Author Question: A postmenopausal client is experiencing low back and pelvic pain, fatigue, and bloody vaginal ... (Read 21 times)

bclement10 · **on:** Jun 25, 2018

A postmenopausal client is experiencing low back and pelvic pain, fatigue, and bloody vaginal discharge. What laboratory tests would the nurse expect to see ordered for this client if endometrial cancer is suspected? (Select all that apply.)

a. Cancer antigen-125 (CA-125)
b. White blood cell (WBC) count
c. Hemoglobin and hematocrit (H&H)
d. International normalized ratio (INR)
e. Prothrombin time (PT)

Question 2

The nurse is giving discharge instructions to a client who had a total abdominal hysterectomy. Which statements by the client indicate a need for further teaching? (Select all that apply.)

a. I should not have any problems driving to see my mother, who lives 3 hours away.
b. Now that I have time off from work, I can return to my exercise routine next week.
c. My granddaughter weighs 23 pounds, so I need to refrain from picking her up.
d. I will have to limit the times that I climb our stairs at home to morning and night.
e. For 1 month, I will need to refrain from sexual intercourse.

whitcassie · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, C
Serum tumor markers such as CA-125 assess for metastasis, especially if elevated. H&H would evaluate the possibility of anemia, a common finding with postmenopausal bleeding with endometrial cancer. WBC count is not indicated since there are no signs of infection. The INR and PT are coagulation tests to measure the time it takes for a fibrin clot to form. They are used to evaluate the extrinsic pathway of coagulation in clients receiving oral warfarin.

Answer to Question 2

ANS: A, B
Driving and sitting for extended periods of time should be avoided until the surgeon gives permission. For 2 to 6 weeks, exercise participation should also be avoided. All of the other responses demonstrate adequate knowledge for discharge. The client should not lift anything heavier than 10 pounds, should limit stair climbing, and should refrain from sexual intercourse.