Female Genitourinary System Complete Test Bank Chapter 22 - Health Assessment in Nursing 4e Test Bank by Cynthia Fenske. DOCX document preview.
Health & Physical Assessment in Nursing, 4e (Fenske/Watkins/Saunders/D'Amico/Barbarito)
Chapter 22 Female Genitourinary System
- A client asks the nurse what is the purpose of the Bartholin's gland. Which information should the nurse provide the client?
1. Secrete fluid to lubricate the vagina.
2. Secrete white blood cells.
3. Produce mucus to be released into the vagina.
4. Produce acid to protect against bacteria.
Page Ref: 499
Cognitive Level: Remembering
Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes. | AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22.1: Describe the anatomy and physiology of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- The nurse is discussing the segments of the uterus with a client. Which information should the nurse include? Select all that apply.
1. Ovaries.
2. Cervix.
3. Fundus.
4. Corpus.
5. Fallopian tubes.
Page Ref: 500
Cognitive Level: Understanding
Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes. | AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22.1: Describe the anatomy and physiology of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- The nurse is preparing to assess a female client's external genitalia. Which structures will the nurse anticipate including in the documentation? Select all that apply.
1. Vagina.
2. Cervix.
3. Clitoris.
4. Labia majora.
5. Labia minora.
Page Ref: 498-500
Cognitive Level: Understanding
Client Need & Sub: Health Promotion and Maintenance; Health Screening
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes. | AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22.5: Generate the appropriate documentation to describe the assessment of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- The nurse is preparing to assess a client experiencing PMS. Which findings should the nurse anticipate? Select all that apply.
1. Cramping.
2. Spotting.
3. Headache.
4. Breast engorgement.
5. Irritability.
Page Ref: 508
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes. | AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse observes bulging over the femoral artery during an assessment. Which diagnosis should the nurse suspect?
1. Aneurysm.
2. Femoral hernia.
3. Swollen lymph node.
4. Hematomata.
Page Ref: 674
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes. | AACN Essentials Competencies: I.1. Integrate theories and concepts from liberal education into nursing practice. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- A 28-year-old female client asks the nurse how often she should have a Pap smear. Which information should the nurse provide?
1. "You should have a Pap test annually."
2. "You should have a Pap test every 3 years."
3. "You should have a Pap test and an HPV test annually."
4. "You should have a Pap test and an HPV test every 5 years."
Page Ref: 502
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22.2: Identify anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- The nurse notes that a client's progesterone level is 15 ng/ml. Which should the nurse interpret the finding as in relation to the menstrual cycle?
1. Midcycle.
2. Preovulatory.
3. Menstruating.
4. Menopausal.
Page Ref: 514
Cognitive Level: Analyzing
Client Need & Sub: Reduction of Risk Potential; Laboratory Values
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22.2: Identify anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
MNL Learning Outcome: 22.3. Utilize the appropriate techniques and tools for physical assessment of the female genitourinary system.
- The nurse notes that the client's Bartholin's gland is reddened, inflamed, and tender and warm to palpation. Based on the findings, which additional infection should the nurse anticipate testing the client for?
1. Gonorrhea.
2. Candidiasis.
3. Herpes simplex virus.
4. Urinary tract infection.
Page Ref: 521
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.4: Outline the techniques for assessment of the female genitourinary system.
MNL Learning Outcome: 22.3. Utilize the appropriate techniques and tools for physical assessment of the female genitourinary system.
- The nurse is preparing to inspect the external genitalia of an obese female client. Which finding should the nurse be prepared to document?
1. Ecchymosis.
2. Edematous labia.
3. Reddened genitalia.
4. Excoriated labia majora.
Page Ref: 521
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance; Health Screening
Standards: QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22.5: Generate the appropriate documentation to describe the assessment of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- The nurse notes that a client's clitoris is elongated. Which hormonal imbalance should the nurse suspect is occurring?
1. Estrogen.
2. Progesterone.
3. Testosterone.
4. Luteinizing hormone.
Page Ref: 521
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is assessing the urethral opening of a female client. Which findings should the nurse recognize are associated with a urinary tract infection? Select all that apply.
1. Discharge.
2. Foul odor.
3. Redness.
4. Inflammation.
5. Leaking urine.
Page Ref: 522
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.4: Outline the techniques for assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse notes that a client's pubic area is excoriated. Which should the nurse further assess the client for?
1. Gonorrhea.
2. Genital warts.
3. Contact dermatitis.
4. Herpes simplex virus.
Page Ref: 521
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is preparing to interview a client with uterine fibroids. Which question should the nurse initially ask the client?
1. "Are you experiencing any pelvic pressure?"
2. "Are you experiencing any vaginal itching?"
3. "Have you experienced an abnormal bleeding?"
4. "Have you experienced an abnormal vaginal discharge?"
Page Ref: 511
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.3: Determine questions about the female genitourinary system to use for the focused interview.
MNL Learning Outcome: 22.2. Plan questions about the female genitourinary system for the focused interview.
- The nurse is reviewing the prescriptions of a client experiencing a decreased libido. Which medication should the nurse be concerned with?
1. Codeine.
2. Estradiol.
3. Levothyroxine.
4. Progesterone.
Page Ref: 512
Cognitive Level: Applying
Client Need & Sub: Pharmacological and Parenteral Therapies; Adverse Effects/Contraindications/Side Effects/Interactions
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- During the examination of a client's perineum, the nurse notes reddened areas on the labia and white curd-like vaginal discharge. Which condition should the nurse suspect?
