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Health Assessment Final Nursing,
NUR2092 Health Assessment Final Exam
Answer- The purpose of a health history is to provide a database of subjective information about the patient's past and current health history. You might say to the patient, "I will be asking you questions about your past and present health." This information will help the provider along with the physical exam (objective data) to develop a diagnosis or health status. - ✅✅-The nurse is preparing to conduct a health history. Explain this to the patient. Provided consistent information and therefore is reliable - ✅✅-The nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient: "Can you point to where it hurts?" - ✅✅-A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's best response? "How would you say the pain affects your ability to do your daily activities?" - ✅✅-A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which would be the nurse's appropriate response to the woman's statement? "Describe what happens (or the reaction) to you when you take Penicillin." - ✅✅-A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this information? Mental illness. - ✅✅-The nurse is taking a family history. Important diseases or problems about which the patient should be specifically asked include: Information regarding health promotion practices, the information helps to evaluate the past and present health state of each body system, to obtain any data that may have been omitted in the section about present illness, and to evaluate health promotion and teaching opportunities. - ✅✅-The review of systems provides the nurse with... Patient denies any color change. - ✅✅-Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin? "Do you perform testicular self-examinations?" - ✅✅-The nurse is obtaining a history from a 30-year old male patient and is concerned about health promotion activities.
Which of these questions would be appropriate to use to assess health promotion activities for this patient? A functional assessment includes the activities of daily living and the person's ability to take care of their needs. This area will help to formulate a nursing diagnosis. This could be present to the patient in a standardized form and will include data on the lifestyle and type of living environment. (Page 57) self-esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal relationships/resources, spiritual resources, coping and stress management, personal habits, environmental hazards, violence questions, and occupational health questions. If a patient had a cast on their leg, appropriate questions would include how they transfer to bed, another chair, bathing technique, coping with the situation, support during the situation. - ✅✅-Functional Assessment-- What information would you ask if the patient's leg was in a cast? Alcohol can interact with all medications and make some diseases worse. - ✅✅-Regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason why? Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family. Usually 3 generations- parents, grandparents, siblings. Also highlight the health of close family members and more details such as communicable disease, environmental hazards (smoke), tobacco use, and alcohol use. Any additional information includes the family history. - ✅✅-Describe a genogram. Current health promotion activities. - ✅✅-The nurse is obtaining health history on an 87-year-old woman. Which of the following areas of questioning would be most useful at this time? Would you have a family member bring in your medications please? - ✅✅-A 90-year-old patient tells the nurse that he cannot remember the names of the medication he is taking or why he is taking them. An appropriate response from the nurse would be.. "Are you able to dress yourself?" - ✅✅-The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of these questions would be most important to ask? "This pain happens every time I sit down to use the computer." - ✅✅-A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the setting of his symptoms?
Medications such as estrogen and progestin combined Certain tumor suppressor genes called BRCA1 and BRCA2 (inherited mutation) Age - ✅✅-List risk factors for breast cancer Asymmetry isnot unusual, but the nurse should verify that this change is not new - ✅✅-During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? Whether the inversion is a recent change should be determined. - ✅✅-During the physical examination, the nurse notices that a female patient has an inverted left nipple. Which statement regarding this is most accurate? Slowly lift her arms above her head, and note any retraction or lag in movement. - ✅✅-The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman: Supine with the arms raised over the head - ✅✅-The nurse is palpating a female patient's breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation? The best time to perform a BSE is 4 to 7 days after the first day of the menstrual period.
