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Semester 3 Sexuality #3 Flashcards | StudBud
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Semester 3 Sexuality #3
Semester 3 Sexuality #3
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1
With regard to the assessment of female,male,and couple infertility, nurses should be aware that?
Couples religious,cultural,ethnic backgrounds provide emotional clutter
Semen analysis for men; the postcoital test is for women
Woman assessed 1st; if she is not problem, male partner analyzed
The investigation takes 3-4 months and significant financial investment
2
Pt w/seizure disorder takes barbiturates & phenytoin sodium daily,asks Rn about pill as contraceptive choice,best respos
Your current medications will reduce the effectiveness of the pill.
This is a good choice for a woman of your age and personal history.
The pill will reduce the effectiveness of your seizure medication.
This is a highly effective method, but it has some side effects.
3
57 yo Pt cc when has an erection, penis curves and becomes painful, Pt diagnosed w/ Peyronies disease, Rn knows tx is?
Intracapsular hydrocortisone injections
Treatment with PDE-5 inhibitors
Surgery
Physical therapy
4
Pt scheduled for open prostatectomy, Pt concerned about sexual function post op,How should Rn respond to Pt concern?
ED after prostatectomy expected, normally resolves within several months
All prostatectomies carry risk of nerve damage and consequent erectile dys
Erectile dysfunction common post prostatectomy as result of hormonal change
Modern surgical tech have eliminated risk of erectile dysfunction postop
5
75 yo Pt treated for phimosis, what health promotion activity most directly related to etiology of Pt health problem?
Teaching Pt about importance of hygiene
Teaching Pt about safer sexual practices
Teaching Pt about safe use of PDE-5 inhibitors
Teaching Pt to perform testicular self-exam
6
Pt uses diaphragm & spermicide for contraception,asks Rn major difference between cervical cap & diaphragm.Best response
The diaphragm can be left in place longer after intercourse.
No spermicide is used with the cervical cap, so its less messy.
Cervical cap safely be used repeated acts of intercourse w/o more spermicid
Repeated intercourse with the diaphragm is more convenient
7
With regard to use of intrauterine devices, Rn should be aware that?
IUD containing copper can provide emergency contraception post few days sex
Return to fertility can take several weeks after the device removed
Consent forms are not needed for IUD insertion
IUDs offer same protection against STIs as the diaphragm
8
Rn assessing Pt w/ priapism,Rn knows this condition is classified as a urologic emergency because of potential for?
Chronic pain
Urinary tract infection
Future erectile dysfunction
Permanent vascular damage
9
Rn reviewing education packet provided to Pt about tubal ligation,what fact should Rn point out?
Your menstrual cycle will greatly increase after sterilization
Sterilization offers some form of protection against STIs
It is highly unlikely that you will become pregnant after the procedure
This is an effective form of 100% permanent sterilization
10
Man cc difficulty obtaining erection, Rn notes what hx might contribute to erectile dysfunction?
The patient has a history of hypertension
The patient has been treated for a UTI twice in the past year
The patient leads a sedentary lifestyle
The patient is 66 years old
11
Male Pt w/gonorrhea ask how he can reduce risk of contracting another STI,Pt not in monogamous relationship,Rn response?
Aim to limit number of sexual partners to fewer than 5 over his lifetime
Consider intercourse be risk free if his partner has no visible discharge
Wear a condom every time he has intercourse
Ask all potential sexual partners if they have a STD
12
Pt chose calendar method of conception control.During assessment process, it is most important that the Rn?
Determine the Pts weight gain and loss pattern for the previous year
Explore the Pts previous experiences w/ conception control
Examine skin pigmentation and hair texture for hormonal changes
Obtain a hx of menstrual cycle lengths for the past 6-12 months
13
Father of 3 wants information on a vasectomy. What would the Rn tell him about ejaculate after a vasectomy?
No ejaculate after vasectomy, though the pt potential for orgasm unaffected
Marked decrease in amount of ejaculate though does not affect satisfaction
No noticeable decrease in amount of ejaculate even though contains no sperm
No change in quantity of ejaculate, but viscosity somewhat increased
14
Which statement is true about the term contraceptive failure rate?
It varies from couple to couple, depending on method and the users
It refers to the % of users expected to have accidental pregnancy over 5yr
It increases over time as couples become more careless
Refers to minimum level that must be achieved to receive government license
15
Pt 24 hrs post op prostatectomy w/ continuous bladder irrigation. What color of output should Rn expect to find?
