Women's - Chapter 8 - Prep U

The nurse is preparing a woman who is suspected of having endometrial cancer for diagnostic testing. Which test would the nurse most likely prepare the client for first?

ultrasound

A postmenopausal client is told at her routine gynecological exam that the primary care provider has found a cyst on her right ovary. The nurse notices that this does not cause worry for this client. What should the nurse and/or care provider tell this client?

"After menopause a mass on an ovary is not a cyst and should be considered cancerous until proven otherwise."

After teaching a local woman's community group about cervical cancer, the nurse understands that teaching has been successful when the group identifies which condition as a risk factor for cervical cancer?

genital herpes

A 28-year-old woman had a Papanicolaou test 4 weeks ago. The results of the test are classified as ASC-US as per the Bethesda System. Which therapeutic management intervention should the nurse expect the health care provider to prescribe?

Repeat the Papanicolaou test in 4 to 6 months, or refer for a colposcopy.

A nurse is assessing a woman who has a history of genital warts (HPV). The nurse understands that this increases the risk of vulvar cancer. The nurse should teach which prevention method to decrease the risk of cancer?

The woman should avoid tight undergarments.

A nurse is performing an assessment on a 30-year-old client who is trying to conceive. Past medical history includes: human papillomavirus (HPV) infection and herpes simplex virus. Vital signs: heart rate, 95 beats/min; blood pressure, 100/60 mm Hg. Laboratory values: hemoglobin 14 g/dl (140 g/l); white blood cell count, 6,000/mm3 (6.0 × 109/l).

The nurse suspects the client is at highest risk for cervical cancer as evidenced by history of human papilloma virus (HPV)

A 35-year-old client comes to the clinic reporting pelvic pain and vaginal bleeding after sexual intercourse for the past few months. The client has a history of human papillomavirus (HPV). Laboratory values: hemoglobin 9 g/dl (90 g/l) and hematocrit 30% (0.30). Vital signs: temperature, 97.2°F (36.2°C); heart rate, 105 beats/min; blood pressure, 92/55 mm Hg.

The nurse suspects the client is at highest risk for developing cervical cancer as evidenced by history of HPV and bleeding with intercourse.

A client has been referred for a colposcopy by the primary care provider. The client wants to know more about the examination. Which information regarding a colposcopy should the nurse give to the client?

The test is conducted because of abnormal results in a Papanicolaou test.

A woman is diagnosed with stage II endometrial cancer. When teaching the woman about her condition, the nurse would integrate which information about the cancer's stage?

The tumor has spread to the cervix.

A postmenopausal woman presents to the clinic with painless vaginal bleeding. The health care provider wants to assess for endometrial cancer. The nurse would anticipate the health care provider prescribing which procedure first?

a transvaginal ultrasound

A 25-year-old woman is at the health care provider's office for her annual checkup. The nurse educated the woman on risks for cervical cancer. Which question would be important to ask as part of a risk screening?

"Were you sexually active at an early age?"

An elderly woman is seen in the clinic reporting a lesion on her labia majora and states that she has experienced some bleeding and itching as well. She states that this has been going on for approximately three months. She tells the nurse that she has not been to a health care provider in over 10 years. What diagnosis would the nurse expect the primary care provider to make?

vulvar cancer

The nurse is caring for a 22-year-old client at high risk of developing cervical cancer. The client asks the nurse how to best be screened for cervical cancer. Which response by the nurse is best?

"You should consult with your health care provider on how often to have a Papanicolaou (Pap) test."

A client newly diagnosed with cervical cancer states, "I cannot believe I am going to die so young. My mother and aunt died from cervical cancer and I am next." Which response by the nurse is most appropriate?

"You sound worried. Let's talk about how you are feeling with this new diagnosis."

A nurse is conducting a teaching session with a group of adolescent females at a local women's health clinic. When describing appropriate screening guidelines for cervical cancer, at which age would the nurse would instruct the group to have their first Papanicolaou test?

21

A nurse is preparing a presentation for a health fair at a local college. The nurse is creating a poster to emphasize the need for cervical cancer screening. The nurse would list which age to begin screening?

21 years

The endometrial biopsy of a client reveals cancerous cells, and the primary health care provider has diagnosed it as endometrial cancer. Which responsibilities of the nurse are part of the treatment of the client? Select all that apply.

Make sure the client understands all the available treatment options. Offer the family explanations and emotional support throughout the treatment. Inform the client about the possible advantages of a support group.

