pill?” What should the nurse reply?
a) “Abstain from intercourse for 7 days.”
b) “Take the dose as soon as you discover your oversight.”
c) “It’s okay to miss a day or two, as long as you don’t go over 5 days.”
d) “Just wait until your next dose, then take double the dose.”
b) “Take the dose as soon as you discover your oversight.”
The nurse administers an androgen and assesses the patient for what action caused by this drug?
a) Increased protein catabolism
b) Increased retention of nitrogen
c) Decreased production of red blood cells
d) Decreased protein anabolism
b) Increased retention of nitrogen
For what reason might the nurse administer sildenafil to a woman?
a) Pulmonary arterial hypertension
b) Breast cancer
c) Endometriosis
d) Sexual dysfunction
a) Pulmonary arterial hypertension
A nurse is caring for an adolescent with hypogonadism who has been prescribed fluoxymesterone (Androxy) for replacement. What adverse effect of this drug will the nurse alert the patient to that could result in self-esteem concerns?
a) Acne
b) Fatigue
c) Dizziness
d) Insomnia
a) Acne
