MULTIPLE CHOICE
1. A patient is having an infertility work-up and has been told she has scarring of her fallopian tubes. What action by the nurse is
... [Show More] best? A. Ask the patient how many sexually transmitted infections she has had. B. Assess the patient for previous vaginal infections and their treatment. C. Gently tell the patient that nothing can be done about scarring of the tubes. D. Question the patient about genetic defects or family history of infertility.
ANS: B Chapter: Chapter 2: Reproduction Objective: #1. Identify anatomy and explain physiological functions of the female and male reproductive system. Page: 28 Heading: Fallopian Tubes Integrated Processes: Nursing Process: Assessment Client Need: Physiological Integrity: Physiological Adaptation Cognitive Level: Application [Applying] Difficulty: Moderate
Feedback A. Not all vaginal infections are sexually transmitted infections (STIs), and to specifically ask about STIs sounds judgmental in addition to not providing adequate information. B. Anatomically, there is a continuous passage from the vagina into the uterus and on into the fallopian tubes and ovaries. A vaginal infection can lead to residual scarring of the tubes from the inflammatory process. This puts the patient at increased risk for ectopic pregnancies and infertility. C. There are several treatment options for this patient. D. Genetic defects may play a role in this patient’s problem, but the higher likelihood is that her scarred tubes are due to a vaginal infection.
2. A new nurse is attempting to catheterize a female patient. The nurse has a difficult time and after three attempts, finally inserts the catheter into the bladder and has urine output. What suggestion by the more experienced nurse is best? A. “Leave the incorrectly placed catheters where they are while inserting a fresh one.” B. “Place the patient in a high Fowler’s position and have another nurse adduct the legs.” C. “Position the patient prone with another nurse abducting the patient’s legs.” D. “To save the patient some charges, use the same catheter for two attempts.” [Show Less]