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MDC3 Exam - Lecture notes 1-4 with Answers (89 Solved Questions)

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    1 points 1 points 1 points MDC3 Exam - Lecture notes 1 - 4 1 . Which action would the nurse teach to help the patient prevent vulvovaginitis? a Wear loose cotton underwear. . b Use feminine hygiene sprays to avoid odor. . c Cleanse the inner labial mucosa with s oap . and water. d Wipe back to front after urination. . Q U ESTIO N 2 1. The nurse is educating a patient on the prevention of toxic shock syndrome (TSS). Which statement by the patient indicates a lack of understanding? a “It is best if I wash my hand s before inserting the . tampon.” b “At night, I should use a feminine pad rather than a . tampon.” c “I need to change my tampon every 8 hours . during the day.” d “If I don’t use tampons, I should not get TSS.” . Q U ESTIO N 3 1. A patient is admitt ed to the emergency department with toxic shock syndrome. Which action by the nurse is the most important? a Remove the tampon as the source of . infection. b Transfuse the patient to manage low blood count. . c Collect a blood specimen for culture an d sensitivity. . d Administer IV fluids to maintain fluid and electrolyte . balance. Q U ESTIO N 4 1. A 55 - year - old postmenopausal woman reports a history of dyspareunia, backache, pelvis pressure, urinary tract infections, and a frequent urinary urgenc y. Which condition does the nurse suspect? a Cystocel . e b Fibroid . c Rectocele

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    1 points 1 points 1 points 1 points d Ovarian . cyst Q U ESTIO N 5 1. The nurse is caring for a postoperative patient following an anterior colporrhaphy. What action can be delegated to the unlicensed assistive personnel (UAP)? a Teaching the patient to avoid lifting her 4 - year - old . grandson b Reviewing the hematocrit and hemoglobin results . c . Drawing a shallow hot bath for comfort . measures d Assessing the level of pain and any drainage . Q U ESTIO N 6 1. A nurse is caring for four postoperative patients who each had a total abdominal hysterectomy. Which patient would the nurse assess first upon initial rounding? a Patient who has pain of “4” on a scale of 0 to 10 . b Patient with a tempe rature of 99 ° F (37.2 ° C) and blood pressure of . 115/73 mm Hg c Patient who has had two saturated perineal pads in the . last 2 hours d Patient with a urinary catheter output of 150 mL in the last 3 . hours Q U ESTIO N 7 1. A patient has undergone a vaginal hysterectomy with a bilateral salpingo - oophorectomy. She is concerned about a loss of libido. What intervention by the nurse would be best? a Teach that estrogen cream inserted . vaginally may help. b Suggest increasing vitamins and supplement s . daily. c Discuss the value of a balanced diet and exercise. . d Reinforce that weight gain may be inevitable. . Q U ESTIO N 8

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    1 points 1 points 1 points 1. A patient has recently been diagnosed with stage III endometrial cancer and asks the nurse for an explanation. What re sponse by the nurse is correct about the staging of the cancer? a “It is contained in the endometrium of the cervix.” . b “The cancer now involves the cervix.” . c “It has reached the vagina or lymph nodes.” . d “The cancer has spread to the mucosa of the bowel . and bladder.” Q U ESTIO N 9 1. The patient is emotionally upset about the recent diagnosis of stage IV endometrial cancer. Which action by the nurse is best? a Let the patient alone for a long period of . reflection time. b Ask friends and relatives to limit their visits. . c Create an atmosphere of acceptance and . discussion. d Tell the patient that an emotional response is . unacceptable. Q U ESTIO N 10 1. A patient has scheduled brachytherapy sessions and states that she feels a s though she is not safe around her family. What is the best response by the nurse? a “You should use a separate bathroom from the rest of the . family.” b “To be totally safe, it is a good idea to sleep in a separate . room.” c “It is best to stay a sa fe distance from friends or family between . treatments.” d “You are only radioactive when the radioactive implant . is in place.” Q U E S T I O N 11 1. A patient has just returned from a total abdominal hysterectomy and needs postoperative nursing care. What action can the nurse delegate to the unlicensed assistive personnel (UAP)? a Check the hemoglobin and hematocrit . levels. b Evaluate the dressing for drainage.

