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CMR Jeopardy

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For which gynecologic problem would the nurse recommend Kegel exercises? a. cyst. b. fistula ... pelvic floor exercises (kegel exercises)? Topic VI. 400 ... – PowerPoint PPT presentation

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Title: CMR Jeopardy


1
Unit 13 Review ? ? Reproductive Health
Health Promotion
Single Jeopardy
Double Jeopardy
Final Jeopardy
Date
2
SINGLE JEOPARDY
Breast health
Female Health
Birth control
Menstrual Cycle

Mens health
100
100
100
100
100
200
200
200
200
200
300
300
300
300
300
400
400
400
400
400
500
500
500
500
500
Final Jeopardy
Double Jeopardy
3
This is the gold standard for breast cancer
screening?


Topic I
100
Question
4
WHAT IS mammography?
Go To Single Jeopardy
Topic I
100
Answer
5
According to the ACS, yearly mammograms are
recommended starting at this age and continuing
for as long as a woman is in good health.
Topic I
200
Question
6
WHAT IS age 40 ?Yearly mammograms are
recommended starting at age 40 and continuing for
as long as a woman is in good health.
Go To Single Jeopardy
Topic I
200
Answer
7
The ACS currently recommends that women begin
monthly breast self-examination (BSE) at this age.
Topic I
300
Question
8
WHAT IS age 20? Women should know how their
breasts normally feel and report any breast
change promptly to their health care providers.
Go To Single Jeopardy
Topic I
300
Answer
9
The most common symptom in male clients with
breast cancer includes this. a. lactation
b. gynecomastia c. nipple retraction d. a
very painful lump
Topic I
400
Question
10
WHAT IS nipple retraction?While most male
breast changes are due to benign (non-cancerous)
abnormalities, such as gynecomastia
(non-cancerous tissue growth), men should report
any persistent breast changes. Symptoms of male
breast cancer may include a breast lump,
swelling, skin dimpling or puckering, nipple
retraction (the nipple turns inward), redness or
scaling of the nipple or breast skin, and nipple
discharge.
Go To Single Jeopardy
Topic I
400
Answer
11
This 2-word term describes the surgical removal
of the breast, muscle layer down to chest wall,
and axillary lymph nodes.
Topic I
500
Question
12
What is radical mastectomy ? Do you know
things that will increase a womans risk for
breast cancer?
Go To Single Jeopardy
Topic I
500
Answer
13
The nurse correlates clinical manifestation of
testicular cancer to this.A. Urinary
frequencyB. Edema of the testicleC. Scrotal
thickeningD. Hematuria
Topic II
100
Question
14
What is edema of the testicle?
Go To Single Jeopardy
Topic II
100
Answer
15
The nurse conducts prostate screening education
for this male client.A. The client who is
sexually activeB. The client who has a history
of UTIsC. The client who is older than 50
yearsD. The client who has sustained injury to
the external male genitalia
Topic II
200
Question
16
WHAT IS The client over age 50?PSABegin at
age 50 y.o. (annually)Begin at age 40-45 y.o. if
high risk
Go To Single Jeopardy
Topic II
200
Answer
17
In reviewing the medical record of a client
being evaluated for testicular enlargement, the
nurse correlates a cystic mass, usually filled
with straw-colored fluid, that forms around the
testis as this. A. CystoceleB. HydroceleC.
SpermatoceleD. Varicocele
Topic II
300
Question
18
What is a Hydrocele?
A cystocele is an downward outpocketing or hernia
of the bladder towards the vaginal opening.
Go To Single Jeopardy
Topic II
300
Answer
19
In administering alpha-adrenergic agents (i.e.
Hytrin) to clients for the treatment of BPH, the
nurse recognizes that the action of the
medication is this. A. Dilate vessels in
smooth musclesB. Decrease blood flow to the
prostate gland C. Suppress hormonal production
of the prostate gland D. Shrink the prostate
gland
Topic II
400
Question
20
What is Dilate vessels in smooth muscles?
Go To Single Jeopardy
Topic II
400
Answer
21
Discharge teaching for a patient receiving
finasteride (Proscar) would include this common
side effect.A. Hair lossB. Increase
libidoC. Ejaculatory dysfunctionD. Muscle
weakness
Topic II
500
Question
22
What is Ejaculatory dysfunction?Common side
effects of finasteride include impotence,
decreased libido, and decreased volume of
ejaculate. It is also used to treat male pattern
baldness and thus would cause hair growth, not
hair loss.
Go To Single Jeopardy
Topic II
500
Answer
23
This is a medical term used to describe the
first menstrual period during puberty.
Topic III
100
Question
24
What isMenarche?
