Author Question: A nursing diagnosis that is likely to be appropriate for a 67-year-old woman who has just been ... (Read 37 times)

karateprodigy · **on:** Jun 25, 2018

A nursing diagnosis that is likely to be appropriate for a 67-year-old woman who has just been diagnosed with stage III ovarian cancer is

a. sexual dysfunction related to loss of vaginal sensation.
b. risk for infection related to impaired immune function.
c. anxiety related to cancer diagnosis and need for treatment decisions.
d. situational low self-esteem related to guilt about delaying medical care.

Question 2

Which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy?

a. The 55-year-old patient who has 3 to 4 alcoholic drinks each day
b. The 35-year-old patient who has used oral contraceptives for 15 years
c. The 25-year-old patient who has a family history of hereditary nonpolyposis colorectal cancer
d. The 45-year-old patient who has had 6 full-term pregnancies and 2 spontaneous abortions

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

Answer to Question 1

ANS: C
The patient with stage III ovarian cancer is likely to be anxious about the poor prognosis and about the need to make decisions about the multiple treatments that may be used. Decreased vaginal sensation does not occur with ovarian cancer. The patient may develop immune dysfunction when she receives chemotherapy, but she is not currently at risk. It is unlikely that the patient has delayed seeking medical care because the symptoms of ovarian cancer are vague and occur late in the course of the cancer.

Answer to Question 2

ANS: C
Patients with a personal or familial history of hereditary nonpolyposis colorectal cancer are at increased risk for endometrial cancer. Alcohol addiction does not increase this risk. Multiple pregnancies and oral contraceptive use offer protection from endometrial cancer.