Lewis Test Bank Medical Surgical
Nursing Clinical Problem 2024-2025.
Questions & Answers. Graded A+
A 19-year-old has been diagnosed with primary dysmenorrhea. How will the nurse
suggest that the patient prevent discomfort? - ANSa. Avoid aerobic exercise during her
menstrual period. b. Use cold packs on the abdomen and back for pain relief.
c. Talk with her health care provider about beginning antidepressant therapy.
D. Take nonsteroidal antiinflammatory drugs (NSAIDs) when her period starts.
A 19-year-old visits the health clinic for a routine checkup. Which question should the
nurse ask to determine whether a Pap test is needed? - ANSA. Have you had sexual
intercourse?
b. Do you use any illegal substances?
c. Do you have cramping with your periods?
d. At what age did your menstrual periods start?
Rational:
The current American Cancer Society recommendation is that a Pap test be done every
3 years, starting 3 years after the first sexual intercourse and no later than age 21. The
information about menstrual periods and substance abuse will not help determine
whether the patient requires a Pap test.
A 22-year-old tells the nurse that she has not had a menstrual period for the last 2
months. Which action is MOST important for the nurse to take? - ANSA. Obtain a urine
specimen for a pregnancy test.
b. Ask about any recent stressful lifestyle changes.
c. Measure the patients current height and weight.
d. Question the patient about prescribed medications. Rational:
Pregnancy should always be considered a possible cause of amenorrhea in women of
childbearing age. The other actions are also appropriate, but it is important to check for
pregnancy in this patient because pregnancy will require rapid implementation of
actions to promote normal fetal development such as changes in lifestyle, folic acid
intake, etc.
A 24-year-old patient with pelvic inflammatory disease (PID) is being treated with oral
antibiotics as an outpatient. Which instruction will be included in patient teaching? -
ANSa. Abdominal pain may persist for several weeks.
B. Return for a follow-up appointment in 2 to 3 days.
c. Instruct a male partner to use a condom during sexual intercourse for the next week.
d. Nonsteroidal antiinflammatory drug (NSAID) use may prevent pelvic organ scarring
Rationl:
The patient is instructed to return for follow-up in 48 to 72 hours. The patient should
abstain from intercourse for 3 weeks. Abdominal pain should subside with effective
, antibiotic therapy. Corticosteroids may help prevent inflammation and scarring, but
NSAIDs will not decrease scarring.
A 25-year-old woman has an induced abortion with suction curettage at an ambulatory
surgical center. Which instructions will the nurse include when discharging the patient? -
ANSa. Heavy vaginal bleeding is expected for about 2 weeks.
B. You should abstain from sexual intercourse for 2 weeks.
c. Contraceptives should be avoided until your reexamination.
d. Irregular menstrual periods are expected for the next few months.
Rational:
Because infection is a possible complication of this procedure, the patient is advised to
avoid intercourse until the reexamination in 2 weeks. Patients may be started on
contraceptives on the day of the procedure. The patient should call the doctor if heavy
vaginal bleeding occurs. No change in the regularity of the menstrual periods is
expected.
A 25-year-old woman who is scheduled for a routine gynecologic examination tells the
nurse that she has had intercourse during the last year with several men. The nurse will
plan to teach about the reason for - ANSa. contraceptive use.
b. antibiotic therapy.
C. Chlamydia testing.
d. pregnancy testing.
A 27-year-old patient tells the nurse that she would like a prescription for oral
contraceptives to control her premenstrual dysphoric disorder (PMD-D) symptoms.
Which patient information is MOST important to communicate to the health care
provider? - ANSa. Bilateral breast tenderness
b. Frequent abdominal bloating
C. History of migraine headaches
d. Previous spontaneous abortion
Rational:
Oral contraceptives are contraindicated in patients with a history of migraine
headaches. The other patient information would not prevent the patient from receiving
oral contraceptives.
A 28-year-old patient reports anxiety, headaches with dizziness, and abdominal bloating
occurring before her menstrual periods. Which action is BEST for the nurse to take at
this time? - ANSA. Ask the patient to keep track of her symptoms in a diary for 3
months.
b. Suggest that the patient try aerobic exercise to decrease her symptoms.
c. Teach the patient about appropriate lifestyle changes to reduce premenstrual
syndrome (PMS) symptoms.
d. Advise the patient to use nonsteroidal antiinflammatory drugs (NSAIDs) such as
ibuprofen (Advil) to control symptoms.
