A nurse is assessing a patient with gynecologic cancers.
Select all the factors that are potential risk factors for uterine cancer.
Obesity.
Diabetes.
Smoking.
Family history of ovarian cancer.
Hormone replacement therapy.
Correct Answer : A,B,E
Choice A rationale:
Obesity is a potential risk factor for uterine cancer.
Excess body fat can lead to increased levels of estrogen, which can promote the growth of uterine cancer cells.
Maintaining a healthy weight is important in reducing the risk of uterine cancer.
Choice B rationale:
Diabetes is also a potential risk factor for uterine cancer.
High levels of insulin in people with diabetes may increase the risk of uterine cancer.
Proper management of diabetes is important in reducing this risk.
Choice C rationale:
Smoking is not a risk factor for uterine cancer.
Uterine cancer is primarily associated with hormonal imbalances and obesity, but smoking is not considered a significant risk factor for this type of cancer.
Choice D rationale:
Family history of ovarian cancer is not a risk factor for uterine cancer.
These two types of cancer have different risk factors and mechanisms.
Uterine cancer is more closely associated with hormonal factors and obesity.
Choice E rationale:
Hormone replacement therapy (HRT) is a potential risk factor for uterine cancer, specifically in women who have not had their uterus removed (i.e., those with an intact uterus).
HRT with estrogen alone can increase the risk of uterine cancer, but when combined with progesterone in women with an intact uterus, the risk is lower.
It's important for healthcare providers to discuss the risks and benefits of HRT with their patients, taking into account individual factors such as menopausal symptoms and medical history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Telling the patient that they don't need the prescribed medications and suggesting they manage their symptoms without them is not an appropriate nursing intervention.
The prescribed medications are likely necessary for symptom management, and it's important to discuss their benefits and risks with the patient.
Choice C rationale:
Advising the patient to take all the medications at once in the morning for convenience is not safe or appropriate.
The dosing schedule for medications should be determined by the healthcare provider based on the specific medications and the patient's needs.
It's important to follow the prescribed dosing instructions.
Choice D rationale:
Promising to administer the medications whenever the nurse remembers during their shift is not a responsible approach to medication administration.
Medications should be given on time and according to the prescribed schedule to ensure their effectiveness and safety.
Choice B rationale:
"Let's discuss the prescribed medications and their potential side effects" is the appropriate nursing intervention.
When a patient is prescribed medications, it is important to engage in a conversation with the patient about the purpose of the medications, how they should be taken, potential side effects, and any concerns the patient may have.
This allows the patient to make informed decisions about their treatment and ensures safe medication management.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Smoking cessation is an important preventive strategy for gynecologic cancers.
Smoking is a risk factor for cervical and ovarian cancers.
Cessation of smoking reduces the risk of developing these cancers.
Nicotine and other chemicals in tobacco can damage DNA and lead to the development of cancerous cells.
Choice D rationale:
Practicing safe sex is crucial in preventing certain gynecologic cancers, especially cervical cancer.
Human papillomavirus (HPV) is a sexually transmitted infection that can lead to cervical cancer.
Using condoms and practicing safe sex can reduce the risk of HPV infection, thus reducing the risk of cervical cancer.
Choice E rationale:
Maintaining a healthy weight is another important preventive strategy for gynecologic cancers, particularly endometrial cancer.
Obesity is a risk factor for endometrial cancer because excess body fat can increase estrogen levels, which can promote the development of cancerous cells in the endometrium.
Maintaining a healthy weight through diet and exercise can help reduce the risk of endometrial cancer.
Now, let's explain why Choices B and C are not correct:
Choice B rationale:
Eating a high-fat diet is not a recommended prevention strategy for gynecologic cancers.
In fact, a high-fat diet is associated with an increased risk of certain cancers, including breast and ovarian cancer.
Encouraging a high-fat diet would be counterproductive to cancer prevention efforts.
Choice C rationale:
Avoiding regular screenings is not a recommended strategy for preventing gynecologic cancers.
Regular screenings, such as Pap smears and mammograms, are essential for early detection and timely treatment of gynecologic cancers.
Avoiding these screenings can increase the risk of cancer going undetected until it reaches an advanced stage.
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