A client with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the clients health history. Which clinical manifestation should the nurse look out for?
Fish like odor
Increased abdominal girth.
Fever and chills.
Lower abdominal pelvic pain
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This statement shows that the client understands the potential side effects of the treatment and knows to report any unusual symptoms to their healthcare provider. This is important because brachytherapy can cause vaginal bleeding, fever, or abdominal pain, which may be signs of infection or other complications.
Option a is partially correct, as it is important for clients undergoing active brachytherapy to restrict activity and avoid vigorous movements to prevent the dislodgement of radiation sources. However, this statement alone does not indicate that the client understands the potential complications or knows when to report them to the healthcare provider.
Option b is not directly related to the client's treatment or potential complications and does not indicate an understanding of the precautions and potential complications associated with active brachytherapy.
Option d is not necessarily required, as the client may not need to be in a private room during active brachytherapy. This option does not directly relate to the precautions or potential complications of the treatment.
Correct Answer is C
Explanation
The breast cancer stage and grade are critical factors in determining the appropriate treatment plan. The stage describes the extent of the cancer, including how large it is and whether it has spread to nearby lymph nodes or other parts of the body. The cancer grade provides information about how abnormal the cancer cells look under a microscope, which can help predict how fast the cancer is likely to grow and spread.
While CBC results (option a) and vital signs (option b) may provide some information about the client's overall health, they are not the most important factors in determining breast cancer treatment. Similarly, while the family's wishes for treatment (option d) are important to consider, they should not be the sole determining factor in deciding the best course of action for the client's cancer treatment.
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