In educating clients about ovarian cancer, the nurse emphasizes death rates for ovarian cancer are high because:

ovarian cancer occurs primarily among women over age 70 that also have other complicating health problems.

the causative cancer cell is resistant to chemotherapy or radiation.

there are no obvious symptoms or problems during the early stages of this disorder.

radiation therapy is ineffective because the ovaries are located so deep within the pelvis.

Answer and Explanation

The Correct Answer is C

A.   Many women diagnosed with ovarian cancer are indeed older, but the presence of other health problems is not a primary factor in explaining the high death rates. The key issue is more related to late- stage diagnosis rather than age alone.
B.   While some ovarian cancer cells can develop resistance to treatment, it is not universally true for all cases. The high mortality rate is more often due to the late stage at which the cancer is diagnosed rather than inherent resistance to treatment. Thus, this option does not fully explain the high death rates.
C.   Ovarian cancer often presents with vague symptoms that can be easily overlooked in the early stages, such as bloating, abdominal discomfort, or changes in bowel habits. As a result, many women do not receive a diagnosis until the cancer has progressed to a more advanced stage, contributing significantly to the high mortality rates associated with the disease.
D.   While it is true that the ovaries are located deep in the pelvis, the main treatment for ovarian cancer typically involves surgery and chemotherapy rather than radiation therapy. Radiation is not a primary treatment for this cancer type, and this statement does not accurately reflect why the death rates are high.

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Correct Answer is B

Explanation

A. CA-125 is primarily associated with ovarian cancer and is not a relevant tumor marker for testicular cancer. Serum ceruloplasmin is a copper-carrying protein that can be elevated in various conditions, but it is not specific for testicular cancer. Therefore, this option is not appropriate.
B. Both hCG and AFP are tumor markers specifically associated with testicular cancer. Elevated levels of these markers can indicate the presence of non-seminomatous testicular tumors. Monitoring these markers is essential for diagnosis, assessing treatment response, and detecting recurrence.
C. EPO is involved in red blood cell production and is not a tumor marker for testicular cancer. CEA is primarily associated with colorectal cancer and some other malignancies, but it is not specific for testicular cancer.
D. PSA is a tumor marker associated with prostate cancer, not testicular cancer. While hCG is relevant for testicular cancer, the inclusion of PSA makes this option inappropriate for a client with testicular cancer.

A. Increase the use of humidifiers throughout the house B. Encourage stress reducing home activities such as gardening. C. Notify the primary care provider if the rectal temperature exceeds 100.2 F D. Avoid fresh vegetables that are not cooked or peeled

Correct Answer is ["C","D"]

Explanation

A. Using humidifiers can help maintain moisture in the air, which is beneficial if the client is experiencing dry mucous membranes or respiratory discomfort, especially due to chemotherapy. However, while this can be helpful, it’s not the most critical teaching point compared to other options related to infection risk or symptoms monitoring.
B. While engaging in stress-reducing activities is important for overall well-being, gardening may pose specific risks for a client with AML, particularly concerning exposure to soil and potential pathogens. Activities should be carefully considered to avoid any risks of infection or physical strain.
C. Clients with AML, especially those undergoing chemotherapy, have a higher risk of infections due to neutropenia (low white blood cell count). A fever of 100.2°F or higher can be a sign of infection and requires prompt medical evaluation. Thus, this is a crucial point for the client to understand.
D. Fresh vegetables that are not cooked or peeled can harbor bacteria and other pathogens that could pose a risk of infection, especially in immunocompromised patients. Clients undergoing chemotherapy should avoid raw foods that can increase the risk of infections.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male: 451-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-155 g/dL
Hematocrit	42%-52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 10/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%

Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male 4.51-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-15.5 g/dL
Hematocrit	42% -52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 103/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%
Platelets	150,000-450,000/mm3

In educating clients about ovarian cancer, the nurse emphasizes death rates for ovarian cancer are high because:

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Naxlex Comprehensive Predictor Exams

The nurse, caring for a client diagnosed with testicular cancer, should anticipate a medical prescription for which of the following tumor marker studies? A/An:

Correct Answer is B

Explanation

The nurse is caring for a client diagnosed with acute myelogenous leukemia (AML) who is receiving outpatient chemotherapy. What should the nurse include in the teaching plan for this client?

Correct Answer is ["C","D"]

Explanation

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The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)

In educating clients about ovarian cancer, the nurse emphasizes death rates for ovarian cancer are high because: