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 B
Explanation
The contraceptive sponge is a barrier method of contraception that is inserted into the vagina before sexual intercourse. It contains spermicide and blocks the sperm from reaching the egg. The sponge must be left in place for at least 6 hours after intercourse before it is removed. Don't leave it in for more than a total of 30 hours.
a. "You can use this at any time, even when you are menstruating" is incorrect information because the contraceptive sponge should not be used during menstruation.
c. "You need to have the sponge fited before using it" is incorrect information because the contraceptive sponge is a one-size-fits-all device and does not require fitting.
d. "Clean the with mild soap and water after using it" is also incorrect information because the contraceptive sponge is a disposable device and should be discarded after use. It should not be reused or washed.
Correct Answer is C
Explanation
After a radical mastectomy and axillary node dissection, the client may experience swelling and discomfort in the affected arm, known as lymphedema. Lifting heavy objects with the affected arm can worsen the swelling and increase the risk of developing lymphedema. Therefore, it is important for the client to avoid lifting heavy objects with the affected arm and to limit activity that could cause strain or injury to the arm. However, gentle exercise and movement of the arm can help improve circulation and reduce the risk of lymphedema. Using a sling is not typically necessary after this type of surgery, and keeping cuticles clipped neatly is not directly related to post-operative care for a mastectomy and axillary node dissection.
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