The nurse is teaching a client with stage IV ovarian cancer. Which statement by the client indicates the need for further teaching?
“My cancer is easily treatable and will be cured quickly.”
“My cancer is easily treatable and will be cured quickly.”
“My type of cancer has spread to other tissues.”
“I have chemotherapy after my hysterectomy.”
The Correct Answer is A
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
If a couple has used at-home ovulation testing with basal body temperature and has not conceived, the first treatment option may depend on the underlying cause of infertility. However, the most common first-line treatment for infertility is selective estrogen receptor modulator clomiphene. This medication stimulates ovulation and can increase the chances of conception.
Surgery to reduce endometriosis may be considered if endometriosis is the underlying cause of infertility. However, surgery is not always successful and may not be the first option.
Intrauterine insemination (IUI) with sperm from the husband is another option that may be considered if the male partner has mild to moderate sperm abnormalities or if there is unexplained infertility. IUI involves placing washed sperm directly into the uterus during ovulation.
Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), may be considered if other treatments have been unsuccessful or if there are more severe fertility issues. ART involves combining eggs and sperm outside of the body and transferring the resulting embryo(s) into the uterus.
The choice of treatment will depend on the underlying cause of infertility, the age of the couple, and other factors that may impact fertility. It is important for the couple to consult with a healthcare provider who specializes in fertility treatments to determine the best course of action.
Correct Answer is B
Explanation
The contraceptive sponge is a barrier method of contraception that is inserted into the vagina before sexual intercourse. It contains spermicide and blocks the sperm from reaching the egg. The sponge must be left in place for at least 6 hours after intercourse before it is removed. Don't leave it in for more than a total of 30 hours.
a. "You can use this at any time, even when you are menstruating" is incorrect information because the contraceptive sponge should not be used during menstruation.
c. "You need to have the sponge fited before using it" is incorrect information because the contraceptive sponge is a one-size-fits-all device and does not require fitting.
d. "Clean the with mild soap and water after using it" is also incorrect information because the contraceptive sponge is a disposable device and should be discarded after use. It should not be reused or washed.
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