- ✅✅-The nurse is conducting a class on BSE. Which of these statements indicates the proper BSE technique? "BSE on a monthly basis will help you become familiar with your own breasts and feel their normal variations." - ✅✅-The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct The decrease in hormones after menopause causes atrophy of the glandular tissue in the breast and is a normal process of aging. - ✅✅-A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination. She is concerned about changes in her breasts that she has noticed over the past 5 years. She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat and flabby." The nurse's best reply would be: Because of the change in consistency of the lump, it should be further evaluated by the physician. - ✅✅-A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast lump in her right breast for years. Recently, it has begun to change in consistency and is becoming harder. She reports that 5 years ago
her physician evaluated the lump and determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at 1 o'clock, approximately 5 cm from the nipple. It is firm, mobile, and non-tender, with borders that are not well defined. The nurse replies: On the same day every month. - ✅✅-The nurse is discussing BSEs with a postmenopausal woman. The best time for postmenopausal women to perform BSEs is? Examine your breast shortly after your menstrual period each month. - ✅✅-During a discussion about BSEs with a 30-year-old woman, what statement by the nurse is most appropriate? Lymphatic obstruction causes edema, which thickens the skin and exaggerates the hair follicles; this creates a pigskin or orange peel look. Could be an indication of cancer. - ✅✅-Peau d'orange- A high-pitched muffled thud sound obtained by percussing over relatively dense organs such as liver or spleen, distended bladder, mass of adipose tissue - ✅✅-Dullness- A high-pitchedmusical and drum like note obtained by percussing the surface of a large air-containing space, such as the abdomen - ✅✅-Tympany- A low-pitched, clear, hollow note obtained by percussing over normal lung tissue - ✅✅-Resonance- A low-booming note obtained by percussing over the adult lungs that have increased air such as with a patient who has emphysema, present with distended abdomen - ✅✅-Hyperresonnance- Sigmoid colon - ✅✅-Which structure is located in the left lower quadrant of the abdomen? defect or sec formed by dilation in artery wall due to atherosclerosis, trauma, or congenital defect (aortic aneurysm) - ✅✅-Aneurysm- Difficulty swallowing - ✅✅-Dysphasia- Loss of appetite - ✅✅-Anorexia-
Examine the tender area first. - ✅✅-The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? The nurse should: Percussion and palpation may increase peristalsis, which gives a false interpretation of bowel sounds - ✅✅-State the rationale for performing auscultation of the abdomen before palpation or percussion. Describe the pain, is it in one spot, or does it move around, have the patient point to the area, when did it start, how long have you had the pain, is it constant or does it come and go, does it occur before a meal or after meals, describe the pain is it a cramping, burning, dull, stabbing, or aching pain, are there any changes associated with meals does the pain become worse or better, what have you tried to relieve the pain, what makes the pain worse, is the pain associated with your menstrual cycle - ✅✅-Specific questions to ask a patient with abdominal pain for the past week Liver, Gallbladder, Duodenum, Head of Pancreas, Right Kidney and adrenal gland, Hepatic flexure of colon, Part of ascending and transverse colon - ✅✅-Right Upper Quadrant Organs- Stomach, spleen, left lobe of liver, Body of Pancreas, Left kidney and adrenal, splenic flexure of colon, part of transverse and descending colon - ✅✅-Left Upper Quadrant Organs- Cecum, Appendix, Right over and tube, Right ureter, Right spermatic cord - ✅✅-Right Lower Quadrant Organs- Part of descending colon, Sigmoid colon, Left ovary and tube, left ureter, left spermatic cord - ✅✅-Left Lower Quadrant Organs- Aorta, Uterus, Bladder - ✅✅-Midline- How often, how much come up, color, odor, bloody, pain associated, any diarrhea, fever, chills, what did you eat in the last 24 hours, where, is there anyone else in the family with the same symptoms? - ✅✅-Specific questions you would ask a patient who is complaining of nausea and vomiting Joints - ✅✅-Functional units of the musculoskeletal system-
Ligaments - ✅✅-Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are called: Circumduction - ✅✅-To jump rope, the should has to be capable of: Temporomandibular joint - ✅✅-Articulation of the mandible and temporal bone is: Anterior to the tragus - ✅✅-Palpation of the temporomandibular joint: With aging, the vertebral column shortens - ✅✅-An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages. How would you explain this to the patient? Perform physical activity, such as fast walking. - ✅✅-The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. An action to prevent or delay bone loss in this group would be? Crepitation - ✅✅-A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem? Rotator cuff lesions - ✅✅-A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms. The nurse should suspect: Herniated nucleus pulposus - ✅✅-During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects: After 40, loss of bone matrix occurs more rapidly than new bone formation; postural changes occur with decreased height the most noticeable; decreased height is due to shortening of the vertebral column; may see kyphosis; a distribution of subcutaneous fat changes through life; there is a tendency to gain weight; loss of muscle mass; may see a shuffling pattern when walking, arms out to help balance; broader base of support; may hold hand rails and haul their body up with it; may lead with favored leg; may find the aging holding two hands on the rail - ✅✅-Changes with an aging adult your bones are living tissue that are continually growing and changing. Each day old bone tissue dissolves and is replaced with new bone tissue. As we age, the opposite