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    1 points 1 points 1 points . c Empty the urine from the urinary . catheter bag. d Assess heart, lung, and bowe l sounds. . Q U ESTIO N 12 1. A 20 - year - old patient is interested in protection from the human papilloma virus (HPV) since she may become sexually active. Which response from the nurse is the most accurate? a “You will need to have three injections over a span of 1 year.” . b “Either Gardasil or Cervarix can provide protection.” . c “The most common side effect of the vaccine is itching at the . injection site.” d “You are too old to receive an HPV vaccine.” . Q U ESTIO N 13 1. A 28 - year - old patient is diagnosed with uterine leiomyoma and is experiencing severe symptoms. Which actions by the nurse are the most appropriate at this time? ( Select all that apply. ) a Review complete blood count for possible iron - . deficiency anemia b Relieve anxiety b y relaxation techniques and . education . c Discuss in detail the side effects of laparoscopic surgery. . d Reduce the pain by low - level heat. . e Discuss the high risk of infertility with this diagnosis. . Q U ESTIO N 14 1. The nurse is giving disch arge instructions to a patient who had a total abdominal hysterectomy. Which statements by the patient indicate a need for further teaching? ( Select all that apply. ) a “My granddaughter weighs 23 lbs (10.5 kg) so I need to refrain . from picking her up.” b “I will have to limit the times that I climb our stairs at home to . morning and night.” c “I should not have any problems driving to see my mother, . who lives 3 hours away.” d “For 1 month, I will need to refrain from sexual intercourse.” .

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    1 points 1 points 1 points e “ Now that I have time off from work, I can return to my . exercise routine next week.” Q U ESTIO N 15 1. The nurse is taking the history of a 24 - year - old patient diagnosed with cervical cancer. What possible risk factors would the nurse assess? ( Select a ll that apply. ) a Poor diet . b Nulliparity . c Multiple sexual partners . d Younger than 18 at first . intercourse e Smoking . Q U ESTIO N 16 1. A patient is scheduled to start external beam radiation therapy (EBRT) for her endometrial cancer. Wh ich teaching by the nurse is accurate? ( Select all that apply. ) a “It is not wise to stay out in the sun for long . periods of time.” b “Your skin needs to be inspected daily for any . breakdown.” c “The perineal area may become damaged with . the r adiation.” d “The technician applies new site markings before each . treatment.” e “You will need to be hospitalized during this therapy.” . Q U ESTIO N 17 1. The nurse is teaching a patient who is undergoing brachytherapy about what to immediately rep ort to her healthcare provider. Which signs and symptoms would be included in this teaching? ( Select all that apply. ) a Temperature of 99 ° F . (37.2 ° C) b Visible blood in the . urine c Heavy vaginal bleeding . d Constipation for 3 days .

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    1 points 1 points 1 points e Abdomin al pain . Q U ESTIO N 18 1. A postmenopausal patient is experiencing low back and pelvic pain, fatigue, and bloody vaginal discharge. What laboratory tests would the nurse expect to see ordered for this patient if endometrial cancer is suspected? ( Select all that apply. ) a White blood cell (WBC) count . b Prothrombin time (PT) . c Hemoglobin and hematocrit . (H&H) d Cancer antigen - 125 (CA - . 125) e International normalized ratio . (INR) Q U ESTIO N 19 1. A patient has recurrent vulvovaginitis. W hich statements by the patient indicate a need for further teaching? ( Select all that apply. ) a “I should not douche or use feminine hygiene . sprays.” b “I need to take all of my antibiotics as . prescribed.” c “I can take a long, hot bath to reliev e . itching.” d “I should avoid having sex until my infection . is gone.” e “I should use antibacterial soap to . clean the area.” Q U ESTIO N 20 1. The nurse is doing home care teaching for a patient who has undergone cryotherapy. Which statements by the patient indicate a correct understanding of the instructions? ( Select all that apply. ) a “There should be little or no discomfort.” . b “I should shower rather than take a tub bath.” . c “There may be a lot of bleeding for a few days.” . d “I s hould not use tampons, douche, or have . sexual activity.”

