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Chapter 47: Female Reproductive Disorders MULTIPLE CHOICE 1. The nurse cautions the patient who is taking Danocrine (danazol), an androgenic steroid, for the treatment of menorrhagia, that she should be prepared for the side effect of: 1. heavier menses. 2. virilization. 3. acne-like skin eruptions. 4. anemia. ANS: 2 Androgenic steroids cause virilization. The distressing signs are a deepening voice, develop- ment of chest hair, coarsening of the skin, clitoral enlargement, and hot flashes. Many pa- tients reject the drug on the basis of these side effects. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1042, Drug Therapy table OBJ: 10 TOP: Androgenic Steroid Therapy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. Following a culdoscopy, the nurse should instruct the patient to: 1. clean the incision site daily with hydrogen peroxide. 2. avoid vaginal intercourse. 3. return to the clinic for suture removal in 7 days. 4. use tampons. ANS: 2 Nothing should be inserted into the vagina (e.g., intercourse, tampons) for the time specified by the physician. There is no incision or sutures. PTS: 1 DIF: Cognitive Level: Application REF: 1037 OBJ: 2 TOP: Culdoscopy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The patient asks the nurse, Will the laparoscopy be painful? The nurse replies: 1. You will probably have some pain below the rib cage and around the shoulder. 2. Most patients state that the procedure was painless during and afterward. 3. You may have some mild to moderate pain around the umbilicus and in the back. 4. Every person is different. Its difficult to say whether or not youll have pain. ANS: 1 During the immediate postoperative period, the patient tends to experience pain below the rib cage and in the shoulder area from the air injected into the abdominal cavity. The air is absorbed in 24 hours and the pain disappears. PTS: 1 DIF: Cognitive Level: Application REF: 1037 OBJ: 2 TOP: Laparoscopy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 4. The nurse recommends that a yearly mammogram be done for women older than age: 1. 35. 2. 40. 3. 45. 4. 50. ANS: 4 Annual mammography is recommended for women age 50 and older. PTS: 1 DIF: Cognitive Level: Knowledge REF: 1037 OBJ: 2 TOP: Mammograms KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. A nurse teaching a health class for 12- and 13-year-old girls about routine vaginal hygiene would include instruction to: 1. wear clean polyester panties daily and at night. 2. douche weekly with a mild vinegar solution. 3. wash the external and internal genitalia daily.... View Full Document

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