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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A 28-year-old client who has a history of pelvic inflammatory disease: This is incorrect. While a history of pelvic inflammatory disease does not necessarily contraindicate oral contraceptive use, it should be assessed for any other potential complications or contraindications.
B. A 26-year-old client who is mobile post appendectomy: This is incorrect. Recent surgery, such as an appendectomy, is not a contraindication for oral contraceptives, provided the client is otherwise healthy.
C. A 38-year-old client who reports smoking one pack of cigarettes every day: This is correct. Smoking, especially in women over 35, is a contraindication for oral contraceptives due to the increased risk of cardiovascular events such as thrombosis.
D. A 32-year-old client who has fibrocystic breast disease: This is incorrect. Fibrocystic breast disease does not contraindicate the use of oral contraceptives.
Correct Answer is D
Explanation
A. Rub the skin completely dry following a decontamination shower: This is incorrect. The skin should be patted dry, not rubbed, to avoid further irritation.
B. Prepare to administer amyl nitrate: This is incorrect. Amyl nitrate is used for cyanide poisoning, not sarin gas exposure.
C. Provide respiratory support with a plastic airway: While respiratory support may be needed, the priority in sarin gas exposure involves addressing symptoms and potential seizures.
D. Initiate seizure precautions: Sarin gas is a nerve agent that can cause seizures due to its effect on the nervous system. Seizure precautions are necessary for clients exposed to sarin gas.
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