Question 1 of 9
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Which finding would the nurse expect to assess in a patient with an intrauterine device (IUD) experiencing dysmenorrhea?
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- HeadacheHeadache is a symptom of primary dysmenorrhea; a headache does not occur with the use of an IUD.
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- Decreased appetiteDecreased appetite is a symptom of primary dysmenorrhea, typically decreased appetite is not seen with the use of an IUD.
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- Pelvic pain that radiates to the groinPelvic pain that radiates to the groin is a symptom of primary dysmenorrhea, pelvic pain from an IUD does not radiate to the groin.
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- Pain that lasts throughout the menstrual periodSecondary dysmenorrhea can be caused by an intrauterine device, and one clinical manifestation of this disorder is pain that lasts throughout the menstrual period.
Question 2 of 9
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Which symptom is a sign of osteoporosis? Select all that apply. One, some, or all responses may be correct.
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- Hot flashesHot flashes are more a symptom of menopause, which can ultimately lead to postmenopausal osteoporosis.
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- Weight lossWeight loss is not a symptom of osteoporosis and is beneficial to help take pressure off the bones.
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- Back painBack pain is one of the first signs of osteoporosis.
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- Vaginal atrophyVaginal atrophy is more of a symptom of menopause, which can ultimately lead to postmenopausal osteoporosis.
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- Loss of heightA loss of height is one of the first signs of osteoporosis as the vertebrae become more compressed.
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- Dowager’s humpA dowager’s hump, in which the vertebrae fail to support the upper body in an upright position is one of the first signs of osteoporosis.
Question 3 of 9
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A patient with menopause is prescribed hormone replacement therapy (HRT). Which symptom would the nurse want the patient to monitor for? Select all that apply. One, some, or all responses may be correct.
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- Facial droopingFacial drooping could indicate a stroke is occurring, which can happen as the result of taking HRT.
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- Chest tightnessChest tightness can indicate a heart attack is occurring, which can happen as a result of taking HRT.
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- Hot flashesHot flashes are a symptom of menopause and are often improved with the use of HRT.
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- Vaginal itchingVaginal itching is a symptom of menopause and is often improved with the use of HRT.
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- Breast lumpA breast lump could signal breast cancer, which is an increased risk with HRT.
- Correct
- Calf painCalf pain can be associated with a blood clot, which is an increased risk with HRT.
Question 4 of 9
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A nurse is caring for a patient with breast cancer who is prescribed tamoxifen. Which supplement would the nurse question?
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- SeleniumSelenium can help protect normal cells against the damage from cancer treatments.
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- Folic acidFolic acid is often prescribed as an adjunct to cancer treatment.
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- GingerGinger is often prescribed to help treat nausea and vomiting in cancer patients.
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- SoySoy should not be used with estrogen-dependent cancers or in women taking tamoxifen because it can undo the estrogen blocking effects of the medication.
Question 5 of 9
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A 12-year-old female patient presents with irritability, breast tenderness, and abdominal bloating. Which intervention does the nurse expect to discuss with the patient?
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- Relaxation techniquesThe nurse suspects the patient may be suffering from premenstrual syndrome and understands relaxation techniques are common in the management of symptoms.
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- Placing patient in the prone positionThis position could put more pressure on the breasts and abdomen and cause the patient to be more uncomfortable.
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- BedrestThe patient should be educated on exercise interventions to help with symptom management.
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- Counseling referralThough the patient may benefit from counseling services at some point, it would be more beneficial to try different relaxation and stress reduction techniques to help with symptom management as the present symptoms would not warrant a counseling referral.
Question 6 of 9
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The nurse understands a patient with premenstrual dysphoric disorder (PMDD) will not present with symptoms during which time frame?
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- During ovulationThe symptom criteria used to diagnose PMDD occurs between ovulation and the onset of menstruation.
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- Immediately following the menstrual periodThe symptoms of PMDD are not present in the week after the menstrual period.
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- During menstruationThe symptom criteria used to diagnose PMDD occurs between ovulation and the onset of menstruation.
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- Prior to onset of menstruationThe symptom criteria used to diagnose PMDD occurs between ovulation and the onset of menstruation.
Question 7 of 9
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Which intervention is appropriate for a patient with primary dysmenorrhea?
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- Giving the patient an ice packA heating pad promotes vasodilation and often relieves cramping.
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- Administering acetaminophen per ordersThough acetaminophen can help with pain relief, a nonsteroidal antiinflammatory drug (NSAID) is a more appropriate treatment option because of the antiinflammatory properties.
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- Laying patient in the fetal positionThough this may be comfortable for the patient in pain, it is not the most beneficial. The pelvic rock exercise could be utilized to help relieve discomfort.
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- Giving the patient a back massageA back massage can help to alleviate discomfort.
Question 8 of 9
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Which lab test would the nurse anticipate for a patient struggling with repeated pregnancy losses?
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- A1cA hemoglobin A1c is helpful when diagnosing diabetes.
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- ProlactinDiagnostic testing for infertility included serum prolactin levels.
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- LactateLactate can be helpful when diagnosing sepsis.
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- Low-density lipoprotein (LDL)LDL is a lab test used to diagnose hyperlipidemia.
Question 9 of 9
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Which process is associated with the development of secondary dysmenorrhea? Select all that apply. One, some, or all responses may be correct.
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- AdenomyosisAdenomyosis occurs when tissue that normally lines the uterus grows into the muscular wall of the uterus and is associated with secondary dysmenorrhea.
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- MenopauseMenopause is the cessation of menses.
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- EndometriosisEndometriosis is a painful disorder in which tissue that normally lines the uterus grows outside of the uterus and has been associated with secondary dysmenorrhea.
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- Uterine polypsUterine polyps can be associated with the development of secondary dysmenorrhea.
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- Pelvic inflammatory disease (PID)PID is an infection of one or more of the reproductive organs and can be associated with the development of secondary dysmenorrhea.
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- Premenstrual dysphoric disorder (PMDD)PMDD is a severe form of PMS and is not associated with the development of secondary dysmenorrhea.
