NLE/PRC Nursing Test Bank about Reproductive Health Disorders (1-5)

Nursing Test Bank about Reproductive Health Disorders

1. A nurse reinforces home care instructions to the client who has been hospitalized for a transurethral resection of the prostate (TURP). Which statement, if made by the client indicates a need for further instructions:

a. “I need to avoid strenuous activity for 4 to 6 weeks.”
b. “I need to maintain a daily intake of 6 to 8 glasses of water daily.”
c. “I need to avoid lifting items that weigh more than 25 pounds.”
d. “I need to include prune juice in my diet.”

2. One of the responsibilities of a nurse in a fertility clinic is to provide health teaching to the client in relation to timing of the intercourse. Instructions to the client should include the information that the best time to achieve pregnancy would be:

a. Midway between periods.
b. Immediately after menses end.
c. Fourteen days before the next period is expected.
d. Fourteen days after the beginning of the last period.

3. A nurse is reinforcing discharge instructions to a client after a hydrocelectomy. Which of the following statements, if made by the client, would indicate a need for further education:

a. “I should apply ice packs to the scrotum.”
b. “I should keep the scrotum elevated until the swelling has gone away.”
c. “The sutures will be removed by the doctor in 1 week.”
d. “I need to avoid sexual intercourse at this time.”

4. A female client is being treated for genital herpes. The client should receive teaching from Nursing Test Bank about the:

a. Prevention of outbreaks of lesions
b. Needs to abstain from sexual contact
c. Need to keep the perineal area moist
d. Need to wear tight-fitting nylon underwear.

5. A nurse is caring for the client who returned to the nursing unit following suprapubic prostatectomy. The nurse monitors the continuous bladder irrigation to detect which of the following signs of catheter blockage:

a. Drainage that is pale pink
b. Drainage that is bright red
c. Urine leakage around the three-way catheter at the meatus
d. True urine output of 50 mL/hr



Nursing Test Bank about Reproductive Health Disorders
ANSWERS AND RATIONALE

1) C
- The client needs to be advised to avoid strenuous activity for 4-6 weeks and to avoid lifting items that weigh more than 20 pounds. The client needs to consume a daily intake of at least 6 to 8 glasses of nonalcoholic fluids to minimize clot formation. Straining during defecation for at least 6 weeks after surgery is avoided to prevent bleeding. Prune juice is satisfactory bowel stimulant.

2) C
- Ovulation occurs 14 days before the onset of menses.A- Midway between her cycles would be appropriate only if the client has a 28-day cycle.B- This would mean that ovulation would occur on approximately day 5 of the menstrual cycle.D- Variations in the cycle occur in the preovulation period; thus this is wrong information.

3) C
- A teaching from Nursing Test Bank said that hydrocele is an abnormal collection of fluid within the layers of the tunica vaginalis that surrounds the testis. It may be unilateral or bilateral and can occur in an infant or adult. Hydrocelectomy is the excision of the fluid-filled sac in the tunica vaginalis. The client needs to be instructed that the sutures used during the procedure are absorbable. The other options are correct.

4) C
- The client with genital herpes should be instructed to avoid sexual intercourse until lesions are completely healed. When the client is diagnosed with genital herpes, outbreaks may occur at any time. The perineal area should be kept dry. Clients should wear loose-fitting cotton underwear to promote drying of lesions.

5 C
- Catheter blockage or occlusion by clits following prostatectomy can result in urine back-up and leakage around the urethral meatus. This would be accompanied by a stoppage of outflow through the catheter into the drainage bag. Drainage that is bright red indicates that the irrigant is running too slowly; drainage that is pale pink indicates sufficient flow. A true urine output of 50 mL/hr indicates catheter patency.

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