A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

Abnormal vaginal bleeding

Recurrent urinary tract infections

Hot flashes

Blood in the stool

Answer and Explanation

The Correct Answer is A

A.   Abnormal vaginal bleeding. Abnormal vaginal bleeding, especially postmenopausal bleeding, is the most common symptom reported by clients being evaluated for endometrial cancer.
B.   Recurrent urinary tract infections. This is not a common symptom of endometrial cancer.
C.   Hot flashes. Hot flashes are typically associated with menopause and hormone changes, not endometrial cancer.
D.   Blood in the stool. Blood in the stool is more commonly associated with gastrointestinal issues or colorectal cancer, not endometrial cancer.

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Correct Answer is D

Explanation

A. Risk for Injury related to compromised blood volume is not the most appropriate nursing diagnosis for a patient with sickle cell disease in crisis. While patients may experience anemia and blood volume loss during a crisis, the primary concern is tissue perfusion due to vascular occlusion by sickled cells.
B. Risk for Deficient Fluid Volume related to infection is not directly related to the pathophysiology of sickle cell disease or sickle cell crisis.
C. Ineffective Airway Clearance related to sickled cells may be a concern for patients with sickle cell disease, especially during acute chest syndrome, but it is not the primary nursing diagnosis for a patient admitted for sickle cell crisis.
D. Ineffective Tissue Perfusion related to vascular occlusion is the most appropriate nursing diagnosis for a patient with sickle cell disease in crisis. Sickle cell crisis involves the occlusion of blood vessels by sickled cells, leading to impaired tissue perfusion and potential organ damage.

A. Patient who has pain of "4" on a scale of 0 to 10 B. Patient with a temperature of 99° F (37.2° C) and blood pressure of 115/73 mm Hg C. Patient with a urinary catheter output of 150 mL in the last 3 hours D. Patient who has had two saturated perineal pads in the last 2 hours

Correct Answer is D

Explanation

A. Pain level of "4" on a scale of 0 to 10 indicates mild pain and may not require immediate attention compared to other potential issues.
B. Vital signs within normal range, including temperature and blood pressure, do not indicate an urgent need for assessment.
C. Urinary catheter output of 150 mL in the last 3 hours is within the expected range postoperatively and does not require immediate assessment.
D. Saturated perineal pads suggest excessive bleeding, which could indicate a potential complication such as hemorrhage. Therefore, the nurse should assess this patient first to ensure prompt intervention if necessary.

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A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

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