A client is waiting for the results of an endometrial biopsy for suspected endometrial cancer. She wants to know more about endometrial cancer and asks the nurse about the available treatment options. Which treatment information should the nurse give the client?

Surgery involves removal of the uterus, fallopian tubes, and ovaries; adjuvant therapy is used if relevant.

A client presents for a routine checkup at a local health care center. One of the client's distant relatives died of ovarian cancer, and the client wants to know about measures that can reduce the risk of ovarian cancer. The nurse informs the client about which measure to reduce the risk of ovarian cancer?

maintaining a healthy weight

A nurse is conducting an in-service program for a group of oncology nurses. The nurse explains that which nursing intervention is most important when assisting clients who are diagnosed with any form of carcinoma?

offering emotional support

When working in a local community health care center, a nurse is frequently asked about cervical cancer and ways to prevent it. Which information should the nurse provide? Select all that apply.

Encourage cessation of smoking and drinking. Encourage prevention of sexually transmitted infections (STIs) to reduce risk factors. Counsel teenagers to avoid early sexual activity.

The nurse is caring for a woman who has dysplasia (disordered growth of abnormal cells). The nurse educates her on dysplasia progression that is high-grade. Which information is important for the nurse to include?

High-grade dysplasia progresses to invasive cervical cancer in about 2 years.

An experienced nurse has just read that women have a one-in-three lifetime risk of developing cancer and becomes concerned that she has provided enough education. What should this nurse do to help prevent deaths from cancer? Select all that apply.

Provide education to all women. Focus on screening. Tell women about early symptoms.

A nurse working in the Family Birthing Center is answering the nurse hotline phone. A client calls in to schedule her annual Papanicolaou test. How could the nurse best educate the client before her procedure to make sure the results are not affected?

Refrain from sexual intercourse 48 hours before testing to ensure clear results.

A nurse is reviewing the history, physical exam, and diagnostic test findings for a woman diagnosed with endometrial cancer. The findings reveal that the cancer has spread to the cervix and other parts of the uterus and to nearby lymph nodes. The nurse interprets these findings as suggestive of which stage?

Stage III

A nurse is reading a journal article about female reproductive cancers. Which malignancy would the nurse expect to be described as a "silent killer"?

ovarian cancer

A 47-year-old woman was just diagnosed with a cancer of her reproductive tract. The public health nurse is aiding in counseling. Which nursing interventions would be supportive in counseling this woman? Select all that apply.

Use sincere, basic communication techniques. Validate the client's feelings and provide realistic hope. Give postoperative care and instructions when prescribed.

A nursing student is studying gynecological cancers and is excited when she reads that birth control pills can have a positive effect on preventing which disease?

ovarian cancer

A nurse will be speaking at a local high school about women's health. The nurse is planning to talk about sexually transmitted infections (STIs) as well as routine checks, along with guidelines for Papanicolaou testing. What should the nurse include in the Papanicolaou test guidelines about when to have a first test?

at the age of 21 or within 3 years of first sexual intercourse

The nurse is preparing a presentation about cervical cancer for a local women's group. Which risk factor(s) for the development of cervical cancer will the nurse include? Select all that apply.

being sexually active at a young age birthing 3 or more full-term newborns previous infection with human papillomavirus (HPV) having a sexual partner who has multiple sexual partners long-term prednisone use

A 30-year-old client asks the nurse about risk factors for ovarian cancer. Which risk factor should be included in client education?

infertility

While obtaining the history, a client reports that her mother was treated with diethylstilbestrol (DES) during her pregnancy. The nurse determines that this client is at risk for which cancer?

cervical

A nurse is caring for a 30-year-old woman who was just diagnosed with cervical cancer. Which psychosocial need would be the priority for the nurse with her client?

clear information on the disease, management, and treatment

A 25-year-old client has been informed that the recent Papanicolaou (Pap) test results are abnormal. The nurse will plan to prepare the client for which procedure?

colposcopy

A nurse prepares a client with an abnormal Papanicolaou test result for further diagnostic evaluation. Which procedure would the nurse expect to be done?

colposcopy

A 67-year-old client comes into the clinic and reports to the nurse that they have started their periods again after 15 years of menopause. After discussing the situation with the client, the nurse recognizes that their symptoms are suspicious for:

endometrial cancer.

Which symptom is an early symptom of vulvar cancer?

pruritus with genital burning