Author Question: The nurse is taking the history of a 24-year-old client diagnosed with cervical cancer. What ... (Read 32 times)

mydiamond · **on:** Jun 25, 2018

The nurse is taking the history of a 24-year-old client diagnosed with cervical cancer. What possible risk factors would the nurse assess? (Select all that apply.)

a. Smoking
b. Multiple sexual partners
c. Poor diet
d. Nulliparity
e. Younger than 18 at first intercourse

Question 2

A 28-year-old client is diagnosed with endometriosis and is experiencing severe symptoms. Which actions by the nurse are the most appropriate at this time? (Select all that apply.)

a. Reduce the pain by low-level heat.
b. Discuss the high risk of infertility with this diagnosis.
c. Relieve anxiety by relaxation techniques and education.
d. Discuss in detail the side effects of laparoscopic surgery.
e. Suggest resources such as the Endometriosis Association.

alexisweber49 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, C, E
Smoking, multiple sexual partners, poor diet, and age less than 18 for first intercourse are all risk factors for cervical cancer. Nulliparity is a risk factor for endometrial cancer.

Answer to Question 2

ANS: A, C, E
With endometriosis, pain is the predominant symptom, with anxiety occurring because of the diagnosis. Interventions should be directed to pain and anxiety relief, such as low-level heat, relaxation techniques, and education about the pathophysiology and possible treatment of endometriosis. The nurse could suggest resources to give more information about the diagnosis. Discussion of the possibility of infertility and side effects of laparoscopic surgery is premature and may increase the anxiety.