Cerebellum - ✅✅-A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse? You need to get up slowly when you have been lying down or sitting. - ✅✅-A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been sitting, she gets "really dizzy" and feels like she is going to fall over. The nurse's best response would be: Vertigo - ✅✅-During the taking of the health history, a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this finding as: "Do you have any warning signs before the seizure occurs?" An aura is a subjective sensation that preceded a seizure; may be auditory, visual or motor. - ✅✅-When discussing seizures with a patient, the patient asks the nurse, "What is an aura?" How would you explain this to the patient? Positive Romberg Sign. - ✅✅-When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as: Before testing, the nurse would assess the patient's mental status and ability to follow directions. - ✅✅-During the taking of the health history of a 78-year-old man, his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." When assessing his sensory system, which action by the nurse is most appropriate? It is very ominous sign and may indicate brainstem injury. - ✅✅-During an assessment of a 32-year-old patient with a recent head injury, the nurse notices that the patient responds to pain by extending, adducting, and internally rotating his arms. His palms pronate, and his lower extremities extend with plantar flexion. Which statement concerning these findings is most accurate? This patient's response: Syncope -a sudden loss of strength, a temporary loss of consciousness (a faint) caused by a lack of cerebral blood flow Vertigo- is a rotational spinning caused by neurological disease in the vestibular apparatus of the ear or the vestibular nuclei in the brainstem Seizure- characterized by altered or loss of consciousness, involuntary muscle movements, and sensory disturbances Tremors-- an involuntary shaking
Paralysis—decreased or loss of motor power caused by problem with motor nerve or muscle fibers - ✅✅-Syncope, Vertigo, Seizure, Tremors, Paralysis- Blood flow is interrupted to a part of the brain, the most common type is an ischemic stroke (when a blood clot blocks a blood vessel in the brain) and less common is a hemorrhagic ( a blood vessel in the brain ruptures and causes bleeding). - ✅✅-Stroke or Cerebrovascular Accident (CVA)-
- Weakness or numbness in the face, arms, or legs, especially when it is on one side of the body
- Confusion, trouble speaking or understanding
- Changes in vision such as blurry vision or partial complete loss of vision in one or both eyes
- Trouble walking, dizziness, loss of balance, or coordination
- Severe headache with no reason or explanation - ✅✅-Common symptoms of a stroke:
- paresis--weakness of muscles rather than paralysis
- paraplegia--symmetric paralysis of both lower extremities
- quadriplegia--paralysis of all four extremities
- hemiplegia--paralysis of one side of the body - ✅✅-Paresis, Paraplegia, Quadriplegia, Hemiplegia Sudden fever, stiff neck, severe headache different than normal, nausea and vomiting, seizures, sleepiness, sensitivity to light - ✅✅-Symptoms of Meningeal Inflammation- Cranial Nerve 7- Facial - ✅✅-The nurse notices that a patient's palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve (CN)? Cranial Nerve 11- Accessory; asking the patient to shrug her shoulders against resistance - ✅✅-A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to CN ______ and proceeds with the examination by _____________. Mobile and not hard - ✅✅-A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule):
The patient can read at 20 feet what a person with normal vision can read at 30 feet. - ✅✅-A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these results to indicate that: Observe the distance between the palpebral fissures - ✅✅-A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. How should the nurse check for this? Macular degeneration - ✅✅-A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble reading the paper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that she has some loss of central vision but her peripheral vision is normal. These findings suggest that she may have: Loss of vision - ✅✅-If your patient presented with an eye injury resulting in an emergency situation what symptoms would you expect to see that would prompt an emergency? Small brown merciless (freckles) - ✅✅-Sclera is china white, although Blacks occasionally have a gray-blue or muddy color to the sclera. Also in dark-skinned people you normally may see _______________on the sclera. Cranial nerves 3, 4, and 6 - ✅✅-Extraocular muscles-
- Chronic Open-Angle Glaucoma--Increased intraocular pressure that leads to peripheral vision loss.
- Macular Degeneration--Breakdown of cells in the Macula or the Retina that leads to loss of central vision-the area of clearest vision.
- Cataracts--Lens opacity, resulting from a clumping of protein in the lens.
