Chapter 2. The Nurse’s Role in Women’s Health Care - Leifer Maternity and Pediatric Nursing

Chapter 2. The Nurse’s Role in Women’s Health Care - Leifer Maternity and Pediatric Nursing

29. The patient who has been dealing with urge incontinence tells the nurse that the symptoms have gotten worse lately. The nurse reminds the patient that which food(s) and drug(s) can increase incontinence? (Select all that apply.) a. Antihypertensive drugs b. Coffee c. Alcohol d. Diuretics e. NSAIDs ANS: A, B, C, D Foods and drugs that increase the symptoms of urge incontinence are antidepressants, angiotensin converting enzyme (ACE) inhibitors, caffeine, alcohol, and diuretics. NSAIDs do not increase incontinence. DIF: Cognitive Level: Application REF: Page 287 TOP: Urge Incontinence KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies NURSINGTB.COM 30. What might the nurse advise the woman with pelvic floor dysfunction to do for relief of the associated discomfort? (Select all that apply.) a. Lie down with feet elevated. b. Practice Kegel exercises. c. Assume knee-chest position periodically. d. Perform leg lift exercises. e. Prevent constipation. ANS: A, B, C, E Elevating the feet, performing Kegel exercises, assuming the knee-chest position, and preventing constipation will reduce the pelvic discomfort of pelvic floor dysfunction. DIF: Cognitive Level: Application REF: Page 286 TOP: Pelvic Floor Dysfunction KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 31. A woman is prescribed to take alendronate (Fosamax) for osteoporosis postmenopause. What information will the nurse provide when educating this patient on alendronate (Fosamax)? a. Drink 8 oz. of water following dosage. b. Lay down for 30 minutes after taking. c. This medication has no known side effects. d. Avoid weight-bearing exercises. ANS: A Alendronate (Fosamax) may be prescribed. Esophageal and gastric irritation are common side effects of alendronate, and the woman should be instructed to drink 8 ounces of plain water and sit upright for 30 minutes after taking the drug and before eating a meal. Weight-bearing exercises such as walking, hiking, stair climbing, and dancing are advisable. High-impact exercises should be avoided. DIF: Cognitive Level: Comprehension REF: Page 284 TOP: Osteoporosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies 32. The nurse is caring for a patient planning to undergo a uterine fibroid embolization. What information can the nurse provide? (Select all that apply.)