A 55-year-old postmenopausal woman reports a history of dyspareunia, backache, pelvis pressure, urinary tract infections, and a frequent urinary urgency. Which condition does the nurse suspect?
Cystocele
Fibroid
Ovarian cyst
Rectocele
The Correct Answer is A
A. Cystocele: A cystocele occurs when the bladder bulges into the vaginal canal, which can cause symptoms such as dyspareunia, backache, pelvic pressure, urinary tract infections, and urinary urgency.
B. Fibroid: Fibroids are benign tumors of the uterus and can cause pelvic pain and pressure, but they are not typically associated with urinary symptoms.
C. Ovarian cyst: Ovarian cysts can cause pelvic pain and pressure but are not usually associated with urinary symptoms like urinary urgency.
D. Rectocele: A rectocele occurs when the rectum bulges into the vaginal canal, which can cause symptoms like dyspareunia and pelvic pressure, but it is more likely to cause constipation than urinary urgency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Urinary hesitancy and frequency can occur with genital herpes due to the pain and discomfort of the lesions, but these are not the primary manifestations.
B. Vaginal bleeding is not a typical symptom of genital herpes.
C. Vesicles and lesions on the labia are characteristic symptoms of genital herpes, appearing as painful blisters that eventually ulcerate.
D. Vaginal drainage with a fishy odor is typically associated with bacterial vaginosis, not genital herpes.
Correct Answer is B
Explanation
A. "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D. "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.
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