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Chapter 51: Care of the Patient with a Repro
Disorder
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 vaginal 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
,2.On the second postoperative day, a patient who has had an abdominal hysterectomy compla
abdominal distention. Which intervention would be most appropriate to stimulate a bowel mov
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 d
ovarian cancer in both ovaries says to the nurse, “Please go talk to my wife. She is real upset an
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
, REF: Page 1822, Nursing Care Plan OBJ: 12 TOP: Ovarian cancer
KEY:Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
4.A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectom
dometriosis. She asks the nurse if she will have “hot flashes.” What knowledge will guide the nu
a. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have ho
b. The patient is too young to have hot flashes associated with menopause.
c. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menop
have hot flashes.
d. The uterus and fallopian tubes were removed, and she will not experience “hot flashes.”
ANS: C
A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the ute
tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce menop
flashes may occur.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1813
OBJ:14TOP:Hysterectomy
KEY:Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5.On the fourth postoperative day after a modified radical mastectomy, the nurse finds the pat
back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husban
love with her anymore. The nurse bases subsequent nursing interventions on what diagnosis?
a. Disturbed body image related to removal of her breast
One Account Get all Test Banks
nursing
Chapter 51: Care of the Patient with a Repro
Disorder
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 vaginal 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
,2.On the second postoperative day, a patient who has had an abdominal hysterectomy compla
abdominal distention. Which intervention would be most appropriate to stimulate a bowel mov
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 d
ovarian cancer in both ovaries says to the nurse, “Please go talk to my wife. She is real upset an
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
, REF: Page 1822, Nursing Care Plan OBJ: 12 TOP: Ovarian cancer
KEY:Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
4.A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectom
dometriosis. She asks the nurse if she will have “hot flashes.” What knowledge will guide the nu
a. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have ho
b. The patient is too young to have hot flashes associated with menopause.
c. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menop
have hot flashes.
d. The uterus and fallopian tubes were removed, and she will not experience “hot flashes.”
ANS: C
A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the ute
tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce menop
flashes may occur.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1813
OBJ:14TOP:Hysterectomy
KEY:Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5.On the fourth postoperative day after a modified radical mastectomy, the nurse finds the pat
back to the nurse. She is crying and tells the nurse she feels ugly and is worried that her husban
love with her anymore. The nurse bases subsequent nursing interventions on what diagnosis?
a. Disturbed body image related to removal of her breast
