Test bank for olds maternal newborn nursing womens health across the lifespan 10th edition by davidson

Page Ref: 76 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: I1. Page Ref: 74 Cognitiv

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Maternal-Newborn Nursing & Women's Health Across the

Lifespan 10th Edition by Davidson

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Olds' Maternal-Newborn Nursing and Women's Health, 10e (Davidson)

Chapter 5 Women's Health: Commonly Occurring Infections

1) A nonpregnant client is diagnosed with bacterial vaginosis (BV) What does the nurse expect

to administer?

1 Penicillin G 2 million units IM one time

2 Zithromax 1 mg p.o b.i.d for 2 weeks

3 Doxycycline 100 mg p.o b.i.d for a week

4 Metronidazole 500 mg p.o b.i.d for a week

Answer: 4

Explanation: 4 The nonpregnant woman who is diagnosed with bacterial vaginosis (BV) is treated with metronidazole 500 mg orally twice a day for 7 days

Page Ref: 75

Cognitive Level: Understanding

Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I B 3 Provide patient-centered care with sensitivity and respect for the diversity of human experience | AACN Essentials Competencies: IX 3

Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan, and in all healthcare settings | NLN Competencies: Context and Environment: Apply professional standards; show accountability for nursing judgment and actions; develop advocacy skills; apply ethical decision making models | Nursing/Integrated Concept: Nursing Process: Planning

Learning Outcome: 1 Compare vulvovaginal candidiasis and bacterial vaginosis

MNL LO: 6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic infection

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2) The nurse is providing discharge instructions to a client with a diagnosis of vulvovaginal candidiasis (VVC), and knows the client understands when she makes which of the following statements?

1 "I need to apply the miconazole for 10 days."

2 "I need to douche daily."

3 "I need to add yogurt to my diet."

4 "I need to wear nylon panties."

Answer: 3

Explanation: 3 Yogurt helps reestablish normal vaginal flora

Page Ref: 76

Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: VII 5 Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan | NLN Competencies: Relationship-Centered Care: Communicate

information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Evaluation

3) The nurse is caring for a client in the clinic whom she suspects has vaginosis Which test best determines whether this sexually active woman has the disorder?

1 The observation of mycelia upon direct microscopy in a 10% potassium hydroxide preparation

2 The addition of a 10% potassium hydroxide solution to the vaginal secretions

3 A vaginal pH of less than 4.5

4 A Gram stain positive for the fungus

Answer: 2

Explanation: 2 Adding a 10% potassium hydroxide solution to the vaginal secretion of a client with bacterial vaginosis, called a "whiff" test, produces a fishy smell

Page Ref: 74

Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: I B 3 Provide patient-centered care with sensitivity and respect for the diversity of human experience | AACN Essentials Competencies: IX 3

Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan, and in all healthcare settings | NLN Competencies: Context and Environment: Read and interpret data; apply health

promotion/disease prevention strategies; apply health policy; conduct population-based

transcultural health assessments and interventions | Nursing/Integrated Concept: Nursing

Process: Diagnosis

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4) A pregnant client at 24 weeks' gestation is diagnosed with bacterial vaginosis Her doctor orders Flagyl to treat the problem What would be appropriate education for the nurse to

provide?

1 The client must be careful to observe for signs of preterm labor

2 The client should advise her partner to seek therapy as soon as possible

3 The main side effect of the medication is a large amount of vaginal discharge

4 A repeat culture should be taken 2 weeks after completing the therapy

Answer: 1

Explanation: 1 Clients with bacterial vaginosis are at risk for preterm labor

Page Ref: 74

Cognitive Level: Applying

Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control

Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: VII 5 Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan | NLN Competencies: Relationship-Centered Care: Communicate

information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Implementation

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5) A client has been diagnosed with bacterial vaginosis The nurse obtains a sexual history from the client, including contraceptive measures, number of sexual partners, and frequency of intercourse What is the rationale for the questions?

