Author Question: A woman presents to the family practice clinic complaining of abdominal pain, pain during ovulation, ... (Read 113 times)

mydiamond · **on:** Jun 28, 2018

A woman presents to the family practice clinic complaining of abdominal pain, pain during ovulation, and heavy periods. What action by the nurse is best?

A.
Facilitate a vaginal ultrasound.
B.
Obtain consent for a laparoscopy.
C.
Prepare the woman for a pelvic exam.
D.
Provide education on ibuprofen (Motrin).

Question 2

A nurse is teaching a 24-year-old male about reproductive health. Which information should the nurse provide this patient about testicular cancer?

A.
Annual screening is recommended for testicular cancer.
B.
If the epididymis is tender to the touch, that is concerning.
C.
Perform a testicular self examination after a warm shower.
D.
Because testicular cancer is rare at this age, no action is needed.

poopface · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
This woman has manifestations of endometriosis. Diagnosis can be made via a pelvic exam, although it is often difficult to do so. Some physicians will order ultrasounds or laparoscopy with biopsy. The first step, however, is the pelvic exam, so the nurse should prepare the woman for this to occur. After making a diagnosis of endometriosis, the nurse can educate the woman on medical management, which includes using ibuprofen for pain.

Answer to Question 2

ANS: C
Although cancer of the epididymis is considered rare, it is still the most common cancer found in men aged 20-34. Men should be taught the technique of testicular self-examination, which is best performed after a warm shower when the scrotum is more relaxed. Annual screening is not recommended other than during a clinical exam. The epididymis is normally slightly tender to pressure.