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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A cervical cap is a small, thimble-shaped cup made of silicone that fits over the cervix to prevent sperm from reaching an egg. It must be fitted by a healthcare provider and requires a prescription.
Choice B rationale
The cervical sponge is a type of birth control that does not require a prescription. It is a small, donut-shaped device made of soft plastic foam that is inserted into the vagina before sex.
Choice C rationale
Condoms are a type of birth control that do not require a prescription. They are a barrier method that prevents sperm from reaching an egg.
Choice D rationale
Spermicide is a type of birth control that does not require a prescription. It is a chemical that kills sperm and is often used with other birth control methods to increase effectiveness.
Correct Answer is B
Explanation
Choice A rationale
Prolongation of the luteal phase is not the primary action of Pergonal (Menotropins). The luteal phase is part of the menstrual cycle, and while hormones do regulate it, Pergonal’s primary function is not to extend this phase.
Choice B rationale
Pergonal (Menotropins) is used to stimulate ovulation. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for ovulation. FSH stimulates the growth and maturation of ovarian follicles, and LH triggers ovulation and the development of the corpus luteum.
Choice C rationale
Suppression of menstruation is not an expected action of Pergonal. This medication is used to promote ovulation, not to stop menstrual periods.
Choice D rationale
While hormonal changes during the menstrual cycle can affect cervical mucus production, the primary action of Pergonal is not to promote cervical mucus production. Its main role is to stimulate ovulation.
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