1 Clients can infect their sexual partners

2 The nurse is required by law to ask the questions

3 Clients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily

4 The laboratory needs a full client history in order to know for which organisms and antibiotic sensitivities it should test

Answer: 3

Explanation: 3 The change in normal flora increases the woman's susceptibility to other

organisms, making the client more vulnerable to sexually transmitted diseases, including HIV Page Ref: 74

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: VII 5 Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Diagnosis

MNL LO: 6.2.1 Recognize client behaviors associated with the acquisition of sexually

transmitted infections

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6) The nurse working in a women's clinic recognizes that which clients are most at risk for developing vulvovaginal candidiasis?

Note: Credit will be given only if all correct and no incorrect choices are selected

Select all that apply

1 Clients using antibiotics

Explanation: 1 A predisposing factor to yeast infections includes the use of antibiotics

3 Predisposing factors to yeast infections include pregnancy

5 Predisposing factors to yeast infections include glycosuria and diabetes mellitus

Page Ref: 75

Client Need/Sub: Physiological Integrity: Physiological Adaptation

Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN

Competencies: Context and Environment: Read and interpret data; apply health

promotion/disease prevention strategies; apply health policy; conduct population-based

transcultural health assessments and interventions | Nursing/Integrated Concept: Nursing

Process: Assessment

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7) The nurse provides a couple with education about the consequences of not treating chlamydia, and knows they understand when they make which statement?

1 "She could become pregnant."

2 "She could have severe vaginal itching."

3 "He could get an infection in the tube that carries the urine out."

4 "It could cause us to develop a rash."

Answer: 3

Explanation: 3 Chlamydia is a major cause of nongonococcal urethritis (NGU) in men

Page Ref: 78

Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: VII 5 Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan | NLN Competencies: Relationship-Centered Care: Communicate

information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Evaluation

Learning Outcome: 2 Summarize modes of transmission, treatments, and descriptions of the most commonly occurring sexually transmitted infections (STIs)

8) The nurse is seeing clients in the women's clinic Which client should be treated with

ceftriaxone IM and doxycycline orally?

1 A pregnant client with gonorrhea and a yeast infection

2 A nonpregnant client with gonorrhea and chlamydia

3 A pregnant client with syphilis

4 A nonpregnant client with chlamydia and trichomoniasis

Answer: 2

Explanation: 2 The combined treatment of ceftriaxone IM and doxycycline orally provides dual treatment for gonorrhea and chlamydia, which frequently occur together

Page Ref: 79

Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies:

Teamwork: Function completely within one's own scope of practice as leader and member of the health care team and manage delegation effectively | Nursing/Integrated Concept: Nursing Process: Implementation

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9) The nurse is providing follow-up education to a client just diagnosed with vaginal herpes What statement by the client verifies correct knowledge about vaginal herpes?

1 "I should douche daily to prevent infection."

2 "I could have another breakout during my period."

3 "I am more likely to develop cancer of the cervix."

4 "I should use sodium bicarbonate on the lesions to relieve discomfort."

Answer: 2

Explanation: 2 Menstruation seems to trigger recurrences of herpes

Page Ref: 79

Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: IX 7 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care:

Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Evaluation

Learning Outcome: 3 Describe the health teaching that a nurse needs to provide to a woman with an STI

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10) The nurse seeing a client just diagnosed with Chlamydia trachomatis knows that which client

is at greatest risk for the infection?