1. Contact dermatitis.
2. Yeast infection.
3. Herpes infection.
4. Venereal warts.
Page Ref: 528
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is examining a female client and notes a greenish discharge with a foul odor. Which diagnosis does the nurse anticipate?
1. Trichomoniasis.
2. Herpes infection.
3. Gonorrhea.
4. Bacterial vaginosis.
Page Ref: 528
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is examining the external genitalia of a female client and notes raised, cauliflower-shaped papules. Based on this data, which condition does the nurse suspect?
1. Genital warts.
2. Herpes infection.
3. Bartholin abscess.
4. Contact dermatitis.
Page Ref: 526
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse reviewing a client's medical record notes documentation of a nontender protrusion into the anterior vaginal wall. Which condition does the nurse suspect based on this data?
1. Inflammation of the Skene gland.
2. Prolapsed uterus.
3. Rectocele.
4. Cystocele.
Page Ref: 523
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse reviewing a client's record notes there is a protrusion into the posterior vaginal wall. Based on this data, which condition does the nurse suspect?
1. Ovarian cyst.
2. Bartholin gland infection.
3. Cystocele.
4. Rectocele.
Page Ref: 523
Cognitive Level: Applying
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is reviewing the symptoms of ovarian cancer with a client. Which symptoms should the nurse include? Select all that apply.
1. Ascites.
2. Abdominal bloating.
3. Abnormal vaginal bleeding.
4. Menstrual irregularities.
5. Increased urination.
Page Ref: 531
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is interviewing a female client who reports a frothy, yellow-green discharge. Based on this data, which condition does the nurse suspect?
1. Vaginitis.
2. Trichomoniasis.
3. Gonorrhea.
4. Chlamydia.
Page Ref: 528
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is examining the external genitalia of a female client and notes small vesicular lesions that are painful. Based on this data, which condition does the nurse suspect?
1. Genital warts.
2. Herpes infection.
3. Bartholin abscess.
4. Contact dermatitis.
Page Ref: 525
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is examining the external genitalia of a female client and notes draining papules. Based on this data, which condition does the nurse suspect?
1. Genital warts.
2. Herpes infection.
3. Syphilitic lesion.
4. Contact dermatitis.
Page Ref: 526
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is reviewing the symptoms of an ovarian cyst with a client. Which should the nurse include? Select all that apply.
1. Lower back pain.
2. Loss of appetite.
3. Pelvic pain.
4. Pain during intercourse.
5. Change in bowel habits.
Page Ref: 531
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.B.1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.2: Identify anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is reviewing the risk factors for uterine cancer with a client. Which should the nurse include in the teaching?
1. Smoking.
2. Obesity.
3. Multiple sexual partners.
4. Sexually transmitted infections.
Page Ref: 503
Cognitive Level: Understanding
Client Need & Sub: Health Promotion and Maintenance; Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.B.1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22.2: Identify anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse examining an adolescent female notes sparse pubic hair. Based on this data, which action by the nurse is appropriate?
1. Ask the client if she is menstruating.
2. Examine the client for breast buds.
3. Report the findings to the healthcare provider.
4. Document the findings as abnormal.
Page Ref: 521
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: I.B.1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is examining an adult female and notes thick, coarse pubic hair covering the pubis and extending to the thighs. Which action by the nurse is the most appropriate based on this data?
1. Ask the client if she has started menstruation.
2. Report the findings to the healthcare provider.
3. Document the findings as normal.
4. Ask the client if she is sexually active.
Page Ref: 521
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance; Health Screening
Standards: QSEN Competencies: I.B.1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.2: Identify anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- A parent of a 14-year-old female asks the nurse about the HPV vaccine. Which information should the nurse include in the teaching?
1. "Your daughter will need one dose of the vaccine."
2. "Your daughter will need three doses of the vaccine."
3. "Your daughter will need two doses of the vaccine."
4. "Your daughter will need to be vaccinated when she becomes sexually active."
Page Ref: 502
Cognitive Level: Applying
Client Need & Sub: Pharmacological and Parenteral Therapies; Expected Actions/Outcomes
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: VII.3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22.2: Identify anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
MNL Learning Outcome: 22.1. Consider the anatomic, physiologic, developmental, psychosocial, and cultural variations that guide assessment of the female genitourinary system.
- The nurse is examining a client with a gonorrheal infection. Which is the priority action by the nurse?
1. Counsel regarding safe sex practices.
2. Obtain history of sexual contacts.
3. Obtain a culture.
4. Document the findings.
Page Ref: 528
Cognitive Level: Analyzing
Client Need & Sub: Physiological Adaptation; Alterations in Body Systems
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22.6: Identify abnormal findings in the physical assessment of the female genitourinary system.
MNL Learning Outcome: 22.4. Differentiate normal and abnormal variations of the female genitourinary system observed during physical assessment.
- The nurse is caring for an adolescent female client who has come to the clinic for an annual physical examination. Which question does the nurse plan to include in the data collection process?
1. "Do you have a boyfriend?"
2. "Do you need birth control?"
3. "Are you attracted to boys?"
4. "Are you sexually active at this time?"
Page Ref: 508, 509
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance; Health Screening
Standards: QSEN Competencies: III.B.3. Base individualized care plan on patient values, clinical expertise, and evidence. | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Context and Environment: Conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22.3: Determine questions about the female genitourinary system to use for the focused interview.
MNL Learning Outcome: 22.2. Plan questions about the female genitourinary system for the focused interview.