Ch 52: Care of Reproductive Disorders Flashcards

Questions and Answers

What is the preparation of the patient for maintaining bladder decompression for an open view?

Insertion of a Foley catheter

What factor influences older women's reluctance to seek medical care for problems of the reproductive system? (Select all that apply)

Lack of free time

Denial

Embarrassment and cultural factors (correct)

Religious convictions

The American Cancer Society recommends that baseline mammograms be performed on women:

Over 18 years of age

Over 40 years of age

Between the ages of 35 and 39 (correct)

Between the ages of 15 and 21

False negative results in mammography occur in specific age groups because:

Younger women have greater density of breast tissue Signup and view all the answers

Vaginal fistulas are caused by an ulcerating process resulting from (Select all that apply):

Cancer Signup and view all the answers

Select the interventions that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy. (Select all that apply):

Vaccinations Signup and view all the answers

What is performed to evaluate living tissue in order to establish or confirm a diagnosis?

Biopsy Signup and view all the answers

The procedure for removing a small sample of tissue from the patient's cervix to evaluate it is called a:

Conization Signup and view all the answers

What are benign tumors of the uterus called?

Fibroids Signup and view all the answers

What is produced in the seminiferous tubules and stored in the epididymis?

Sperm Signup and view all the answers

In what position will a patient scheduled for a vaginal hysterectomy be placed in the operating room?

Lithotomy Signup and view all the answers

Which nursing intervention will best stimulate peristalsis and relieve abdominal distention for a patient on the second postoperative day after an abdominal hysterectomy?

Encouraging ambulation at least four times per day Signup and view all the answers

Which response by the nurse would be most helpful to a patient discussing fears about dying from inoperable ovarian cancer?

It is perfectly normal to want to talk about death. It is most helpful to support her by listening. Signup and view all the answers

The nurse's response is based on the knowledge that a patient who had a total abdominal hysterectomy and bilateral salpingo-oophorectomy may experience 'hot flashes'. Why?

The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause. Signup and view all the answers

Which nursing diagnosis is appropriate for a patient who feels ugly and worries that her husband will not be in love with her anymore after a modified radical mastectomy?

Disturbed body image related to removal of her breast Signup and view all the answers

For which postoperative patient should arm exercises be included in discharge instructions?

Modified radical mastectomy Signup and view all the answers

What outstanding sign should a 20-year-old using tampons while menstruating report to indicate toxic shock syndrome?

Sudden elevated temperature Signup and view all the answers

At what age should a male be taught testicular self-exam (TSE)?

13 Signup and view all the answers

Which statement by a patient indicates a need for further teaching on testicular self-examination?

The best time to perform TSE is just before intercourse. Signup and view all the answers

Epididymitis may occur because of which reason related to the testicle?

Trauma Signup and view all the answers

What is the nurse's most appropriate response to a patient complaining of pain in the right shoulder after a tubal insufflation (Rubin's test)?

That is from the carbon dioxide passing from the fallopian tubes into your abdomen. Signup and view all the answers

Which statement indicates successful teaching regarding activity level after a modified radical mastectomy?

I should sleep on the side opposite my mastectomy. Signup and view all the answers

During a routine physical examination for a 48-year-old female, which procedure can she expect to have?

Papanicolaou smear Signup and view all the answers

The recommended age for a baseline mammogram is between which ranges?

35 and 39 years Signup and view all the answers

Female infertility is most often related to which factor?

Infections of the reproductive tract Signup and view all the answers

Which instruction should the nurse provide to a patient diagnosed with primary genital herpes?

Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present. Signup and view all the answers

If severe or chronic pelvic inflammatory disease is present, what complication may result?

Infertility Signup and view all the answers

What should the nurse include in response to a patient who believes he was not exposed to gonorrhea despite having sexual contact with a new girlfriend?

Many women are not aware that they have gonorrhea because they often do not have symptoms of infection. Signup and view all the answers

What finding should the nurse expect when assessing a patient recovering from an anterior and posterior colporrhaphy?

Indwelling catheter Signup and view all the answers

What is the most useful method of diagnosing breast cancer?

It is the most reliable method of detecting breast cancer before it becomes palpable. Signup and view all the answers

What is important to prevent after a modified radical mastectomy?

Vascular and lymph stasis, thus lymphedema. Signup and view all the answers

What is a key postoperative nursing intervention for a patient recovering from an abdominal hysterectomy?

Preventing urinary retention Signup and view all the answers

When should postmenopausal women perform breast self-examination (BSE)?

