Nokea
A 45-year-old woman has just undergone a radical hysterectomy for invasive cervical cancer. Prior to the surgery the physician explained to the patient that after the surgery a source of radiation would be placed near the tumor site to aid in reducing recurrence. What is the placement of the source of radiation called?
- A. Internal beam radiation
- B. Trachelectomy
- C. Brachytherapy
- D. External radiation
Correct Answer: C
Rationale: Brachytherapy involves placing a radiation source near the tumor to reduce recurrence. Internal beam radiation is not a standard term, and trachelectomy is a surgical procedure.
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The nurse is caring for a patient who has just been told that her ovarian cancer is terminal and that no curative options remain. What would be the priority nursing care for this patient at this time?
- A. Provide emotional support to the patient and her family.
- B. Implement distraction and relaxation techniques.
- C. Offer to inform the patients family of this diagnosis.
- D. Teach the patient about the importance of maintaining a positive attitude.
Correct Answer: A
Rationale: Emotional support is critical for a patient with a terminal diagnosis to help cope with the prognosis. Informing the family is not the nurses role unless requested. Distraction and positive attitude focus may be inappropriate at this stage.
A patient is being discharged home after a hysterectomy. When providing discharge education for this patient, the nurse has cautioned the patient against sitting for long periods. This advice addresses the patients risk of what surgical complication?
- A. Pudendal nerve damage
- B. Fatigue
- C. Venous thromboembolism
- D. Hemorrhage
Correct Answer: C
Rationale: Prolonged sitting after a hysterectomy increases the risk of venous thromboembolism due to blood pooling in the pelvis. It does not directly cause nerve damage, fatigue, or fatigue.
A nurse providing prenatal care to a pregnant woman is addressing measures to reduce her postpartum risk of cystocele, rectocele, and uterine prolapse. What action should the nurse recommend?
- A. Maintenance of good perineal hygiene.
- B. Prevention of constipation.
- C. Increased fluid intake for 2 weeks postpartum.
- D. Performance of pelvic muscle exercises.
Correct Answer: D
Rationale: Kegel exercises strengthen pelvic muscles, reducing the risk of cystocele, rectocele, and uterine prolapse. Hygiene, constipation prevention, and fluid intake do not directly address pelvic muscle strength.
A patient with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the patients health history. What clinical manifestation would the nurse expect to assess?
- A. Fish-like vaginal odor
- B. Increased abdominal girth
- C. Fever and chills
- D. Lower abdominal pelvic pain
Correct Answer: B
Rationale: Clinical manifestations of ovarian cancer include enlargement of the abdomen from an accumulation of fluid. Flatulence and feeling full after a light meal are significant symptoms. A fish-like odor is associated with bacterial vaginosis. Fever, chills, and abdominal pelvic pain are less typical of ovarian cancer.
A nurse practitioner is examining a patient who presented at the free clinic with vulvar pruritus. For which assessment finding would the practitioner look that may indicate the patient has an infection caused by Candida albicans?
- A. Cottage cheese-like discharge
- B. Yellow-green discharge
- C. Gray-white discharge
- D. Watery discharge with a fishy odor
Correct Answer: A
Rationale: Candida albicans infection is characterized by itching and a scant white, cottage cheese-like discharge. Yellow-green discharge indicates Trichomonas vaginalis. Gray-white discharge and a fishy odor are signs of Gardnerella vaginalis.