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 ["C","D"]

Explanation

A. The patient experiences a decrease in hemoglobin S. Hydroxyurea does not decrease hemoglobin S levels directly; it works by increasing fetal hemoglobin (Hgb F) levels.
B. The patient experiences dehydration due to diuresis. This is not an indication that Hydroxyurea is working; it is a potential side effect that should be monitored.
C. The patient experiences an increase in fetal hemoglobin (Hbg F). Hydroxyurea works by increasing the levels of fetal hemoglobin, which reduces the sickling of red blood cells.
D. The patient needs fewer blood transfusions. Successful treatment with Hydroxyurea should reduce the frequency of vaso-occlusive crises and the need for blood transfusions.
E. The patient experiences diuresis. This is not an indicator of the medication's effectiveness; it is a potential side effect.

A. Urinary hesitancy and frequency B. Vaginal bleeding C. Vesicles and lesions on the labia D. Vaginal drainage with a fishy odor

Correct Answer is C

Explanation

A. Urinary hesitancy and frequency can occur with genital herpes due to the pain and discomfort of the lesions, but these are not the primary manifestations.
B. Vaginal bleeding is not a typical symptom of genital herpes.
C. Vesicles and lesions on the labia are characteristic symptoms of genital herpes, appearing as painful blisters that eventually ulcerate.
D. Vaginal drainage with a fishy odor is typically associated with bacterial vaginosis, not genital herpes.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["C","D"]

Explanation

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Correct Answer is C

Explanation

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