The nurse is leading an educational activity about ovarian cancer. Which client has the highest risk of ovarian cancer?
30-year-old woman taking hormonal contraceptives
30-year-old woman taking hormonal contraceptives
36-year-old woman who had her first child at age 22
45-year-old woman who has never been pregnant
The Correct Answer is D
Ovarian cancer risk is increased in women who have not been pregnant, have a family history of ovarian cancer, have a personal history of breast or colon cancer, and have inherited gene mutations such as BRCA1 and BRCA2.
Hormonal contraceptives, having children, and the age at which a woman had her first child have been associated with a reduced risk of ovarian cancer. However, these factors do not completely eliminate the risk. It is still possible for women taking hormonal contraceptives, women who have had children, and women who had their first child at an early age to develop ovarian cancer
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Stage IV ovarian cancer is an advanced stage, and it is unlikely that the cancer can be cured. While treatment may help manage the symptoms and slow down the progression of the disease, it is essential to have realistic expectations and understand the limitations of treatment options.
Option b, "My type of cancer has spread to other tissues" is a correct understanding of the situation and indicates the client has understood their diagnosis.
Option c, "I have chemotherapy after my hysterectomy" is an accurate statement about treatment and indicates the client has understood the plan of care.
Option d, "I may need to talk with my family about hospice" is also an appropriate statement, as clients with stage IV ovarian cancer may need to consider end-of-life care and hospice services

Correct Answer is B
Explanation
Endometriosis is a condition in which tissue like the lining of the uterus grows outside of the uterus, causing pain and discomfort. Acute pain is a common symptom of endometriosis and can be severe enough to interfere with daily activities and quality of life. Therefore, pain management should be a priority in the care of clients with endometriosis.
While anxiety related to risk of transmission (option a) and excess fluid volume related to abdominal distention (option d) may also be concerns for some clients with endometriosis, they are generally not the most urgent priorities. Ineffective tissue perfusion related to hemorrhage (option c) may be a concern in rare cases of severe endometriosis, but it is not a common or typical complication.
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