Go To Single Jeopardy
Topic III
100
Answer
25
This is the term used to describe bleeding
between menstrual periods .
Topic III
200
Question
26
What is metrorrhagia ?
The metro in a big city transports people
between cities/places. Remember metro as
between bleeding between periods.
Go To Single Jeopardy
Topic III
200
Answer
27
The nurse would question the administration of
testosterone to a patient with this electrolyte
imbalance.A. HypocalcemiaB. HyponatremiaC. Hype
rkalemiaD. Hypovolemia
Topic III
300
Question
28
WHAT IS hyperkalemia?Testosterone can cause
increased serum potassium levels.
Go To Single Jeopardy
Topic III
300
Answer
29
This finding on DRE is consistent with prostate
cancer. a. the prostate is uniformly
enlarged b. the texture of the prostate is
spongy or elastic c. the prostate indents when
a finger is pressed on it d. there are
several stony, irregular nodules within the
prostate
Topic III
400
Question
30
What is there are several stony, irregular
nodules within the prostate?The normal prostate
has an elastic or spongy consistency. During BPH
the entire prostate enlarges, although the
enlargement may be more noticeable on one side.
Prostate cancer usually is manifested by small,
hard, or stony irregular shaped nodules.
Go To Single Jeopardy
Topic III
400
Answer
31
The patient with prostate cancer says he is now
having a lot of pain in his lower back and legs.
This symptom indicates this possibility to the
nurse. a. arthritis b. urinary
retention c. metastasis to the bone d.
muscle atrophy from inactivity
Topic III
500
Question
32
WHAT IS metastasis to the bone?The primary site
of metastasis for prostate cancer is the bone of
the spine and legs.
Go To Single Jeopardy
Topic III
500
Answer
33
Estrogen helps to prevent this, but dont confuse
it with a condition which results when an
affected joint experiences a progressive loss of
cartilage, the slippery material that cushions
the ends of bones.
Topic IV
100
Question
34
WHAT IS osteoporosis?(versus osteoarthritis)
Go To Single Jeopardy
Topic IV
100
Answer
35
Contraindications to estrogen use include all of
the following EXCEPT this.A. PregnancyB.
History of deep vein thrombosisC. Vasomotor
reactionsD. History of breast cancer
Topic IV
200
Question
36
WHAT IS Vasomotor reactions?
Go To Single Jeopardy
Topic IV
200
Answer
37
The 27 year-old who is not pregnant has not has a
menstrual period for 7 months. This information
may be a possible factor in the
amenorrhea. a. The clients mother has type 2
diabetes b. The client runs 10-15 miles each
day c. The client takes aspirin daily d. The
client has gained 5 pounds in the last month
Topic IV
300
Question
38
What isThe client runs 10-15 miles each
day?Excessive exercise with a corresponding
loss of body fat is associated with insufficient
estrogen levels for the maintenance of normal
ovulatory and menstrual cycles. Review the
differences between primary secondary
amenorrhea. The example in the question is
secondary.
Go To Single Jeopardy
Topic IV
300
Answer
39
This action is what the nurse should teach to the
client to prevent toxic shock syndrome. a.
Use a barrier method of contraception. b. Wa
sh your hands before inserting a
tampon. c. Avoid intercourse with more than
one partner. d. Empty your bladder immediately
after intercourse.
Topic IV
400
Question
40
WHAT IS Wash your hands before inserting a
tampon.Certain strains of Staphylococcus
aureus commonly found on skin surfaces produce a
toxin that can enter the bloodstream through the
vaginal mucosa. Handwashing before tampon
insertion reduces the changes that the organism
will enter the vagina. What symptoms will the
patient with TSS have?
Go To Single Jeopardy
Topic IV
400
Answer
41
For which gynecologic problem would the nurse
recommend Kegel exercises? a. cyst b. fistula
c. cystocele d. rectocele
Topic IV
500
Question
42
What is a cystocele?
Go To Single Jeopardy
Topic IV
500
Answer
43
A woman is taking oral contraceptives. The nurse
teaches the client that this type of medication
may interfere with the effectiveness of the OBC.
Topic V
100
Question
44
What is antibiotics?What are some other
reasons women might take OBC (oral birth control)?
Go To Single Jeopardy
Topic V
100
Answer
45
Denise Burke, age 20, is using combination oral
contraceptives for birth control. The nurse
counsels her about her smoking, informing Denise
that smoking while taking combination oral
contraceptives increases her risk of this.
Topic V
200
Question
46
WHAT IS Thromboembolic disorders?