Light pink
Amber
Tea colored
Red wine colored
16
Teen has collection of fluid in tunica vaginalis of his testes. Rn knows teen will receive what medical diagnosis?
Hydrocele
Cryptorchidism
Prostatism
Orchitis
17
Male Pt asks Rn why it is better to purchase condoms not lubricated with nonoxynol-9 (spermicide), Rn best response?
Nonoxynol-9 improves penile sensitivity
Nonoxynol-9 does not provide protection against STIs,linked to increase HIV
The additional lubrication improves sed
The lubricant prevents vaginal irritation
18
Pt taking oral contraceptive using 28 day pack, Rn should advise Pt to protect against pregnancy by?
Limiting sexual contact for one cycle after starting the pill
Throwing away pack,using a backup method if she misses 2 pills during wk 1
Using condoms & foam instead of the pill for as long she takes antibiotic
Taking one pill at the same time every day
19
55 yo Pt cc perineal discomfort, buring, urgency, urinary frequency. Pt states pain w/ ejaculation, Rn knows this is?
Varicoccele
Epididymitis
Prostatitis
Hydrocele
20
Pt presents w/ benign prostatic hyperplasia, what findings would suggest this Pt has chronic urinary retention?
Hypertension
Tachycardia and other dysrhythmias
Increased blood urea nitrogen
Peripheral edema
21
Infectious outbreak of unknown origin has occurred in long-term care facility,Rn who oversees facility should report to?
Environmental Protection Agency
American Nurses Association
Center for Disease Control and Prevention
American Medical Association
22
Pt using basal body temp method of contraception,states period due in few days and temp has not gone up,Rn best response
Have you been sick this month?
This probably means that you're pregnant
You probably didn't ovulate during this cycle
Don't worry;it's probably nothing
23
Injectable progestins (DMPA, Depo-Provera) are a good contraceptive choice for women who?
Have a history of thrombotic problems or breast cancer.
Want menstrual regularity and predictability.
Are homeless or mobile and rarely receive health care.
Have difficulty remembering to take oral contraceptives daily
24
Male Pt w/ gonorrhea. Which symptom most likely prompted him to seek medical attention?
Foul-smelling discharge from the penis
Rashes on the palms of the hands and soles of the feet
Cauliflower-like warts on the penis
Painful, red papules on the shaft of the penis
25
Which contraceptive method has a failure rate of less than 25%?
Standard days
Postovulation
Periodic abstinence
Coitus interruptus
26
Rn should teach men that organic causes of erectile dysfunction do NOT include?
Parkinsonism
Testosterone deficiency
Anxiety
Diabetes
27
Pt describes her sex life as active & involving many partners,wants reliable contraceptive,request IUD,Rn best response?
The risk of PID will be higher for you
The IUD will protect you from STIs
The IUD does not interfere with sex
Pregnancy rates are high with IUDs
28
Pt treated for TSS,has intercourse occasionally, uses OTC protection,based on hx,what contraceptive method should avoid?
Vaginal sheath
Cervical cap
Condom
Vaginal film
29
Which test used to diagnose basis of infertility is done during luteal/secretory phase of menstrual cycle?
Hysterosalpingogram
Follicle-stimulating hormone level
Endometrial biopsy
Laparoscopy
30
Pt w/ gonorrhea prescribed ceftriaxone and doxycycline. Pt asks why he is receiving 2 antibiotics, Rn best response?
Many drug-resistant strains of gonorrhea, more than 1 antibiotic may needed
Many people infected w/ gonorrhea are infected w/ chlamydia as well
Combo of these 2 antibiotics reduces later risk of reinfection
Combo of meds will eradicate the infection twice as fast as 1 antibiotic
31
Pt w/ HIV, family caring for them at home. What should the Rn encourage family to do to reduce risk of transmission?
Use caution when shaving the Pt
Disinfect the Pts bedclothes regularly
Use separate dishes for the Pt and family members
Use separate bed linens for the Pt
32
Informed consent concerning contraceptive use is important because some of the methods?
Have potentially dangerous side effects
Are invasive procedures that require hospitalization
Require a surgical procedure to insert
May not be reliable
33
In their role of implementing a plan of care for infertile couples, Rn should?
Be comfortable w/ sexuality & nonjudgmental about others counsel their Pt
Direct Pt to sources of info about what herbs to take that might help avoid
Do all the choices plus be knowledgeable about potential drug & surgical
Know about such non medical remedies as diet,exercise,stress management
34
Man smokes 2 packs of cigarettes a day,wants to know if smoking contributes to wife difficulty getting pregnant,Rn says?
