The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. What would be the most appropriate response by the nurse?

“A Pap smear is almost always helpful in identifying this type of cancer.”.

“There’s a blood test for a marker, CA-125, that if elevated indicates cancer.”.

“A genetic test for two genes, if positive, will identify the ovarian cancer.”.

“Currently there is no reliable screening test for ovarian cancer.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale
A Pap smear is not helpful in identifying ovarian cancer. It is used to detect cervical cancer, not ovarian cancer.
Choice B rationale
While the CA-125 blood test can indicate the presence of ovarian cancer if the levels are elevated, it is not a reliable screening test. This is because high levels of CA-125 can also be caused by common conditions such as endometriosis and pelvic inflammatory disease.
Choice C rationale
Genetic testing for two genes (BRCA1 and BRCA2) can identify an increased risk for developing ovarian cancer, but it does not diagnose the disease itself.
Choice D rationale
Currently, there is no reliable screening test for ovarian cancer. The most effective strategies for early detection are being aware of the symptoms and maintaining regular check-ups with your healthcare provider.

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Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), but it is not the priority finding. Pregnancy is one of the common causes of AUB in reproductive-age women, but the user’s question is about prioritizing findings, and other choices are more critical to assess the patient’s condition.
Choice B rationale
Hemoglobin and hematocrit levels are crucial in assessing the severity of AUB. Chronic heavy or prolonged uterine bleeding may cause iron deficiency anemia. Therefore, these tests are prioritized to determine the patient’s blood volume and to plan appropriate interventions.
Choice C rationale
While an elevated white blood cell count could indicate an infection, which can also cause AUB, it is not the priority in this case. Infections are less common causes of AUB, and the symptoms would likely include pain, fever, or abnormal discharge.
Choice D rationale
Serum cholesterol levels are not directly related to AUB. While it’s important to monitor cholesterol levels for overall health and cardiovascular risk management, it’s not a priority in the assessment of AUB12.

A. This device will prevent me from contracting a sexually transmitted infection. B. I will need to check the string attached to the device every month. C. I will need to have the intrauterine device inserted a week after my menstrual period. D. I will need to have the intrauterine device fitted and replaced annually.

Correct Answer is B

Explanation

Choice A rationale
While the intrauterine device (IUD) is a highly effective form of birth control, it does not protect against sexually transmitted infections.
Choice B rationale
Checking the string of the IUD every month is a good practice to ensure that the device is still in place. This is an indication that the patient understands how to monitor the IUD correctly. Choice C rationale
The timing of IUD insertion can vary and does not necessarily need to be a week after the menstrual period. This statement does not accurately reflect understanding of the use of the IUD67.
Choice D rationale
Depending on the type of IUD, it may need to be replaced every 3-10 years, not annually. This statement does not accurately reflect understanding of the use of the IUD67.

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The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. What would be the most appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

Correct Answer is B

Explanation

The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the patient reports that she has eliminated which item from her lifestyle?

The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. What would be the most appropriate response by the nurse?

What symptom would a nurse anticipate in a patient diagnosed with bacterial vaginosis?

After instructing a woman on how to conduct a breast self-examination, which statement would suggest that the nurse’s instructions were effective?

A woman at low risk and with no family history of breast cancer comes to the clinic and asks the nurse about when she should have her first mammogram. According to the recommendations of the American Cancer Society, at what age should the woman have her first mammogram?

A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis. When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?