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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Administer pain medication: Pain management is not the primary intervention for exposure to anthrax; the focus should be on addressing the disease directly.
B. Administer antibiotic therapy: This is correct. Post-exposure prophylaxis with antibiotics is crucial in preventing the development of anthrax, especially after exposure to spores.
C. Administer an antiviral medication: This is incorrect. Anthrax is caused by bacteria, not viruses, so antiviral medications are not effective.
D. Administer an antitoxin: While antitoxins are used in treating symptomatic anthrax, the immediate and appropriate action for exposure is to start antibiotic therapy.

A. "It provides an area where clients can be provided a shower and privacy." B. "It provides a centralized area for the triage of all clients as they arrive to the facility." C. "It prevents secondary contamination to the facility and its healthcare providers." D. "It serves as a holding area that isolates the clients who have been exposed to the agent."

Correct Answer is C

Explanation

A. "It provides an area where clients can be provided a shower and privacy." This is incorrect. While decontamination areas may include showers for client decontamination, the primary rationale is more focused on preventing contamination rather than providing privacy.
B. "It provides a centralized area for the triage of all clients as they arrive to the facility." This is incorrect. Centralized triage is important but not the primary reason for a decontamination area.
C. "It prevents secondary contamination to the facility and its healthcare providers." This is correct. The primary rationale for a designated decontamination area is to prevent secondary contamination of the facility and its personnel by removing contaminants from individuals before they enter the healthcare environment.
D. "It serves as a holding area that isolates the clients who have been exposed to the agent." This is incorrect. Isolation may be a component, but the main purpose of decontamination is to prevent contamination spread.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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