UCY (21)

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Western Governors University *

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8

Subject

Nursing

Date

Nov 24, 2024

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3

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#CHP 8 1. A 58-year-old client comes to the clinic for evaluation. After obtaining the client's history, the NR suspects endometrial cancer. Which information would lead the NR to this suspicion? A. use of oral contraceptives between ages 18 and 25 B. onset of painless, bright red postmenopausal bleeding C. menopause occurring at age 46 D. use of intrauterine device for 3 years Correct answer: B Reason: A ny epi s ode of bright red painle ss bleeding occurring a a b f ir t b e .c r o m m/t e e n st opau s e need s to be investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age 52) is associated with endometrial cancer. Use of an intrauterine device is not associated with endometrial cancer. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Analyze Client Needs: Physiological Integrity: Physiological Adaptation REF: Page.272 2. A w oman is to have a P apanicolaou te s t. When teaching the w a o b m i r b a . c n o m a / b t e o s t ut thi s te s t, the NR would emphasize which instruction to the client? A. "Refrain from sexual intercourse for 1 week before the test." B. "Wear cotton panties on the day of the test." C. "Avoid taking any medications for 24 hours." D. "Do not douche for 48 hours before the test." Correct answer: D Reason: The NR should instruct the woman not to douche for 48 hours before the test to prevent w a s hing a w ay cervical cell s , w hich might be abnormal. S a b e i x r b u . c a o l m i / n t e t s e t rcour s e s hould be avoided for 48 hours before the test. Wearing cotton panties is unrelated to preparation for a Papanicolaou test. Medications do not need to be withheld before the test. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Health Promotion and MaintenanceREF: Page.281 3. A woman comes to the clinic for a routine checkup. After obtaining the client's history, the NR identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus?
A. hepatitis B. human papillomavirus C. cytomegalovirus D. Epstein-Barr virusCorrect answer: B Reason: Human papillomavirus is a major causative factor for cervical cancer. Hepatitis, cytomegalovirus, and Epstein-Barr virus are not associated with the development of cervical cancer. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Understand Client Needs: Physiological Integrity: Reduction of Risk Potentia a l birb REF: Page.276 4. A client is scheduled to have a Papanicolaou test. After the NR teaches the client about the P apanicolaou te s t, w hich client s tatement indicate s s ucce ssful te a a c b h ir b i n . c g o m ? A. "I need to douche the night before with a mild vinegar solution." B. "I will take a bath first thing that morning to make sure I'm clean." C. "I will not engage in se xual intercourse for 48 hour s before the ab t ir e b s .c t o . " m D. "I will get a clean urine specimen when I first wake up the morning of the test." Correct answer: C Reason: The woman should refrain from sexual intercourse for 48 hours before the test because sperm can obscure the specimen. Douching should be avoided for 48 hours before thete s t to prevent w a s hing a w ay cervical cell s , w hich might be abno a r b m ir b a . c l o . m A / t l e t s h t ough a bath is an appropriate hygiene measure, it is not required before a Papanicolaou test. Collecting a urine specimen also is not necessary. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Analyze Client Needs: Health Promotion and MaintenanceREF: Page.281 5. Which finding obtained during a client history would the NR identify as increasing a client's risk for ovarian cancer? A. multiple sexual partners B. consumption of a high-fat diet C. underweight D. grand multiparity (more than five children)Correct answer: B
Reason: Risk factors for ovarian cancer include a high-fat diet, obesity, nulliparity, early menarche, late menopause, and increasing age. Having multiple sexual partners is a risk factor for cervical cancer. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potentia a l birb REF: Page.270 6. A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The NR teache s the client about thi s treatment, explaining that the ti ss ue w a b i i r l b l . c b o e m / r t e e s m t oved by w hich method? A. freezing B. cutting C. burning D. irradiatin gCorrect answer: A Reason: Cryosurgery destroys abnormal cervical tissue by freezing. Conization involves cutting out a cone- s haped s ection of ti ss ue. La s er therapy d es tro y a s bi r c b e . c r o v m i c /t e a s l t ti ss ue by u s ing high- energy light to burn it off. Radiation therapy involves irradiating the tissue for destruction. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential REF: Page.278 7. Which statement best indicates that a client has taken self-care measures to reduce her risk for cervical cancer? A. "I've really cut down on the amount of caffeine I drink every day." B. "I'v e thrown out all my bubble ba ths and just use soa p and w a a te bi r rb n .c o om w / . te " st C. "Every time I have sexual intercourse, I douche." D. "My partner always uses a condom when we have sexual intercourse." Correct answer: D Reason: Unprotected sexual intercourse is a risk factor for cervical cancer. Use of barrier method s of contraception s uch as condom s is a key mea s ure for r a e b d i r b u . c c o i m n g / t e t s h t e ri s k for cervical cancer. Cessation of smoking and drinking alcohol, not caffeine, also are effective measures for risk reduction. Eliminating irritants such as bubble baths is a general measure to reduce perineal irritation and urinary tract infection s . D ouching ha s no effect on a r i b s i r k b . c r o e m d / u t e c s t t ion for cervical cancer. #QSN Format:Multiple Choice #CHP 8: Cancers of the Female Reproductive Tract Cognitive Level: Analyze
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