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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Remind the client that gonorrhea is a virus, therefore it cannot be cured. Gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae and can be treated with antibiotics.
B. Instruct the client about preventing reinfection by using a diaphragm. While diaphragms can be a method of contraception, they are not effective at preventing sexually transmitted infections like gonorrhea.
C. Check for the presence of a primary lesion or chancre. Primary lesions or chancres are associated with syphilis, not gonorrhea.
D. Obtain information about the client's recent sexual partners. It is important to obtain information about recent sexual partners to notify them and prevent the spread of the infection.

A. Vaginal bleeding B. Slight decrease in basal body temperature C. Breast tenderness D. Decreased sex drive E. Lower abdominal pain/ cramping

Correct Answer is E

Explanation

A. Vaginal bleeding is not a typical sign of ovulation. Vaginal bleeding occurs during menstruation, which is distinct from ovulation.
B. A slight decrease in basal body temperature may occur before ovulation, not during ovulation itself.
C. Breast tenderness can occur due to hormonal changes during the menstrual cycle, but it is not a direct indicator of ovulation.
D. Decreased sex drive is not a typical symptom of ovulation. In fact, some women may experience an increase in sex drive around ovulation.

E. Lower abdominal pain/cramping, also known as mittelschmerz, is a common symptom of ovulation. It typically occurs on one side of the lower abdomen and can help indicate the timing of ovulation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse is performing an assessment on a client who asks how she might recognize when she is ovulating. The nurse should explain that which occurs at ovulation?

Correct Answer is E

Explanation

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