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Genital warts are caused by the human papillomavirus. Genital
herpes is caused by a viral infection (not bacterial). Syphilis is
caused by a bacterial organism and results in a chancre, which is
a painless, indurated lesion.
- correct answer- Application of ice
Oral contraceptives
Reduce caffeine intake
Wear a supportive bra during the day
Rationale: To reduce breast pain, the patient may apply ice,
reduce caffeine intake, and use oral contraceptive therapy.
Wearing a supportive bra continuously may reduce discomfort.
Increasing fluids and use of antibiotics are not indicated for
treatment of mastalgia.
- correct answer- Avoid strenuous exercise during her
recovery period.
,Rationale: As with all types of breast surgery, strenuous exercise
is contraindicated during the recovery period after breast
augmentation. A bra should be worn to prevent dehiscence and
provide comfort. Sleeping in a semi-Fowler's position is not
necessary, and passive range-of-motion exercises should be
avoided at first.
- correct answer- Ensure patient adheres to her
prescribed antibiotic regimen.
Rationale: Mastitis normally requires antibiotic therapy that is
closely adhered to. Breastfeeding should be continued if
possible, but effective treatment of infection would be the
immediate priority. If a palpable mass develops, medical follow-
up may be needed to determine if an abscess is present. Mastitis
is not necessarily self-limiting, and mammography is not
normally indicated.
- correct answer- Erectile dysfunction
Rationale: Stroke is a common cause of erectile dysfunction. A
stroke and underlying cardiovascular disease is unlikely to be
related to an inguinal hernia, testosterone deficiency, or BPH.
, - correct answer- Irregular, nontender lump with
induration
Rationale: Manifestations of breast cancer may include a
palpable lump that is *hard, irregular, poorly delineated,
nonmobile, and nontender.* Nipple retraction, peau d'orange,
induration, and dimpling of the overlying skin may also be noted.
Mastitis presents with breasts that are warm to touch,
indurated, and painful. Atrophy of the mammary glands
associated with aging may result in pendulous breasts.
Manifestations of fibrocystic breast changes include palpable
lumps that are round, well delineated, and freely movable. The
lump is usually tender and increases in size and tenderness
before menstruation.
- correct answer- The estrogen in your body is
decreased since menopause.
Rationale:
Many of the reproductive changes associated with aging for
women occur related to the decrease in estrogen associated
with menopause. After menopause there may be increased
androgens. Estrogen stimulation is related to negative feedback,
and GnRH would stimulate greater follicle-stimulating hormone
(FSH) and luteinizing hormone (LH), which results in a higher
, level of estrogen production by the ovaries. The negative
feedback mechanism is not active because this system occurs
when there is decreased level of circulating estrogen, which
increases the level of GnRH production by the hypothalamus,
leading to increased FSH and LH from the pituitary, which results
in higher estrogen production.
25 y.o. woman tells RN she has had sex with multiple male
partners in the past year. The nurse will plan to teach about: -
correct answer- 1. STI testing
2. Based on results treat, test partners, treat partners, abstain,
use barrier protections
5 P's of repro assessment - correct answer- 1. *Partners*
a. Number of partners...men, women, or both
2. *Practices* (sexual)
3. *Pregnancy* (protection, and/or plans, history)
4. Protection from STIs
5. Past (history) of STIs
5 P's of sexual health history - correct answer- - Partners
- Practices (Sexual)