On the same date of their choice each month. Signup and view all the answers

What statement indicates further teaching is needed about home care after an abdominal hysterectomy?

I understand I can lift anything less than 20 pounds. Signup and view all the answers

What is an appropriate nursing intervention for a patient with a hydrocele?

Apply ice packs. Signup and view all the answers

What is the most appropriate action for a nurse interacting with a withdrawn patient scheduled for unilateral orchiectomy?

Assess his concerns related to his diagnosis and treatment. Signup and view all the answers

Which finding would the nurse consider abnormal during the physical assessment of a 64-year-old patient?

Serous nipple drainage Signup and view all the answers

During assessment of a patient with a purulent urethral discharge and painful urination, what is most important for the nurse to gather information on?

A history of recent sexual contact with an individual with a sexually transmitted disease. Signup and view all the answers

Which statement indicates that more teaching about HPV is necessary?

I understand I don't need to get the new HPV vaccine unless I am sexually active. Signup and view all the answers

Study Notes

Surgical Positions and Procedures

Patients undergoing a vaginal hysterectomy are placed in a lithotomy position for the procedure.
Early postoperative ambulation is vital for stimulating gastrointestinal peristalsis and alleviating distention after abdominal hysterectomy.

Cancer and Emotional Support

Patients with inoperable ovarian cancer may express fears about death; offering a listening ear can aid in their coping.
Total abdominal hysterectomy with bilateral salpingo-oophorectomy results in surgically induced menopause, leading to hot flashes.

Body Image and Recovery

Post-mastectomy patients may experience disturbed body image due to the loss of a breast, necessitating supportive healthcare interventions.
Patients recovering from modified radical mastectomy should avoid sleeping on the affected side to minimize complications.

Health Education and Self-Examination

Testicular self-examination (TSE) should begin at age 13, performed monthly.
The best practice for TSE is to conduct it after a warm shower when the scrotum is relaxed.

Diagnostic Procedures and Signs

Symptoms of epididymitis often stem from trauma to the genital area.
A Gram stain smear can diagnose gonorrhea, which is often asymptomatic in women, making education about the disease crucial.

Age and Medical Recommendations

Routine Papanicolaou smear should begin at age 18 or after being sexually active, continuing every three years until middle age.
The American Cancer Society recommends women aged 35-39 receive baseline mammograms.

Understanding Health Complications

Severe pelvic inflammatory disease (PID) can lead to infertility, a significant complication of untreated infections.
The use of condoms is essential to prevent the transmission of herpes simplex virus even when there are no visible lesions.

Postoperative Care

A retention catheter is typically used post-abdominal hysterectomy to prevent pressure on sutures and maintain bladder decompression.
Women are encouraged to perform breast self-examination (BSE) on a consistent monthly schedule.

Patient Education on Medical Procedures

Education regarding home care is important; patients should not lift heavy objects post-hysterectomy due to incision risks.
Predictions for outcomes, such as maintaining sexual function post-orchiectomy, can provide reassurance to patients facing significant surgeries.

Cultural and Personal Factors

Many older women may hesitate to seek medical care for reproductive issues due to cultural embarrassment or lack of knowledge.
Vaginal fistulas can result from cancer, radiation, surgical interventions, and weakened tissue due to pregnancies.### Interventions for Modified Radical Mastectomy
Perform vaccinations, blood pressure readings, and IV insertions with caution on the affected arm to avoid complications.
Avoid procedures on the affected side (e.g., BP readings, injections) to prevent edema or infection.
Educate patients to be vigilant against injuries (burns, needle pricks) in the affected arm area.

Biopsy Definition

A biopsy is a procedure to evaluate living tissue for diagnosing or monitoring disease progression.
Tissue samples are collected to confirm or locate lesions.

Cervical Conization

Conization is the procedure for removing a cone-shaped section of tissue from the cervix.
Indicated for obtaining samples of eroded or infected tissue and confirming cervical cancer.

Uterine Fibroids

Fibroids are benign tumors that originate from the muscle tissue of the uterus.
Common condition that may affect women, causing various symptoms.

Sperm Production and Storage

Sperm cells are produced in the seminiferous tubules located within the testes.
The scrotum maintains a lower temperature, essential for viable sperm production and storage.

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Description

Test your knowledge on the care of patients with reproductive disorders using these flashcards. This quiz focuses on surgical positioning and post-operative care related to hysterectomy procedures. Enhance your understanding of nursing responsibilities in reproductive health.