- Presbyopia--Loss of lens elasticity decreasing the len's ability to change shape to accommodate for near vision. - ✅✅-Chronic Open-Angle Glaucome, Macular Degeneration, Cataracts, Presbyopia- Increase in the intracranial pressure - ✅✅-During an assessment of a patient has had a head injury from a car accident, the nurse notices the following change: pupils were equal, but now the right pupil is fully dilated and nonreactive, left pupil is 4 mm and reacts to light. What does finding this suggest? Smokeless tobacco (SLT) contains cancer-producing chemicals, such as nitrosamines, that increase the risk of oral cancers (pharynx, larynx, and esophagus). Early signs of
oral cancer should be discussed, as well as other effects of SLT use, such as gum recession, tooth discoloration, bad breath, nicotine dependence, and unhealthy eating habits. SLT is not a healthy alternative to smoking. Using smokeless tobacco can be detrimental to a person's health. The two types of SLT most commonly used in the United States are chewing tobacco and snuff. The largest group of SLT users is American Indian/Alaskan Native children, but SLT use is also high among young white males. Pain is an early sign of oral cancer - ✅✅-The nurse notes that the patient's teeth are stained yellow and asks the patient about tobacco use. The patient states that he chews one bag of tobacco every other day. What health promotion concepts should the nurse include in the teaching plan? Filters out dust and bacteria. - ✅✅-What is the purpose of the ciliated mucous membrane in the nose? Parotid - ✅✅-Salivary gland that is the largest and located in the cheek in front of the ear is the ________ gland. Decreased ability to identify odors. - ✅✅-The nurse is assessing an 80-year-old patient. Which of these findings would be expected for this patient?
- Any dryness in the mouth? Xerostomia (dry mouth ) is a side effect of many drugs: antidepressants, anticholinergics, antispasmodics, antihypertensives, antipsychotics, bronchodilators
- Are you taking any medications? (prescribed and over the counter)
- Can you chew all types of food? Have you lost any teeth?
- Are you able to care for your teeth or dentures? o Self-care may be due to a physical disability (arthritis), vision loss, confusion, or depression
- Have you noticed a change in your sense of taste or smell? - ✅✅-Questions to include in aiding adult health history- Remain calm, sit up straight, lean your head forward, tilting your head back will cause you to swallow the blood. Pinch the nostrils together with your thumb and index finger for about 10 minutes. - ✅✅-How would you control a nosebleed? Are you aware of having any allergies? - ✅✅-The nurse is performing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale, gray, and swollen. What would be the most appropriate question to ask the patient?
amplitude is increased enough to reach the nerve elements in the inner ear. Common causes are impacted cerumen, foreign bodies in the ear canal, perforated tympanic membrane, and otosclerosis.
- A sensorineural (or perceptive) hearing loss indicates pathology of the inner ear, cranial nerve VIII, or the auditory areas of the brain. A simple increase in amplitude may not enable the person to hear. Common causes are ototoxic drugs and presbycusis, a gradual nerve degeneration that occurs with aging.
- A mixed loss is a combination of both types of hearing loss in the same ear. - ✅✅-Hearing loss: Purpose of cerumen is to protect and lubricate the ear. - ✅✅-Cerumen: Helps equalize are pressure on both sides of the tympanic membrane. - ✅✅-Eustachian tube: Normal pathway for hearing. - ✅✅-Air conduction: High-tone frequency loss - ✅✅-Ear examination of an 80-year-old patient; which findings would be normal? Use rubbing alcohol or 2% acetic acid teardrops after every swim - ✅✅-A 17-year-old student is a swimmer on her high school's swim team. She has had three bouts of otitis externa this season and wants to know what to do to prevent it. The nurse instructs her to: Tinnitus - ✅✅-"Buzzing sound" in the ear Progression of hearing loss is slow, the aging person may find it harder to hear consonants than vowels, sounds may be garbled and difficult to localize. - ✅✅-Changes in hearing that occur with aging: Is the outlet for the gastrointestinal tract. - ✅✅-The anal canal: a test that allows the physician to look at the inner lining of the large intestines, with a thin flexible tube - ✅✅-Colonoscopy- The enlargement of your prostate is caused by hormonal changes, and not cancer Symptoms may include urinary frequency, urgency, hesitancy, straining to urinate, wear stream, intermittent stream, or sensation of not emptying - ✅✅-A 60-year-old man has