Go To Single Jeopardy
Topic V
200
Answer
47
In teaching a young woman to use a diaphragm for
contraception, it is most important for the nurse
to instruct the patient to do this.A. remove
the diaphragm 2 hours after intercourseB. always
douche thoroughly after removing the
diaphragmC. have the size and fit of the
diaphragm checked four times a yearD. always
use a spermicidal jelly or cream with the
diaphragm
Topic V
300
Question
48
WHAT IS always use a spermicidal jelly or cream
with the diaphragm?Review other methods of
birth control.
Go To Single Jeopardy
Topic V
300
Answer
49
These hormones are responsible for the menstrual
cycle. a. estrogen and progesterone b. gonadot
ropins c. gonadotropins and estrogen d. gonadotr
opins, estrogen, and progesterone
Topic V
400
Question
50
WHAT IS gonadotropins (FHS, LH), estrogen, and
progesterone?
Go To Single Jeopardy
Topic V
400
Answer
51
The term dysmenorrhea refers to this.
Topic V
500
Question
52
WHAT IS painful menstruation?Bleeding between
periods- metrorrhagia Severe bleeding -
menorrhagia What are some nursing interventions
for dysmenorrhea?
Go To Single Jeopardy
Topic V
500
Answer
53
DOUBLE JEOPARDY
STD
Cancer
Misc.
Male problems
Female problems
200
200
200
200
200
400
400
400
400
400
600
600
600
600
600
800
800
800
800
800
1000
1000
1000
1000
1000
Final Jeopardy
54
A patient with a cystocele should be assessed
for this common complaint.
Topic VI
200
Question
55
WHAT IS urinary incontinence
Go To Double Jeopardy
Topic VI
200
Answer
56
Teaching for the patient with a cystocele should
include this exercise.
Topic VI
400
Question
57
WHAT IS pelvic floor exercises (kegel
exercises)?
Go To Double Jeopardy
Topic VI
400
Answer
58
This organism is responsible for toxic shock
syndrome.
Topic VI
600
Question
59
WHAT IS staphylococcus aureus
Go To Double Jeopardy
Topic VI
600
Answer
60
The nurse will be assisting the physician with a
clients gynecologic exam. The nurse will place
her in this position.
Topic VI
800
Question
61
WHAT is the lithotomy position?
Go To Double Jeopardy
Topic VI
800
Answer
62
Mrs. McCloskey, age 75, seeks care for
irregular postmenopausal bleeding. Because of
her age, she cannot assume the usual position for
reproductive system assessment. The nurse should
assist her into this alternate position.
Topic VI
1000
Question
63
WHAT IS Sims or side-lying position?
Go To Double Jeopardy
Topic VI
1000
Answer
64
A 72 year-old male complaints of difficulty
voiding and suprapubic discomfort. In reviewing
the patients chart, the nurse notes the history
of bladder outlet obstruction. An elevation in
this lab is most likely to indicate the presence
of bladder outlet obstruction.
Topic VII
200
Question
65
WHAT IS creatinine?
Go To Double Jeopardy
Topic VII
200
Answer
66
A married couple is seen at the infertility
clinic because they have not been able to
conceive. The nurse includes examination of the
mans testicles early in the assessment of the
couple, based on the knowledge that this
testicular problem is often related to
infertility.
Topic VII
400
Question
67
WHAT IS a varicocele?
Go To Double Jeopardy
Topic VII
400
Answer
68
A __________ is when the veins along the
spermatic cord dilate (widen) .
Topic VII
600
Question
69
WHAT IS a varicocele?
Go To Double Jeopardy
Topic VII
600
Answer
70
In teaching the client discharged with an
indwelling catheter after prostate surgery, the
nurse includes this directive.A. Wash the
catheter once daily with soap and
water.B. Irrigate the catheter with normal
saline twice daily.C. Clean the drainage bag
with dishwashing detergent once weekly.D. Clean
the glans of the penis with hydrogen peroxide
every 4 hours.
Topic VII
800
Question
71
WHAT IS Wash the catheter once daily with soap
and water.?
Go To Double Jeopardy
Topic VII
800
Answer
72
The nurse in an outpatient unit emphasizes
prostate screening in the African American
population because of this fact .A. Prostate
cancer metastasis is higher.B. Prostate cancer
occurs at an earlier age.C. The clinical
presentation is different.D. Prostate-specific
antigen is not sensitive to prostate disease.
Topic VII
1000
Question
73
WHAT IS Prostate cancer occurs at an earlier
age. That is why screening begins at an earlier
age.?
Go To Double Jeopardy
Topic VII
1000
Answer
74
A female client is treated for trichomoniasis
with metronidazole (Flagyl). An important
teaching point relating to this medication
includes this.
Topic VIII
200
Question
75
WHAT IS avoid alcohol during and 24 hours after
treatment?
