Author Question: A 55-year-old post-menopausal woman is assessed by the nurse with a history of dyspareunia, ... (Read 43 times)

bclement10 · **on:** Jun 25, 2018

A 55-year-old post-menopausal woman is assessed by the nurse with a history of dyspareunia, backache, pelvis pressure, urinary tract infections, and a frequent urinary urgency. Which condition does the nurse suspect?

a. Ovarian cyst
b. Rectocele
c. Cystocele
d. Fibroid

Question 2

The nurse is caring for a postoperative client following an anterior colporrhaphy. What action can be delegated to the unlicensed assistive personnel (UAP)?

a. Reviewing the hematocrit and hemoglobin results
b. Teaching the client to avoid lifting her 4-year-old grandson
c. Assessing the level of pain and any drainage
d. Drawing a shallow hot bath for comfort measures

angrybirds13579 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Dyspareunia, backache, pelvis pressure, urinary tract infections, and urinary urgency are all symptoms of a cystocelea protrusion of the bladder through the vaginal wall. Ovarian cysts are rare after menopause. A rectocele is associated with constipation, hemorrhoids, and fecal impaction. Fibroids are associated with heavy bleeding.

Answer to Question 2

ANS: D
The UAP is able to provide comfort through a bath. The registered nurse should review any laboratory results, complete any teaching, and assess pain and discharge.