1 16-year-old sexually active girl, using no contraceptive

2 22-year-old mother of two, developed dyspareunia

3 35-year-old woman on oral contraceptives

4 48-year-old woman with hot flashes and night sweats

Answer: 1

Explanation: 1 Teens have the highest incidence of sexually transmitted infections, especially chlamydia A client not using contraceptives is not using condoms, which decrease the risk of contracting a STI

Page Ref: 78

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 2 Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of

treatment effectiveness, using a constructed pedigree from collected family history information

as well as standardized symbols and terminology | NLN Competencies: Context and

Environment: Read and interpret data; apply health promotion/disease prevention strategies; apply health policy; conduct population-based transcultural health assessments and interventions

| Nursing/Integrated Concept: Nursing Process: Assessment

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11) A client comes to the clinic complaining of difficulty urinating, flu-like symptoms, genital tingling, and blister-like vesicles on the upper thigh and vagina She denies having ever had these symptoms before The medication the physician is most likely to order would be:

Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the lifespan, and in all healthcare settings | NLN Competencies: Context and

Environment: Apply professional standards; show accountability for nursing judgment and actions; develop advocacy skills; apply ethical decision making models | Nursing/Integrated Concept: Nursing Process: Implementation

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12) The nurse is evaluating the outcomes of nursing care given a female client with a sexually transmitted infection (STI) Which of the following will the nurse verify about the client?

1 Had an identified infection

2 Could identify the mode of transmission

3 Would never cope with the infection

4 Could recognize the symptoms of an STI

5 Would not disclose the STI to her partner

Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: IV C 2 Value own and others' contributions to outcomes of care in local care settings | AACN Essentials Competencies: IX 9 Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Context and Environment: Read and interpret data; apply health promotion/disease prevention strategies; apply health policy; conduct population-based transcultural health assessments and interventions

| Nursing/Integrated Concept: Nursing Process: Evaluation

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13) A client comes to the clinic complaining of a thick, white, tenacious discharge and vulvular soreness Which medication treatment will the nurse teach the client about?

Explanation: 2 Metronidazole is the preferred treatment for vulvovaginal candidiasis

3 Although less effective than metronidazole, clindamycin cream can be used to treat

vulvovaginal candidiasis

Page Ref: 74, 75

Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: IX 7 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in care | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Planning

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14) A 12-year-old girl and her mother are at the doctor's office for a routine check-up for the daughter The mother tells the nurse that she would like the daughter to have the Gardasil

vaccine that is effective against the human papilloma virus The nurse does some teaching, and knows it has been successful when the mother makes which statement?

1 "The human papilloma virus is spread through casual contact in schools."

2 "Gardasil will protect against all types of the human papilloma virus."

3 "The human papilloma virus affects a million people in the United States."

4 "Gardasil will be given to my daughter in three doses."

Answer: 4

Explanation: 4 This is true The vaccine is given in three doses

Page Ref: 81

Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: IX 9 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in care | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Implementation

15) The clinic nurse teaches the pregnant client being treated for trichomoniasis about the risks

to her pregnancy due to this infection Which statement would indicate successful teaching?

1 "I am at risk of having a preterm birth because of this infection."

2 "I might need to have my membranes ruptured because of this infection."

3 "I am at risk of having a baby with a high birth weight."

4 "I may have intercourse with my husband while bring treated for this infection."

Answer: 1

Explanation: 1 There is a risk of preterm birth and rupture of membranes

Page Ref: 77

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: IX 7 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in care | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Evaluation

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16) The nurse is educating a group of female adolescents regarding sexually transmitted

infections The nurse knows that learning was achieved when an individual states that the most common symptom is which of the following?

Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management | AACN Essentials Competencies: IX 7 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in care | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Implementation

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17) After a sex education class at a high school, the nurse overhears a student discussing safe sex practices Which statement indicates that teaching was successful?

1 "I don't have to worry about getting infected if I have oral sex."

2 "Teen women are the group at highest risk for sexually transmitted infections."

3 "The best thing to do if I have sex a lot is to use spermicide each and every time."

4 "Boys get the HIV virus more easily than girls do."

Answer: 2

Explanation: 2 Teens with multiple sex partners are more susceptible to sexually transmitted diseases

Page Ref: 82

Standards: QSEN Competencies: I B 10 Engage patients or designated surrogates in active partnerships that promote health, safety and well-being and self-care management | AACN Essentials Competencies: IX 7 Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in care | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concept: Nursing Process: Implementation

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