Nokea
A 25-year-old patient diagnosed with invasive cervical cancer expresses a desire to have children. What procedure might the physician offer as treatment?
- A. Radical hysterectomy
- B. Radical culposcopy
- C. Radical trabeculectomy
- D. Radical trachelectomy
Correct Answer: D
Rationale: Radical trachelectomy preserves the uterus for potential pregnancy in young women with cervical cancer. Hysterectomy removes the uterus, and culposcopy/trabeculectomy are not relevant.
You may also like to solve these questions
A student nurse is caring for a patient who has undergone a wide excision of the vulva. The student should know that what action is contraindicated in the immediate postoperative period?
- A. Placing patient in low Fowlers position
- B. Application of compression stockings
- C. Ambulation to a chair
- D. Provision of a low-residue diet
Correct Answer: C
Rationale: Sitting in a chair would place too much tension on the incision site and is contraindicated immediately post-surgery. Low Fowlers position reduces tension on the incision. Compression stockings prevent deep vein thrombosis, and a low-residue diet prevents straining during defecation.
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea who has presented at the clinic. The student should include which of the following in the care plan for this patient?
- A. The patient may benefit from oral contraceptives.
- B. The patient must avoid use of tampons.
- C. The patient is susceptible to urinary incontinence.
- D. The patient should also be treated for chlamydia.
Correct Answer: D
Rationale: Because of the high incidence of coinfection with chlamydia and gonorrhea, the patient should also be treated for chlamydia. Avoiding the use of tampons is part of the self-care management of a patient with possible toxic shock syndrome (TSS). The patient is not susceptible to incontinence and there is no indication for the use of oral contraceptives.
A nurse is caring for a pregnant patient with active herpes. The teaching plan for this patient should include which of the following?
- A. Babies delivered vaginally may become infected with the virus.
- B. Recommended treatment is excision of the herpes lesions.
- C. Pain generally does not occur with a herpes outbreak during pregnancy.
- D. Pregnancy may exacerbate the mothers symptoms, but poses no risk to the infant.
Correct Answer: A
Rationale: In pregnant women with active herpes, babies delivered vaginally may become infected with the virus, posing a risk for fetal morbidity and mortality. Lesions are not controlled with excision. Itching and pain often accompany outbreaks. Pregnancy can exacerbate symptoms and poses risks to the infant if the virus is active during delivery.
A 27-year-old female patient is diagnosed with invasive cervical cancer and is told she needs to have a hysterectomy. One of the nursing diagnoses for this patient is disturbed body image related to perception of femininity. What intervention would be most appropriate for this patient?
- A. Reassure the patient that she will still be able to have children.
- B. Reassure the patient that she does not have to have sex to be feminine.
- C. Reassure the patient that you know how she is feeling and that you feel her anxiety and pain.
- D. Reassure the patient that she will still be able to have intercourse with sexual satisfaction and orgasm.
Correct Answer: D
Rationale: Reassuring the patient that sexual intercourse is possible post-hysterectomy with satisfaction and orgasm addresses body image concerns related to femininity. The patient cannot have children after hysterectomy, and assuming her feelings is inappropriate.
A patient diagnosed with cervical cancer will soon begin round of radiation therapy. When planning the patient's subsequent care plan, the nurse should prioritize actions with what goal?
- A. Preventing hemorrhage from bleeding
- B. Ensuring the patient knows the treatment is palliative, not curative
- C. Protecting the safety of patient, family, and staff
- D. Ensuring that patient adheres to dietary restrictions during treatment
Correct Answer: C
Rationale: Safety during radiation therapy is critical to protect patients, family, and staff from exposure. Hemorrhage is not a common risk, and the treatment may be curative. Dietary restrictions are not typically required.