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. Increased vaginal drainage typically occurs 5 days following surgery: This is incorrect. Vaginal drainage usually decreases over time after surgery, and increased drainage might suggest a complication.
B. Sexual intercourse may be resumed in 1 to 2 weeks: This is incorrect. Sexual activity is generally advised against for 6 weeks or until the healthcare provider confirms it is safe to resume.
C. Artificial lubrication can be used to treat vaginal itching and dryness: This is correct. After a hysterectomy and oophorectomy, vaginal dryness is common due to decreased estrogen levels. Artificial lubrication can help alleviate these symptoms.
D. A Papanicolaou (Pap) test should be performed every 6 months: This is incorrect. After a total abdominal hysterectomy for cancer, Pap tests are generally not required unless there was a history of cervical cancer or other specific indications.
Correct Answer is B
Explanation
A. "I should include foods high in protein and vitamin C in my diet": This is incorrect. While a healthy diet can support overall health, it is not a specific preventive measure for PID recurrence.
B. "My sexual partner should be tested for sexually transmitted infections (STIs)": This is correct. Preventing STI transmission is crucial in reducing the risk of PID recurrence. Both partners should be tested and treated if necessary to prevent reinfection.
C. "I will require surgery to drain and irrigate my pelvis": This is incorrect. Surgery is not typically required to prevent PID recurrence. Treatment and prevention focus on antibiotics and STI management.
D. "I should receive the human papillomavirus (HPV) vaccine": This is incorrect. While the HPV vaccine can prevent certain sexually transmitted infections, it does not directly address the prevention of PID, which is more related to preventing and treating STIs.
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