A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?
Unilateral swelling on the posterior of the vulva
Extreme abdominal pain with intercourse
Postmenopausal bleeding
Green, malodorous vaginal discharge
The Correct Answer is C
Unilateral swelling on the posterior of the vulva is not a typical symptom of endometrial cancer. While swelling can occur in the genital area due to various conditions, it is not specifically associated with endometrial cancer.
Choice B reason:
Extreme abdominal pain with intercourse, also known as dyspareunia, can be a symptom of many different conditions, including endometriosis and pelvic inflammatory disease, but it is not commonly associated with endometrial cancer. Endometrial cancer symptoms are more related to abnormal uterine bleeding rather than pain during intercourse.
Choice C reason:
Postmenopausal bleeding is a hallmark symptom of endometrial cancer. Any vaginal bleeding that occurs after menopause should be evaluated by a healthcare provider, as it can be an early sign of endometrial cancer.
Choice D reason:
Green, malodorous vaginal discharge can be a sign of an infection, such as bacterial vaginosis, but is not typically a symptom of endometrial cancer. While abnormal discharge can occur with endometrial cancer, it is usually bloody or watery, not green and malodorous.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Alendronate is a bisphosphonate, which is commonly prescribed for Paget's disease of the bone. Bisphosphonates help regulate bone growth and can be a lifelong medication for managing this condition. They work by inhibiting osteoclasts, the cells that break down bone tissue, which helps to normalize the bone remodeling process.
Choice B reason:
Colchicine is used to treat gout and not typically used for Paget's disease. It works by reducing the inflammation caused by uric acid crystals but does not affect the bone remodeling process that is characteristic of Paget's disease.
Choice C reason:
Allopurinol is also used to treat gout by decreasing uric acid production in the body. Like colchicine, it is not used to treat Paget's disease because it does not address the abnormal bone metabolism associated with the condition.
Choice D reason:
Prednisone is a corticosteroid used to reduce inflammation in various conditions. While it may be used in some cases to manage pain and inflammation associated with Paget's disease, it is not a primary treatment for the disease itself and does not regulate bone growth like bisphosphonates do.
Correct Answer is D
Explanation
Choice A reason:
Cosmetic surgery is performed to improve the appearance of a body part. It is elective and usually not medically necessary. In the case of fallopian tube removal due to endometriosis, the surgery is not performed for aesthetic reasons but to relieve pain and treat a medical condition.
Choice B reason:
Diagnostic surgery is carried out to diagnose a condition. While endometriosis can be diagnosed through surgery, the removal of the fallopian tube in this scenario is not for diagnostic purposes but rather for treatment.
Choice C reason:
Constructive surgery is done to restore function or normal appearance by reconstructing defective organs or body parts. The removal of the fallopian tube for endometriosis does not fit this category as it does not aim to reconstruct but rather to remove a part causing pain.
Choice D reason:
Ablative surgery involves the removal of an organ or abnormal growth. It is often used to treat conditions that cause pain or to prevent further complications. The removal of the fallopian tube due to severe endometriosis falls under this category as it aims to alleviate symptoms and prevent further issues related to the condition.
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