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    1 points e “I can resume my weight - lifting exercise class . tomorrow.” Q U ESTIO N 21 1. A patient who had a hysterectomy has a 200 - mg dose of ciprofloxacin (Cipro) ordered to infuse in 30 minutes. At what rate would the nurse infuse the medication if the pharmacy provides 200 mg in a 100 - mL bag of normal saline? ( Record your answer using a whole number. ) mL/hr 200

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    Q UESTION 1 1. A 52 - year - old female client had been treated f or human papillomavirus. After 3 years of testing, the client’s Pap smears are normal. The nurse realizes that the client’s next Pap smear should be in: 1 10 years . 2 2 years . 3 3 years . 4 5 years . 1 points QUESTION 2 1. The nurse is instructing a female client about breast self - examination. Which of the following instructions would not be correct for the nurse to provide? 1 “A menstruating woman should check her breast monthly 8 days following her . menses.” 2 “An inverte d nipple is not a cause for alarm.” . 3 “Visually check the breasts in front of a mirror.” . 4 “During menopause, you should check your breasts once a month during the . same time frame.” 1 points QUESTION 3 1. The nurse is instructing a female client on the importance of having routine mammograms because mammograms: 1 can detect masses before they become palpable. . 2 involves no radiation. . 3 has a 25% rate of false positives. . 4 combines a blood test with radiology. . 1 points QUESTION 4

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    1. The nurse determines that a female client has a lower risk for developing breast cancer when which of the following is assessed? 1 Smoking . 2 Breastfeeding . 3 Alcohol intake . 4 Obesity . 1 points QUESTION 5 1. The nurse should instruct the client that when performing a breast self - examination, pay particular attention to which of the following areas since the greatest number of malignancies are found in this breast area? 1 Upper outer quadrant of the breast to the axilla . 2 Portion of the breast closest to the neck . 3 Portion of the breast closest to the xiphoid process . 4 Portion of the breast closest to the abdomen . 1 points QUESTION 6 1. The nurse is determining if a female client is a t risk for benign breast disease. Which of the following is a risk factor for this disorder? 1 Alcohol intake . 2 Caffeine use . 3 Age 55 . 4 Smoking . 1 points QUESTION 7 1. A client is scheduled for a prophylactic mastectomy. The nur se should remind the client that skin flaps will be left after the surgery for:

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    1 donation for someone needing a skin transplant. . 2 reconstruction . . 3 suturing to the chest wall. . 4 possible use for other skin disorders. . 1 point s QUESTION 8 1. The nurse teaching a young women’s community service group about breast self - examination (BSE) will include that 1 annual mammograms should be scheduled in addition to . BSE. 2 performing BSE after the menstrual period is more . comfortable. 3 BSE should be done daily while taking a bath or shower. . 4 BSE will reduce the risk of dying from breast cancer. . 1 points QUESTION 9 1. The nurse provides discharge teaching for a 61 - yr - old patient who has had a left modifie d radical mastectomy and lymph node dissection. Which statement by the patient indicates that teaching has been successful? 1 “I will need to use my right arm and to rest the left . one.” 2 “I will keep my left arm in a sling until the incision i s . healed.” 3 “I will avoid reaching over the stove with my . left hand.” 4 “I will stop the left arm exercises if moving the arm . is painful.” 1 points QUESTION 10 1. A patient newly diagnosed with stage I breast cancer is discussing tre atment options with the nurse. Which statement by the patient indicates that additional teaching may be needed? 1 “Mastectomy is the best choice to decrease the chance of

