A patient who was recently diagnosed with ovarian cancer wants to ...

[Ebrown]

A patient who was recently diagnosed with ovarian cancer wants to have children. Which type of treatment should the nurse expect to be prescribed first for this patient?
 
  1. chemotherapy
  2. radiation therapy
  3. surgery to remove one ovary
  4. hormone replacement therapy

Question 2

A mass is found on a mammogram of a 42-year-old female patient and a cyst is confirmed by an ultrasound of the breast. The nurse understands that the next course of action for this patient would be to:
 
  1. adopt the watch and wait approach.
  2. reduce caffeine intake.
  3. apply warm soaks to the cyst.
  4. undergo a surgical biopsy.

[succesfull]

Answer to Question 1

Correct Answer: 3
In young women with stage I disease who wish to have children, treatment may be limited to removal of one ovary. Chemotherapy is used after surgery in the treatment of ovarian cancer. Radiation therapy using external-beam or intracavitary implants is performed for palliative purposes only and is directed at shrinking the tumor at selected sites. Hormone therapy is not used to treat ovarian cancer.

Answer to Question 2

Correct Answer: 4
A percutaneous needle biopsy is used to define cystic mass or fibrocystic changes and provide specimens for cytologic examination, and a breast biopsy. In aspiration biopsy or fine-needle aspiration biopsy, a needle is used to remove cells or fluid from the breast lesion. Fine needle aspiration biopsies are performed using a stereotactic biopsy device with mammography and a computer to guide the needle. Breast masses are not watched. Reducing caffeine intake is suggested for women with fibrocystic breast disease. Warm soaks are not applicable for this condition.