With regard to endometriosis, nurses should be aware that

it is characterized by the presence and growth of endometrial tissue inside the uterus.

It is unlikely to affect sexual intercourse or fertility

It may worsen with repeated cycles or remain asymptomatic and disappear after menopause.

It affects 25% of women.

Answer and Explanation

The Correct Answer is C

A. It is characterized by the presence and growth of endometrial tissue inside the uterus: Endometriosis involves the growth of endometrial-like tissue outside the uterus, not inside. These ectopic tissues respond to hormonal changes, causing pain and inflammation.

B. It is unlikely to affect sexual intercourse or fertility: Endometriosis often causes dyspareunia (painful intercourse) and is a leading cause of infertility. The inflammation and scarring associated with ectopic endometrial tissue can impair ovulation, fertilization, or implantation.

C. It may worsen with repeated cycles or remain asymptomatic and disappear after menopause: Endometriosis symptoms typically worsen during reproductive years due to cyclic hormonal stimulation. After menopause, decreased estrogen levels usually lead to regression or disappearance of the disease.

D. It affects 25% of women: The prevalence is lower; endometriosis affects approximately 10% of women of reproductive age, though exact figures may vary due to underdiagnosis.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Subcutaneous: Insulin is administered subcutaneously because this route allows for slow, steady absorption into the bloodstream, mimicking the body’s natural insulin release. Common injection sites include the abdomen, thigh, and upper arm, where fatty tissue supports consistent absorption.

B. Intradermal: The intradermal route is used for diagnostic purposes such as allergy or tuberculosis testing. It is not appropriate for insulin administration, as absorption from the dermal layer would be inconsistent and inadequate for glucose control.

C. Intramuscular: Intramuscular insulin administration results in unpredictable and rapid absorption, which can lead to hypoglycemia. This route is generally avoided except in emergency situations when subcutaneous administration is not feasible.

D. Oral: Insulin cannot be administered orally because it is a protein that would be broken down by gastric enzymes before absorption. Therefore, the subcutaneous route remains the standard for effective insulin delivery in diabetic management.

A. "An oophorectomy will prevent you from having breast cancer in the future." B. "You will need to continue using a contraceptive if you do not desire pregnancy." C. "You will need to have your hormone level tested monthly for 6 months following surgery." D. "This procedure will greatly reduce your estrogen and progesterone levels."

Correct Answer is D

Explanation

A. "An oophorectomy will prevent you from having breast cancer in the future.": While removing the ovaries reduces estrogen production and may slightly lower the risk of hormone-dependent cancers, it does not eliminate the possibility of developing breast cancer.

B. "You will need to continue using a contraceptive if you do not desire pregnancy.": After bilateral oophorectomy, both ovaries are removed, halting ovulation permanently and making pregnancy impossible. Therefore, contraception is no longer necessary.

C. "You will need to have your hormone level tested monthly for 6 months following surgery.": Routine monthly hormone testing is not required after oophorectomy. Hormonal changes are expected, and management is typically guided by symptoms rather than frequent laboratory monitoring.

D. "This procedure will greatly reduce your estrogen and progesterone levels.": The ovaries are the primary source of estrogen and progesterone production. Their removal leads to a sudden decline in these hormones, resulting in surgical menopause and symptoms such as hot flashes, vaginal dryness, and mood changes.

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With regard to endometriosis, nurses should be aware that

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer insulin to a diabetic child. Which would be the recommended route for this administration?

Correct Answer is A

Explanation

The nurse is caring for a premenopausal client scheduled for a bilateral oophorectomy. Which education will the nurse provide the client regarding this procedure?

Correct Answer is D

Explanation

The client presents reporting irregular menstrual cycles, bleeding between periods, mood swings, hot flashes and vaginal tenderness. After an examination, the nurse suspects abnormal uterine bleeding. Which approach would be inappropriate?

A nurse is caring for a 6-month-old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain?

During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. When is the correct time for the dentist visit?

A nurse is teaching a woman with genital herpes how to care for the lesions. Which statement by the client indicates a need for additional teaching?

The nurse is preparing to administer an intramuscular injection to an 8-month-old infant. Which site would the nurse select?

Which action would the nurse emphasize when teaching postmenopausal women about ways to reduce the risk of osteoporosis?

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?