Your sperm count seems to be okay in the first semen analysis
Smoking can give you lung cancer, even though it has no effect on sperm
Smoking can reduce the quality of your sperm
Only marijuana cigarettes affect sperm count
35
Rn who provides care in busy ED in contact w/ hundreds of Pts each year.Rn has a responsibility to receive what vaccine?
Hepatitis B vaccine
Staphylococcus aureus vaccine
Clostridium difficile vaccine
Human papillomavirus vaccine
36
Uncircumcised 78 yo cc cannot retract foreskin over glans. On exam its noted foreskin constricted, Rn knows this is?
Peyronies disease
Priapism
Phimosis
Bowens disease
37
Pt diagnosed with erectile dysfunction, cause is psychogenic. Pt interdisciplinary plan of care should prioritize what?
Physical therapy
Psychotherapy
Penile implant
PDE-5 inhibitors
38
35 yo man experiencing episodes of urinary frequency,dysuria,fever. Rn recognize possibility of what health problem?
Urolithiasis
Chronic bacterial prostatitis
Benign prostatic hyperplasia
Orchitis
39
Pt confides to Rn that he cannot engage in sex. Pt 27 yo w/ no chronic illness.Rn knows what will be ordered as test?
Sperm count
Engorgement tests
Nocturnal penile tumescence tests
Ejaculation capacity tests
40
Rn caring for Pt w/ secondary syphilis, what intervention should the Rn institute when caring for this Pt?
Ensure that the Pt is housed in a private room
Administer combination therapy with antiretrovirals as ordered
Administer hydrocortisone ointment to the lesions as ordered
Wear gloves if contact with lesions is possible
41
Woman asks about herbal alternative methods for improving fertility, Rn most appropriate response in which to avoid?
You should avoid nettle leaf, dong quai, vitamin E while trying to conceive
Avoid licorice root, lavender, fennel, sage,&thyme while trying to conceive
You should not take vitamin E,calcium,magnesium,will make you infertile
Herbs have no bearing on fertility
42
Rn providing preop education for Pt to undergo a vasectomy, Which measure will enhance healing and comfort?
Abstaining from sexual intercourse for at least 14 days postop
Wearing a scrotal support garment
Applying a heating pad intermittently
Stayin on bed rest for 48 to 72 hours postop
43
Pt had unprotected sed 36hrs prior, concerned pregnant. Asks Rn about emergency contraception, Rn tells her?
The most effective approach is to use progestin-only preparation
It is too late, she needed to begin tx within 24 hrs after intercourse
Preven (emergency contraceptive method) 98% effective at preventing pregs
An OTC antiemetic can be taken 1 hr b4 contraceptive dose to prevent N/V
44
Pt prescribed sildenafil,what should the Rn teach the Pt about this medication?
Sexual stimulation is not needed to obtain an erection
The drug has the potential to cause permanent visual changes
Facial flashing or headache should be reported to the physician immediately
The drug should be taken 1 hour prior to intercourse
45
16 yo male diagnosed w/ primary syphilis. What health problem most likely prompted the Pt to seek care?
Unilateral testicular swelling
Signs of a systemic infection
Painful urination
The emergence of a chancre on his penis
46
Which contraceptive method best protects against sexually transmitted infections (STIs) & human immunodeficiency virus?
Barrier methods
Hormonal methods
They all offer about the same protection
Periodic abstinence
47
Nurses should be aware that infertility?
Is the same thing as sterility
Is perceived differently by women and men
more likely result of a physical flaw in the woman than in her male partner
Has relatively stable prevalence among population& womans reproductive yrs
48
Rn planning postop care of Pt scheduled for radical prostatectomy.What intraop position will place Pt at risk for DVT?
Fowlers position
Supine position
Lithotomy position
Prone position
49
When instructing couple about birth control, Rn should be aware of natural family planning method which is?
Is the same as coitus interruptus, or pulling out
The only contraceptive practice acceptable to Roman Catholic church
Relies on barrier methods during fertility phases
Uses calendar method to align woman's cycle w/ natural phases of moon
50
Dr explains to Pt that he has inflammation of the Cowper glands, Where are the Cowper glands located?
Below the prostate, within the posterior aspect of the urethra
Within the epididymis
On the inner epithelium lining the scrotum, lateral to the testes
Medial to the vas deferens