Go To Double Jeopardy
Topic VIII
200
Answer
76
A client is seen at the gynecology clinic because
of profuse vaginal discharge, pruritis, and
burning. A smear for microscopic examination is
taken and reveals the presence of Trichomonas
vaginalis. This organism causes a trichomonal
infection.
Topic VIII
400
Question
77
WHAT IS a protozoan?
Go To Double Jeopardy
Topic VIII
400
Answer
78
With this sexually transmitted disease the
nurse should teach the client about an increased
risk for development of cancer in the genital
region.
Topic VIII
600
Question
79
WHAT IS human papillomavirus?
Go To Double Jeopardy
Topic VIII
600
Answer
80
The female client admitted for cardiac problems
also has condyloma. This is the type of
precautions that should be used with this
client.Hint, choose from Standard, Airborne,
Contact, or Droplet precautions
Topic VIII
800
Question
81
WHAT IS standard precautions?
Go To Double Jeopardy
Topic VIII
800
Answer
82
The term condylomata acuminate refers to this.
Topic VIII
1000
Question
83
WHAT iswarts - HPV?
Go To Double Jeopardy
Topic VIII
1000
Answer
84
The nurse includes this in the discharge plan
for the client who had an orchiectomy.A. Avoid
stair climbing.B. Limit fluids.C. Do not
drive.D. Apply a warm compress to surgical site.
Topic IX
200
Question
85
WHAT IS Avoid stair climbing.
Go To Double Jeopardy
Topic IX
200
Answer
86
The most important cancer screening test for
young adult males is this.
Topic IX
400
Question
87
WHAT IS monthly testicular self-examination
(TSE)?
Go To Double Jeopardy
Topic IX
400
Answer
88
A digital rectal examination (DRE) is a screening
test for this type of cancer.
Topic IX
600
Question
89
WHAT IS prostate cancer?
Go To Double Jeopardy
Topic IX
600
Answer
90
This statement is false regarding a Pap smear.
a. dysplasia is the term used for abnormal
pap b. a sample of the cervix is obtained
c. invented by Dr.George Papanikolaou d. a
sample of the uterus is obtained
Topic IX
800
Question
91
What is a sample of the uterus is obtained?
Go To Double Jeopardy
Topic IX
800
Answer
92
A nurse is taking a history from a client
suspected of having testicular cancer. This data
will be most helpful in determining risk factors
of this type of cancer. a. number of sexual
partners b. age and race c. type of birth
control currently using d. marital status and
number of children
Topic IX
1000
Question
93
WHAT IS age and race
Go To Double Jeopardy
Topic IX
1000
Answer
94
This is the reason that the death rates from
ovarian cancer or so high.A. There are no
obvious symptoms or problems during the early
stages of this disorder.B. Radiation therapy
is ineffective because the ovaries are located
so deep within the pelvis.C. Ovarian cancer
occurs primarily among women over age 70 who
also have other complicating health
problems.D. The causative oncovirus is resistant
to chemotherapy or radiation.
Topic X
200
Question
95
WHAT IS There are no obvious symptoms or
problems during the early stages of this
disorder.?
Go To Double Jeopardy
Topic X
200
Answer
96
Nursing intervention for the patient with pelvic
inflammatory disease would include this type of
medication.
Topic X
400
Question
97
WHAT IS antibiotic therapy?
Go To Double Jeopardy
Topic X
400
Answer
98
Impotence is an adverse effect that may occur
with this type of medication.
Topic X
600
Question
99
WHAT IS antihypertensives
Go To Double Jeopardy
Topic X
600
Answer
100
This instruction would be included for the client
who is scheduled to have an abdominal ultrasound
for evaluation of uterine size and shape.A. Do
not eat or drink after midnight.B. Completely
evacuate your bowels before this
procedure.C. Do not urinate within an hour of
having the test, because a full bladder is
needed for best test results.D. Have someone
drive you to and from the test because you will
be sleepy from the anesthesia..
Topic X
800
Question
101
WHAT IS Do not urinate within an hour of
having the test, because a full bladder is needed
for best test results ?What instructions
would the RN provide the patient who will undergo
TRUS?
Go To Double Jeopardy
Topic X
800
Answer
102
In the immediate postoperative phase following a
mastectomy on the right side, the nurse should
advise the patient to position her right arm in
this position. a. across her chest b. close
to her side c. in a sling d. on two pillows
Topic X
1000
Question
103
WHAT IS on two pillows?
Go To Double Jeopardy
Topic X
1000
Answer
104
TOPIC Viruses
105
This virus causes the Epstein-Barr virus (EBV)?.
106
WHAT IS HSV-4?
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