The nurse is teaching a client with endometriosis. What should the nurse include in the teaching?
She has developed an infection in the lining of her uterus,
Tissue from the lining of the uterus has implanted in areas outside the uterus.
The lining of the uterus is too thin because endometrial tissue has implanted outside the uterus.
The of the uterus is thicker than usual. causing heavy bleeding and cramping
The Correct Answer is B
Endometriosis is a condition in which tissue like the lining of the uterus grows outside of the uterus, often on the ovaries, fallopian tubes, or other organs in the pelvic area. This tissue can cause pain, inflammation, and in some cases, fertility problems.
The other options are incorrect. Option A describes endometritis, which is an infection of the lining of the uterus. Option c suggests that endometriosis causes the lining of the uterus to be too thin, which is not accurate. Option d describes adenomyosis, which is a separate condition in which the lining of the uterus grows into the muscular wall of the uterus, causing thickening and pain.
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Correct Answer is D
Explanation
Lower abdominal pelvic pain is a common clinical manifestation of ovarian cancer. Ovarian cancer may not cause any noticeable symptoms in its early stages, but as the cancer grows and spreads, symptoms may develop. Pelvic pain or pressure is a common symptom, along with bloating, difficulty eating or feeling full quickly, and urinary urgency or frequency. Other symptoms may include fatigue, indigestion, back pain, constipation, and menstrual irregularities. A fish-like odor (a symptom of bacterial vaginosis) increased abdominal girth,
fever and chills, and leukocytosis are not typically associated with ovarian cancer. However, leukocytosis (an elevated white blood cell count) may be present in response to inflammation or infection. It is important for the nurse to assess the client's symptoms thoroughly and report any concerning findings to the healthcare provider.
Correct Answer is A
Explanation
Stage IV ovarian cancer is an advanced stage, and it is unlikely that the cancer can be cured. While treatment may help manage the symptoms and slow down the progression of the disease, it is essential to have realistic expectations and understand the limitations of treatment options.
Option b, "My type of cancer has spread to other tissues" is a correct understanding of the situation and indicates the client has understood their diagnosis.
Option c, "I have chemotherapy after my hysterectomy" is an accurate statement about treatment and indicates the client has understood the plan of care.
Option d, "I may need to talk with my family about hospice" is also an appropriate statement, as clients with stage IV ovarian cancer may need to consider end-of-life care and hospice services
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