A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?
Extreme abdominal pain with intercourse
Postmenopausal bleeding
Decreased white blood cell count
Bilateral swelling on the posterior of the vulva
The Correct Answer is B
A. Extreme abdominal pain with intercourse: This is less specific for endometrial cancer and more indicative of conditions such as pelvic inflammatory disease or endometriosis.
B. Postmenopausal bleeding: This is correct. Postmenopausal bleeding is a common symptom of endometrial cancer and warrants further evaluation.
C. Decreased white blood cell count: This is incorrect. Endometrial cancer does not typically present with a decreased white blood cell count; it may present with normal or elevated levels depending on the stage and presence of infection.
D. Bilateral swelling on the posterior of the vulva: This is incorrect. Swelling of the vulva is not characteristic of endometrial cancer but may be associated with other gynecological issues.
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Related Questions
Correct Answer is C
Explanation
A. Anthrax: This is incorrect. While a vaccine is available for anthrax, it is generally administered as a pre-exposure prophylaxis, not as a treatment following exposure.
B. Sarin: This is incorrect. Sarin is a nerve agent for which there is no vaccine. Treatment focuses on immediate decontamination and administration of antidotes like atropine.
C. Smallpox: This is correct. A vaccine for smallpox is administered following exposure as a post-exposure prophylaxis, as smallpox is a virus for which immediate vaccination can help prevent the disease.
D. Botulism: This is incorrect. Botulism is treated with antitoxin rather than a vaccine. There is no post-exposure vaccine available for botulism.
Correct Answer is D
Explanation
A. Instruct the client to change clothing before arriving: This is incorrect. The client should keep the clothing worn during the assault as it may contain crucial evidence.
B. Inform the client that photographs of any injuries will be mandatory for a police report: This is incorrect. While evidence collection is important, it should be done with the client’s consent and consideration of their emotional state.
C. Ask the client to repeat the information obtained during admission: This is incorrect. Asking the client to repeat information can be traumatic. The history should be obtained sensitively and only as needed.
D. Obtain a history of the incident from the client: This is correct. The nurse needs to gather information to provide appropriate care and ensure evidence is collected properly. This should be done in a supportive and respectful manner.
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