Lewis Test Bank QUESTIONS WITH
CORRECT ANSWERS GRADED A+
A 32-year-old patient has oral contraceptives prescribed for endometriosis.
The nurse will teach the patient to
a. expect to experience side effects such as facial hair. B. take the medication every
day for the next 9 months. c. take calcium supplements to prevent developing
osteoporosis during therapy.
d. use a second method of contraception to ensure that she will not become
pregnant.
Rational:
When oral contraceptives are prescribed to treat endometriosis, the patient should
take the medications continuously for 9 months. Facial hair is a side effect of
synthetic androgens. The patient does not need to use additional contraceptive
methods. The hormones in oral contraceptives will protect against osteoporosis.
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?
a. 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.
The nurse is caring for a 20-year-old patient with pelvic inflammatory disease
(PID) requiring hospitalization. Which nursing intervention will be included in
the plan of care?
,a. Monitor liver function tests.
b. Use cold packs PRN for pelvic pain.
C. Elevate the head of the bed to at least 30 degrees.
d. Teach the patient how to perform Kegel exercises.
Rational:
The head of the bed should be elevated to at least 30 degrees to promote drainage
of the pelvic cavity and prevent abscess formation higher in the abdomen. Although
a possible complication of PID is acute perihepatitis, liver function tests will remain
normal. There is no indication for increased fluid intake. Application of heat is used to
reduce pain. Kegel exercises are not helpful in PID.
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
a. contraceptive use.
b. antibiotic therapy.
C. Chlamydia testing.
d. pregnancy testing.
Which statement by the patient indicates that the nurses teaching about
treating vaginal candidiasis has been effective?
A. I should clean carefully after each urination and bowel movement.
b. I can douche with warm water if the itching continues to bother me.
c. I will insert the antifungal cream right before I get up in the morning.
d. I will tell my husband that we cannot have intercourse for the next month.
Rational:
Cleaning of the perineal area will decrease itching caused by contact of the irritated
tissues with urine and reduce the chance of further infection of irritated tissues by
bacteria in the stool. Sexual intercourse should be avoided for 1 week. Douching will
disrupt normal protective mechanisms in the vagina. The cream should be used at
night so that it will remain in the vagina for longer periods of time.
The nurse in the women's health clinic has four patients who are waiting to be
seen. Which patient should the nurse see FIRST?
a. 22-year-old with persistent red-brown vaginal drainage 3 days after having balloon
thermotherapy
b. 42-year-old with secondary amenorrhea who says that her last menstrual cycle
, was 3 months ago
c. 35-year-old with heavy spotting after having a progestin-containing IUD (Mirena)
inserted a month ago
D. 19-year-old with menorrhagia who has been using superabsorbent tampons and
has fever with weakness Rational:
The patients history and clinical manifestations suggest possible toxic shock
syndrome, which will require rapid intervention. The symptoms for the other patients
are consistent with their diagnoses and do not indicate life-threatening complications.
A healthy 28-year-old who has been vaccinated against human papillomavirus
(HPV) has a normal Pap test. Which information will the nurse include in
patient teaching when calling the patient with the results of the Pap test?
Pap testing is recommended every 3 years for women your age.
To prevent pregnancy in a patient who has been sexually assaulted, the nurse
in the emergency department will plan to teach the patient about the use of
levonorgestrel (Plan-B One-Step).
Rational:
Plan B One-Step reduces the risk of pregnancy when taken within 72 hours of
intercourse. The other methods are used for therapeutic abortion, but not for
pregnancy prevention after unprotected intercourse.
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?
A. 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.
Which information will the nurse include when teaching a patient who has
developed a small vesicovaginal fistula 2 weeks into the postpartum period?
a. Take stool softeners to prevent fecal contamination of the vagina.
b. Limit oral fluid intake to minimize the quantity of urinary drainage.
CORRECT ANSWERS GRADED A+
A 32-year-old patient has oral contraceptives prescribed for endometriosis.
The nurse will teach the patient to
a. expect to experience side effects such as facial hair. B. take the medication every
day for the next 9 months. c. take calcium supplements to prevent developing
osteoporosis during therapy.
d. use a second method of contraception to ensure that she will not become
pregnant.
Rational:
When oral contraceptives are prescribed to treat endometriosis, the patient should
take the medications continuously for 9 months. Facial hair is a side effect of
synthetic androgens. The patient does not need to use additional contraceptive
methods. The hormones in oral contraceptives will protect against osteoporosis.
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?
a. 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.
The nurse is caring for a 20-year-old patient with pelvic inflammatory disease
(PID) requiring hospitalization. Which nursing intervention will be included in
the plan of care?
,a. Monitor liver function tests.
b. Use cold packs PRN for pelvic pain.
C. Elevate the head of the bed to at least 30 degrees.
d. Teach the patient how to perform Kegel exercises.
Rational:
The head of the bed should be elevated to at least 30 degrees to promote drainage
of the pelvic cavity and prevent abscess formation higher in the abdomen. Although
a possible complication of PID is acute perihepatitis, liver function tests will remain
normal. There is no indication for increased fluid intake. Application of heat is used to
reduce pain. Kegel exercises are not helpful in PID.
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
a. contraceptive use.
b. antibiotic therapy.
C. Chlamydia testing.
d. pregnancy testing.
Which statement by the patient indicates that the nurses teaching about
treating vaginal candidiasis has been effective?
A. I should clean carefully after each urination and bowel movement.
b. I can douche with warm water if the itching continues to bother me.
c. I will insert the antifungal cream right before I get up in the morning.
d. I will tell my husband that we cannot have intercourse for the next month.
Rational:
Cleaning of the perineal area will decrease itching caused by contact of the irritated
tissues with urine and reduce the chance of further infection of irritated tissues by
bacteria in the stool. Sexual intercourse should be avoided for 1 week. Douching will
disrupt normal protective mechanisms in the vagina. The cream should be used at
night so that it will remain in the vagina for longer periods of time.
The nurse in the women's health clinic has four patients who are waiting to be
seen. Which patient should the nurse see FIRST?
a. 22-year-old with persistent red-brown vaginal drainage 3 days after having balloon
thermotherapy
b. 42-year-old with secondary amenorrhea who says that her last menstrual cycle
, was 3 months ago
c. 35-year-old with heavy spotting after having a progestin-containing IUD (Mirena)
inserted a month ago
D. 19-year-old with menorrhagia who has been using superabsorbent tampons and
has fever with weakness Rational:
The patients history and clinical manifestations suggest possible toxic shock
syndrome, which will require rapid intervention. The symptoms for the other patients
are consistent with their diagnoses and do not indicate life-threatening complications.
A healthy 28-year-old who has been vaccinated against human papillomavirus
(HPV) has a normal Pap test. Which information will the nurse include in
patient teaching when calling the patient with the results of the Pap test?
Pap testing is recommended every 3 years for women your age.
To prevent pregnancy in a patient who has been sexually assaulted, the nurse
in the emergency department will plan to teach the patient about the use of
levonorgestrel (Plan-B One-Step).
Rational:
Plan B One-Step reduces the risk of pregnancy when taken within 72 hours of
intercourse. The other methods are used for therapeutic abortion, but not for
pregnancy prevention after unprotected intercourse.
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?
A. 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.
Which information will the nurse include when teaching a patient who has
developed a small vesicovaginal fistula 2 weeks into the postpartum period?
a. Take stool softeners to prevent fecal contamination of the vagina.
b. Limit oral fluid intake to minimize the quantity of urinary drainage.
