A nurse is reviewing treatment options for gynecologic cancers with a patient.
Which surgical procedure is commonly performed in the treatment of cervical cancer?
Cone biopsy.
Total hysterectomy.
Bilateral salpingo-oophorectomy.
Debulking surgery.
The Correct Answer is B
Choice A rationale:
Cone biopsy is not a commonly performed surgical procedure in the primary treatment of cervical cancer.
It is typically used for diagnostic purposes or for treating precancerous lesions of the cervix.
In a cone biopsy, a cone-shaped piece of tissue is removed from the cervix for examination.
Choice C rationale:
Bilateral salpingo-oophorectomy involves the removal of both fallopian tubes and ovaries.
While this procedure may be performed in some cases of gynecologic cancer, it is not commonly the primary surgical treatment for cervical cancer.
Choice D rationale:
Debulking surgery is a procedure performed to remove as much of a tumor as possible in cases where the cancer has spread and cannot be completely removed.
It is more commonly associated with ovarian cancer or advanced stages of other gynecologic cancers, not cervical cancer.
Choice B rationale:
A total hysterectomy is a commonly performed surgical procedure in the treatment of cervical cancer.
In this procedure, the entire uterus, including the cervix, is removed.
Sometimes, nearby lymph nodes may also be removed during the surgery if there is evidence of lymph node involvement.
This surgery is done to remove the cancerous tissue and prevent the spread of the disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
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.
Correct Answer is C
Explanation
Choice A rationale:
Age is indeed a significant risk factor for ovarian cancer.
Ovarian cancer risk increases with age, with the majority of cases occurring in women over the age of 50.
Younger women can still develop ovarian cancer, but age is a significant factor.
Choice B rationale:
Infertility is not a primary cause of ovarian cancer.
While there may be some associations between infertility treatments and ovarian cancer, it is not considered a primary cause.
The exact cause of ovarian cancer is not well understood but may involve genetic mutations, hormonal factors, and inflammation.
Choice C rationale:
BRCA gene mutations can increase the risk of ovarian cancer.
Women with BRCA1 or BRCA2 gene mutations have a significantly higher risk of developing ovarian cancer compared to those without these mutations.
This understanding indicates that the client has correctly grasped this risk factor.
Choice D rationale:
Ovarian cancer is not primarily caused by hormonal imbalances.
While hormones may play a role in the development of ovarian cancer, they are not considered the primary cause.
Genetic factors, such as BRCA mutations, are more significant contributors to ovarian cancer risk.
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