The nurse is discussing concerns with an 18-year-old female ...

[sammy]

The nurse is discussing concerns with an 18-year-old female patient who reports feeling two nonpainful ulcerations on her labia. The patient asks if they might be herpes simplex. What response by the nurse is indicated?
 
  1. Those spots do sound consistent with herpes simplex.
  2. Have you been having sex with new partners?
  3. Herpes lesions are usually painful.
  4. The lesions you describe are most consistent with genital warts.

Question 2

A patient is scheduled to have an endometrial biopsy. After the nurse provides education concerning the test, which patient statement indicates an understanding of the procedure?
 
  1. I may need a strong pain medication for the first several days after the test.
  2. I may not have a regular menstrual cycle for 3 to 6 months after the test.
  3. If I have bleeding after the procedure I can use junior-size tampons.
  4. I should avoid sexual intercourse in the days following the procedure.

[Laurenleakan]

Answer to Question 1

Correct Answer: 3
The patient's description is not consistent with herpes simplex. Herpes simplex lesions are typically painful. Nonpainful ulcerations are suggestive of syphilis. It will be important to assess the patient's sexual activity, but this line of questioning does not address the patient's most immediate questions and concerns. Genital warts present as fleshy, nonpainful growths.

Answer to Question 2

Correct Answer: 4
The endometrial biopsy is performed to identify endometrial hyperplasia or cancerous cells. The patient will likely have vaginal bleeding in the days after the procedure and is instructed to avoid intercourse while bleeding. The procedure may be uncomfortable, but the pain should not require the use of strong analgesics for several days afterwards. The menstrual cycle may be interrupted, but not for an extended period of time. Pads are indicated for any vaginal bleeding. Tampons are contraindicated.

[sammy]

Excellent

[alvinum]

TYSM