VN1105-Chapter 51: Care of the Patient with a Reproductive Disorder- Nursing Test Banks-complete

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Chapter 51: Care of the Patient with a Reproductive Disorder Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition MULTIPLE CHOICE 1. Which condition would prevent the use of a vag... inal hysterectomy? a. A woman with more than four pregnancies b. Large uterine fibroids c. Menorrhagia for over 6 months d. Women over the age of 50 ANS: B In the case of large uterine fibroids, a vaginal hysterectomy is not an option. PTS: 1 DIF: Cognitive Level: Application REF: Page 1813 OBJ:14TOP:Hysterectomy KEY:Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement? a. Offering carbonated beverages b. Encouraging ambulation at least four times per day c. Administering a 1000-mL soapsuds enema d. Applying an abdominal binder ANS: B Early ambulation is very helpful to return the bowel to normal function. PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1813 OBJ:14TOP:Hysterectomy KEY:Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, “Please go talk to my wife. She is real upset and says she won’t be a ‘woman’ anymore.” What is the nurse’s most therapeutic response? a. “Don’t be concerned. All young women get upset before this kind of surgery.” b. “Certainly, I will be glad to tell her about hormone replacement.” c. “She will get over this feeling soon.” d. “No matter what I may say to her, it is you that needs to listen to her concerns and assure her.” ANS: D Assisting patients with recognizing and clarifying fears and with developing coping strategies for those fears by listening is helpful. PTS:1DIF:Cognitive Level: Application CONTINUED.......... [Show More]

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