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    . cancer recurrence .” 2 “I can probably have reconstructive surgery at t he same time as a . mastectomy.” 3 “I will probably need radiation to the breast after having the . surgery.” 4 “There are several options that I can consider for treating the . cancer.” 1 points QUESTION 11 1. The nurse will anticipate teac hing a patient who is diagnosed with lobular carcinoma in situ (LCIS) about 1 lumpectomy. . 2 lymphatic . mapping. 3 tamoxifen . 4 MammaPrint . testing. 1 points QUESTION 12 1. Which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast? 1 Careful skin care in the radiated area will be . necessary. 2 Wigs may be used until the hair regrows after . radiation therapy. 3 Visitors are restricted until the radiation therapy is . completed. 4 The radiation therapy will take a week to complete. . 1 points QUESTION 13 1. Which action will the nurse include in the plan of care for a patient with right arm lymphedema? 1 Assist with application of a compression . sleeve. 2 Avoid isometric exercise on the right arm.

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    . 3 Keep the right arm at or below the level of . the heart. 4 Check blood pressure (BP) on both right and . left arms. 1 points QUESTION 14 1. A 56 - yr - old patient is concerned about having a moderate amount of vaginal bleeding after 5 years of menopause. The nurse will anticipate teaching the patient about 1 uterine balloon therapy. . 2 endometrial biopsy . . 3 endometrial ablation. . 4 dilation and curettage . (D&C). 1 points QUESTION 15 1. A nursing diagnosis that is likely to be appropriate for a 67 - yr - old patient who has just been diagnosed with stage III ovarian cancer is 1 risk for infection related to impaired immune function. . 2 sexual dysfunction related to loss of vaginal sensation. . 3 anxiety related to cancer diagnosis and need for . treatment decisions. 4 situational low self - esteem related to guilt about delaying . medical care. 1 points QUESTION 16 1. Which patient in the women’s health clinic will the nurse expect to teach about an endometrial biopsy? 1 A 25 - yr - old patient who has a family history of hereditary . nonpolyposis colorectal cancer 2 A 45 - yr - old patient who has had six previous full - term pregnancies and . two spontaneous abortions

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    3 A 55 - yr - old patient who has 3 to 4 alcoholic drinks each day . 4 A 35 - yr - old patient who has used oral contraceptives for 15 years . 1 points QUESTION 17 1. A 31 - yr - old patient who has been di agnosed with human papillomavirus (HPV) infection gives a health history that includes smoking tobacco, taking oral contraceptives, and having been treated twice for vaginal candidiasis. Which topic will the nurse include in patient teaching? 1 Risk f actors for cervical . cancer 2 Use of water - soluble . lubricants 3 Antifungal cream . administration 4 Possible difficulties with . conception 1 points QUESTION 18 1. A 50 - yr - old patient is diagnosed with uterine bleeding caused b y a leiomyoma. Which information will the nurse include in the patient teaching plan? 1 The symptoms may decrease after the patient . undergoes menopause. 2 Aspirin or acetaminophen may be used to control mild to . moderate pain. 3 The tumor size is likely to increase throughout the patient’s . lifetime. 4 The patient will need frequent monitoring to detect any . malignant changes. 1 points QUESTION 19 1. A 58 - yr - old patient is on the medical - surgical unit after undergoing a radi cal vulvectomy for vulvar carcinoma. The greatest risk to the patient at this time is 1 inadequate nutrition. . 2 wound infection . .

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    • 3 ineffective sexual . pattern. 4 self - care deficit. . 1 points QUESTION 20 1. A healthy 24 - yr - old patient who has been vaccinated against human papillomavirus (HPV) has a normal Pap test result. Which information will the nurse include in patient teaching when calling the patient with the results of the Pap test? 1 Yearly Pap testing is suggested for women with multiple . sexual partners. 2 No further Pap testing is needed until you decide to become . pregnant. 3 Pap testing is recommended every 3 years for women . your age. 4 You can wait until after age 30 before having anoth er Pap . test.

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