UCY (16)

Correct answer: B Reason: Lymphedema increases when there is obstruction to the lymph flow. Wearing clothing w ith ela s ticized s leeve s w ould compre ss the extremity, po ss ibly c a b a i u r b s . c e o m t r / a t e u s m t a, and ob s truct the flow, thus increasing the woman's risk. However, wearing a well-fitted compression sleeve would promote drainage return. Wearing gloves when gardening and using the unaffected arm for blood pressure readings help to reduce the risk of injury and s a u bi b rb s .c e o q m u /t e e n st t lymphedema. Driving would have no effect on lymphedema. #QSN Format:Multiple Choice #CHP 6: Disorders of the Breasts Cognitive Level: Analyze Client Needs: Physiological Integrity: Reduction of Risk Potential REF: Page.221

#CHP 7 1. A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the NR expect to find? A. sporadic vaginal bleeding accompanied by chronic pelvic pain B. heavy leukorrhea with vulvar pruritus C. menstrual irregularities and hirsutism on the chin D. stress incontinence with feeling of low abdominal pressure Correct answer: D Reason: Cy s tocele and rectocele are example s of pelvic organ a p b r i r o b l . c a o p m s / e t e . s M t anife s tation s typically include stress incontinence and lower abdominal pressure or pain. Complaints of sporadic vaginal bleeding and chronic pelvic pain are associated with uterine fibroids. Leukorrhea and vulvar pruritus commonly are associated with an infection. Menstrual irregularitie s and hir s uti s m are a ss ociated w ith polycy s tic ovarian a b s i r y b . n c o d m r o /t e m s t e. #QSN Format:Multiple Choice #CHP 7: Benign Disorders of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Physiological Integrity: Physiological Adaptation REF: Page.240 2. To a ss i s t the w oman in regaining control of the urinary s phinc a te bi r rb a . c f o t m er /t e b s l t adder s urgery, the NR should teach the client to perform which action? A. Perform Kegel exercises daily. B. Void every hour while awake. C. Limit the intake of fluid. D. Take a laxative every night. Correct answer: A Reason: After bladder surgery, the client should perform Kegel exercises daily to strengthen the pelvic floor mus cle s . Bladder training w ith voiding every 3 t o a b 5 i r b h . c o o u m r / t s e s h t elp s to e s tabli s h normal voiding intervals. Fluids should not be limited; however, the woman should avoid fluids that are irritants, such as caffeinated fluids, soda, and alcohol. Constipation is to be avoided, but a high-fiber diet rather than daily laxative use is recommended. #QSN Format:Multiple Choice #CHP 7: Benign Disorders of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potentia a l birb REF: Page.240 3. When developing the plan of care for a woman who has had an abdominal hysterectomy, the NR would identify which action as contraindicated?