just been told that he has benign prostatic hypertrophy (BPH). He is concerned about cancer. How should the nurse respond? What would you say? Hemorrhoids - ✅✅-A 30-year-old woman is visiting the clinic because of "pain in my bottom when I have a bowel movement." The nurse should assess for which problem? Colonoscopy every 10 years - ✅✅-After completing an assessment of a 60-year-old man with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. The nurse should mention the need for a(n): Left lateral decubitus - ✅✅-What position should a woman be in for a rectal exam Thrombosed hemorrhoid - ✅✅-Pigmentation of anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted. Pain with bowel movements and occasionally noted some spots of blood- Anal fistula—An abnormal passage from inner anus or rectum out to the skin surrounding the anus. May occur from chronic GI inflammation, local abscess. The tract may drain serosanguineous or purulent drainage. Rectal prolapse—protrusion of the rectal mucous membrane through the anus Rectal polyp—protruding growth from the rectal mucous membrane Rectal fissure—longitudinal tear in the superficial mucosa at the anal margin - ✅✅-Anal fistula, rectal prolapse, rectal polyp, rectal fissure- Moist, red, doughnut shaped protrusion from the anus - ✅✅-Rectal Prolapse- Prostatitis - ✅✅-A 62-year-old man is experiencing fever, chills, malaise, urinary frequency, and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. These symptoms are most consistent with which condition? Broccoli - ✅✅-During a health history of a patient who complains of chronic constipation, the patient asks the nurse about high-fiber foods. The nurse relates that an example of a high-fiber food would be: Fecal impaction - ✅✅-During a digital examination of the rectum, the nurse notices that the patient has hard feces in the rectum. The patient complains of feeling "full," has a distended abdomen, and states that she has not had a bowel movement "for several days." The nurse suspects which condition?
HRT has several side effects, including fluid retention, breast tenderness and vaginal bleeding. - ✅✅-A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts and wonders if these changes could be attributable to the hormone replacement therapy (HRT) she started 3 months earlier. The nurse should tell her: I'd like some information about the discharge. What color is it? - ✅✅-During the interview, a patient reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. The nurse's most appropriate response to this would be: Unusual vaginal discharge or itching? - ✅✅-A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, "Have you noticed any: Women often have questions about their sexual relationship and how it affects their health. Do you have any questions? - ✅✅-Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships during an interview? If you smoke, how many cigarettes do you smoke per day? - ✅✅-A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the nurse should ask: Do you use a condom with each episode of sexual intercourse? - ✅✅-A nurse is assessing a patient's risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be: The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding. - ✅✅-The nurse is preparing to interview a postmenopausal woman. Which of these statements is true as it applies to obtaining the health history of a postmenopausal woman? Elevate her head and shoulders to maintain eye contact. - ✅✅-During the examination portion of a patient's visit, she will be in lithotomy position. Which statement reflects some things that the nurse can do to make this position more comfortable for her? Avoid intervenes, inserting anything into the vagina or douching within 24 hours of your appointment. - ✅✅-A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate instructions from the nurse are:
Candidiasis - ✅✅-During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and physical examination findings are most consistent with which condition? Herpes simplex virus type 2 - ✅✅-A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. Inguinal lymphadenopathy present is also present. The most likely cause of these lesions is: Pelvic inflammatory disease. - ✅✅-A 25-year-old woman comes to the emergency department with a sudden fever of 38.3° C and abdominal pain. Upon examination, the nurse notices that she has rigid, boardlike lower abdominal musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain when the uterus and cervix are moved. The nurse knows that these signs and symptoms are suggestive of: "After age 30 years, if you have three consecutive normal Pap tests, then you may be screened every 2 to 3 years." - ✅✅-A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks the nurse, "How often do I need to have this Pap test done?" Which reply by the nurse is correct? Itching, dryness, burning sensation, dyspareunia, mucoid discharge with noticeable blood. - ✅✅-What problems occur as a result of atrophic vaginitis? When did it start, amount, color, taking any medications, history of any cancer in the family, past surgeries, any abdominal pain. - ✅✅-What specific questions would you asks an elderly female patient whose period stopped 5 years ago and has recently restarted? True - ✅✅-Changes normally associated with menopause occur because the cells in the reproductive tract are aging? T or F True - ✅✅-When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the nurse would consider this as normal findings.
