Chapter 8

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method? irradiating burning cutting freezing

freezing

A client is scheduled to have a Papanicolaou test. After the nurse teaches the client about the Pap test, which statement by the client indicates successful teaching? "I will get a clean urine specimen when I first wake up the morning of the test." "I will not engage in sexual intercourse for 48 hours before the test." "I need to douche the night before with a mild vinegar solution." "I will take a bath first thing that morning to make sure I'm clean."

"I will not engage in sexual intercourse for 48 hours before the test."

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 the use of an intrauterine device (IUD) for contraception. Avoid stress and high blood pressure. Encourage cessation of smoking and drinking. Counsel teenagers to avoid early sexual activity. Encourage prevention of sexually-transmitted infections (STIs) to reduce risk factors.

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

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. Tell women about early symptoms There is nothing she can do Focus on screening Tell the primary care providers to do a better job Provide education to all women

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

A nurse is educating a 25-year-old client with a family history of cervical cancer. Which test should the nurse inform the client about to detect cervical cancer at an early stage? CA-125 blood test blood tests for mutations in the BRCA genes transvaginal ultrasound Papanicolaou test

Papanicolaou test

A client presents for a routine check-up 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? Provide genetic counseling and thorough assessment. Instruct the client to avoid use of oral contraceptives. Instruct the client to use perineal talc or hygiene sprays. Instruct the client to avoid breastfeeding.

Provide genetic counseling and thorough assessment.

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. Surgery involves removal of the uterus only. In advanced cancers, radiation and chemotherapy are used instead of surgery. Follow-up care after the relevant treatment should last for at least 6 months after the treatment.

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

female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which definition? The malignancy involves the uterine body and cervix. The malignancy is localized. Cancer is confined to the body of the uterus. Cancer extends outside the uterus.

The malignancy is localized.

A young woman has been referred for a colposcopy by the health care provider. The nurse is educating the woman on the procedure. Which information about the colposcopy should the nurse provide? The results of the Papanicolaou test were abnormal; therefore, this procedure must be done. The procedure may be painful. There may be some pain while urinating for up to 1 week after the test. Sexual intercourse should be avoided for 2 weeks.

The results of the Papanicolaou test were abnormal; therefore, this procedure must be done.

A nurse is reviewing the symptoms of ovarian cancer with a recently diagnosed 60-year-old woman. Which are common symptoms of ovarian cancer? Select all that apply. abdominal pressure abdominal fullness decrease in urination back pain

abdominal fullness back pain abdominal pressure

The nurse is teaching the community about ovarian cancer and early detection. Which diagnostic test would the nurse recommend for early detection? bimanual annual pelvic exam x-ray of the pelvic area Papanicolaou test serum CA-125

bimanual annual pelvic exam

A nurse is conducting an in-service program about different female reproductive tract cancers. The nurse explains that which reproductive cancer is largely attributable to human papillomavirus (HPV)? endometrial vulvar cervical ovarian

cervical

When assessing a woman, the nurse would suspect cervical cancer because of which findings? Select all that apply. dysuria pain with vaginal examination vaginal bleeding after sexual intercourse malodorous vaginal discharge postmenopausal bright red bleeding

malodorous vaginal discharge dysuria vaginal bleeding after sexual intercourse

A middle-aged woman comes to the women's health clinic for a routine check-up. During the visit, the woman asks the nurse, "I've had a dear friend who was just diagnosed with ovarian cancer. Is there any way to screen for this disease?" Which response by the nurse would be most accurate? "Just keep up with having your Papanicolaou tests and that should be enough to allow for early detection." "Unfortunately, there is not any specific test that can be used to screen for this type of cancer." "You can be tested for a marker that if elevated will tell you have ovarian cancer." "You can have a blood test to check for a genetic mutation that will tell if you will get it."

"Unfortunately, there is not any specific test that can be used to screen for this type of cancer."

A nurse is conducting a class for a local woman's group about recommendations for a Papanicolaou test. One of the participants asks, "At what age should a woman have her first test?" The nurse responds by stating that a woman should have her first Papanicolaou test at which age? 25 18 28 21

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? 30 years 18 years 25 years 21 years

21 years

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 16 2 years after first sexual intercourse at the age of 18 or within 2 years of first sexual intercourse at the age of 21 or within 3 years of first sexual intercourse

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

A nurse is preparing a presentation for a group of women who are of age to have children about the risk for cancer during pregnancy. When describing the risk, which cancer would the nurse most likely include as being the most common cancer occurring during pregnancy? melanoma breast cervical

breast

A nurse is caring for a woman who has just been diagnosed with cervical carcinoma in situ. The nurse should prepare the women for which treatment? internal and external radiation therapy cervical conization with follow-up Papanicolaou test and colposcopy hysterectomy uterine artery embolization (UAE)

cervical conization with follow-up Papanicolaou test and colposcopy

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? offering words of hope to the client remaining cheerful through all of the interactions clear information on the disease, management, and treatment touching the client's hand for comfort

clear information on the disease, management, and treatment

A nurse prepares a woman with an abnormal Papanicolaou test result for further diagnostic evaluation. Which procedure would the nurse expect to be done? colposcopy endometrial biopsy transvaginal ultrasound herpes simplex virus (HSV) testing

colposcopy

A woman comes to the clinic for a routine checkup. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus? Epstein-Barr virus cytomegalovirus hepatitis human papillomavirus

human papillomavirus

The nursing student correctly identifies which procedure as the treatment of choice for endometrial cancer? salpingo-oophorectomy hysterectomy hysterectomy and salpingo-oophorectomy dilation and curettage (D&C)

hysterectomy and salpingo-oophorectomy

A nurse is preparing a presentation about cervical cancer for a local woman's group. Which risk factor for the development of cervical cancer would the nurse include? never having been pregnant having a single sexual partner infection with human papillomavirus (HPV) sexual activity beginning at a later age

infection with human papillomavirus (HPV)

A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the nurse suspects endometrial cancer. Which information would lead the nurse to this suspicion? use of intrauterine device for 3 years menopause occurring at age 46 use of oral contraceptives between ages 18 and 25 onset of painless, bright red postmenopausal bleeding

onset of painless, bright red postmenopausal bleeding

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 vaginal cancer endometrial cancer cervical cancer

ovarian cancer

A client has an abnormal Papanicolaou test result that is classified as ASC-US. Based on the nurse's understanding of this classification, the nurse would expect which procedure? testing for human papillomavirus (HPV) cone biopsy repeat Papanicolaou test in 4 to 6 months immediate colposcopy

repeat Papanicolaou test in 4 to 6 months

A nurse is working as part of a group of health care providers implementing a community health initiative for primary prevention of cervical cancer. The nurse would focus educational efforts on which areas? Select all that apply. early treatment for abnormal Papanicolaou test steps to prevent sexually transmitted infections (STIs) consistent use of barrier contraceptives pelvic rest after surgery immunization with the human papillomavirus (HPV) vaccine

steps to prevent sexually transmitted infections (STIs) consistent use of barrier contraceptives immunization with the human papillomavirus (HPV) vaccine

When reviewing the history of a woman diagnosed with endometrial cancer, the nurse would identify which factor as increasing the woman's risk? menopause at age 47 years use of tamoxifen vaginal birth of 4 children menarche at age 14 years

use of tamoxifen