A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?
Extreme abdominal pain with intercourse
Postmenopausal bleeding
Decreased white blood cell count
Bilateral swelling on the posterior of the vulva
The Correct Answer is B
A. Extreme abdominal pain with intercourse: This is less specific for endometrial cancer and more indicative of conditions such as pelvic inflammatory disease or endometriosis.
B. Postmenopausal bleeding: This is correct. Postmenopausal bleeding is a common symptom of endometrial cancer and warrants further evaluation.
C. Decreased white blood cell count: This is incorrect. Endometrial cancer does not typically present with a decreased white blood cell count; it may present with normal or elevated levels depending on the stage and presence of infection.
D. Bilateral swelling on the posterior of the vulva: This is incorrect. Swelling of the vulva is not characteristic of endometrial cancer but may be associated with other gynecological issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["675"]
Explanation
To calculate the appropriate dose of vancomycin, follow these steps:
- Convert pounds to kilograms:
- 198 lb (1 kg / 2.2 lb) = 90 kg
- Calculate the total daily dose:
- 15 mg/kg/day 90 kg = 1350 mg/day
- Determine the dose per administration:
- 1350 mg/day / 2 doses/day = 675 mg/dose
Correct Answer is C
Explanation
A. A 28-year-old client who has a history of pelvic inflammatory disease: This is incorrect. While a history of pelvic inflammatory disease does not necessarily contraindicate oral contraceptive use, it should be assessed for any other potential complications or contraindications.
B. A 26-year-old client who is mobile post appendectomy: This is incorrect. Recent surgery, such as an appendectomy, is not a contraindication for oral contraceptives, provided the client is otherwise healthy.
C. A 38-year-old client who reports smoking one pack of cigarettes every day: This is correct. Smoking, especially in women over 35, is a contraindication for oral contraceptives due to the increased risk of cardiovascular events such as thrombosis.
D. A 32-year-old client who has fibrocystic breast disease: This is incorrect. Fibrocystic breast disease does not contraindicate the use of oral contraceptives.
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