Rational:
Nursing Clinical Problem 2024-2025.
Questions & Answers. Graded A+
A 19-year-old has been diagnosed with primary dysmenorrhea. How will the nurse
suggest that the patient prevent discomfort? - ANSa. Avoid aerobic exercise during her
menstrual period. b. Use cold packs on the abdomen and back for pain relief.
c. Talk with her health care provider about beginning antidepressant therapy.
D. Take nonsteroidal antiinflammatory drugs (NSAIDs) when her period starts.
A 19-year-old visits the health clinic for a routine checkup. Which question should the
nurse ask to determine whether a Pap test is needed? - ANSA. Have you had sexual
intercourse?
b. Do you use any illegal substances?
c. Do you have cramping with your periods?
d. At what age did your menstrual periods start?
Rational:
The current American Cancer Society recommendation is that a Pap test be done every
3 years, starting 3 years after the first sexual intercourse and no later than age 21. The
information about menstrual periods and substance abuse will not help determine
whether the patient requires a Pap test.
A 22-year-old tells the nurse that she has not had a menstrual period for the last 2
months. Which action is MOST important for the nurse to take? - ANSA. Obtain a urine
specimen for a pregnancy test.
b. Ask about any recent stressful lifestyle changes.
c. Measure the patients current height and weight.
d. Question the patient about prescribed medications. Rational:
Pregnancy should always be considered a possible cause of amenorrhea in women of
childbearing age. The other actions are also appropriate, but it is important to check for
pregnancy in this patient because pregnancy will require rapid implementation of
actions to promote normal fetal development such as changes in lifestyle, folic acid
intake, etc.
A 24-year-old patient with pelvic inflammatory disease (PID) is being treated with oral
antibiotics as an outpatient. Which instruction will be included in patient teaching? -
ANSa. Abdominal pain may persist for several weeks.
B. Return for a follow-up appointment in 2 to 3 days.
c. Instruct a male partner to use a condom during sexual intercourse for the next week.
d. Nonsteroidal antiinflammatory drug (NSAID) use may prevent pelvic organ scarring
Rationl:
The patient is instructed to return for follow-up in 48 to 72 hours. The patient should
abstain from intercourse for 3 weeks. Abdominal pain should subside with effective
, antibiotic therapy. Corticosteroids may help prevent inflammation and scarring, but
NSAIDs will not decrease scarring.
A 25-year-old woman has an induced abortion with suction curettage at an ambulatory
surgical center. Which instructions will the nurse include when discharging the patient? -
ANSa. Heavy vaginal bleeding is expected for about 2 weeks.
B. You should abstain from sexual intercourse for 2 weeks.
c. Contraceptives should be avoided until your reexamination.
d. Irregular menstrual periods are expected for the next few months.
Rational:
Because infection is a possible complication of this procedure, the patient is advised to
avoid intercourse until the reexamination in 2 weeks. Patients may be started on
contraceptives on the day of the procedure. The patient should call the doctor if heavy
vaginal bleeding occurs. No change in the regularity of the menstrual periods is
expected.
A 25-year-old woman who is scheduled for a routine gynecologic examination tells the
nurse that she has had intercourse during the last year with several men. The nurse will
plan to teach about the reason for - ANSa. contraceptive use.
b. antibiotic therapy.
C. Chlamydia testing.
d. pregnancy testing.
A 27-year-old patient tells the nurse that she would like a prescription for oral
contraceptives to control her premenstrual dysphoric disorder (PMD-D) symptoms.
Which patient information is MOST important to communicate to the health care
provider? - ANSa. Bilateral breast tenderness
b. Frequent abdominal bloating
C. History of migraine headaches
d. Previous spontaneous abortion
Rational:
Oral contraceptives are contraindicated in patients with a history of migraine
headaches. The other patient information would not prevent the patient from receiving
oral contraceptives.
A 28-year-old patient reports anxiety, headaches with dizziness, and abdominal bloating
occurring before her menstrual periods. Which action is BEST for the nurse to take at
this time? - ANSA. Ask the patient to keep track of her symptoms in a diary for 3
months.
b. Suggest that the patient try aerobic exercise to decrease her symptoms.
c. Teach the patient about appropriate lifestyle changes to reduce premenstrual
syndrome (PMS) symptoms.
d. Advise the patient to use nonsteroidal antiinflammatory drugs (NSAIDs) such as
ibuprofen (Advil) to control symptoms.
Rational:
