The nurse is caring for a premenopausal client scheduled for a bilateral oophorectomy. Which education will the nurse provide the client regarding this procedure?
"An oophorectomy will prevent you from having breast cancer in the future."
"You will need to continue using a contraceptive if you do not desire pregnancy."
"You will need to have your hormone level tested monthly for 6 months following surgery."
"This procedure will greatly reduce your estrogen and progesterone levels."
The Correct Answer is D
A. "An oophorectomy will prevent you from having breast cancer in the future.": While removing the ovaries reduces estrogen production and may slightly lower the risk of hormone-dependent cancers, it does not eliminate the possibility of developing breast cancer.
B. "You will need to continue using a contraceptive if you do not desire pregnancy.": After bilateral oophorectomy, both ovaries are removed, halting ovulation permanently and making pregnancy impossible. Therefore, contraception is no longer necessary.
C. "You will need to have your hormone level tested monthly for 6 months following surgery.": Routine monthly hormone testing is not required after oophorectomy. Hormonal changes are expected, and management is typically guided by symptoms rather than frequent laboratory monitoring.
D. "This procedure will greatly reduce your estrogen and progesterone levels.": The ovaries are the primary source of estrogen and progesterone production. Their removal leads to a sudden decline in these hormones, resulting in surgical menopause and symptoms such as hot flashes, vaginal dryness, and mood changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pap test: A Pap test screens for cervical cancer by detecting abnormal cervical cells. It cannot diagnose endometriosis because the condition involves endometrial tissue growing outside the uterus, not within the cervix.
B. Abdominal ultrasound: While an ultrasound can help identify ovarian cysts or endometriomas, it cannot definitively confirm endometriosis. Ultrasound imaging may miss small or deep lesions that are only visible during direct visualization.
C. Laparoscopy: Laparoscopy is the gold standard for diagnosing endometriosis. It allows direct visualization of endometrial implants and adhesions in the pelvic cavity, and tissue samples can be taken for biopsy to confirm the diagnosis.
D. Hysterosalpingogram: This imaging test evaluates the shape of the uterine cavity and patency of the fallopian tubes using contrast dye. It is primarily used in infertility assessments, not for diagnosing endometriosis.
Correct Answer is A
Explanation
A. Genital warts: Genital warts are caused by the human papillomavirus (HPV), particularly types 16 and 18, which are strongly associated with the development of cervical cancer. Persistent HPV infection leads to cellular changes in the cervix, making regular Pap smears and HPV vaccination essential preventive measures.
B. Genital herpes: Herpes simplex virus type 2 (HSV-2) causes painful vesicular lesions but is not linked to cervical cancer. Although recurrent herpes infections can cause discomfort and emotional distress, they do not cause malignant transformation of cervical cells.
C. Syphilis: Caused by Treponema pallidum, syphilis can lead to systemic complications affecting multiple organs if untreated. However, it is not associated with cervical cancer risk, as it does not cause persistent cellular damage to the cervix.
D. Chlamydia: Chlamydia trachomatis infection can lead to pelvic inflammatory disease and infertility but does not directly cause cervical cancer. Its link to cancer is indirect, mainly through chronic inflammation, but HPV remains the primary viral cause of cervical malignancy.
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