A patient who is recovering from a complete hysterectomy for ...

[jeatrice]

A patient who is recovering from a complete hysterectomy for endometrial cancer is concerned that she will not be able to continue a sexual relationship with her husband because of the related activity intolerance.
 
  What should the nurse suggest to assist this patient?
 
  1. The patient should engage in other activities with her spouse.
  2. The patient should discuss her fears with a marriage counselor.
  3. The patient and her husband should be thankful she survived cancer surgery.
  4. The patient and her husband can coordinate sexual activity with rest periods and pain-free periods.

Question 2

A female patient is experiencing a recurrence of endometrial cancer. Which treatment should the nurse expect to be prescribed for this patient?
 
  : Select all that apply.
  1. radiation therapy
  2. hormone therapy
  3. partial abdominal hysterectomy
  4. chemotherapy
  5. endometrial ablation

[Fayaz00962]

Answer to Question 1

Correct Answer: 4
Altered sexuality may result from a feeling of unattractiveness, fatigue, or pain and discomfort. The woman's partner may fear that sexual activity will be harmful. The nurse should suggest that the couple explore alternative sexual positions and coordinate sexual activity with rest periods and periods that are relatively free from pain. This creates a more favorable environment for satisfying sexual activity. The patient is expressing concern regarding sexual activity and should have her questions addressed before considering a mental health professional. The patient has not expressed concern over survival.

Answer to Question 2

Correct Answer: 1, 2, 4
Treatment with external and internal radiation may be performed as adjuvant treatment in advanced cases. Hormone therapy may include progestins, antiestrogrens, gonadotropin-releasing hormone agonists, or aromatase inhibitors. A combination of drugs may be used to treat endometrial cancer, including doxorubicin (Adriamycin), cisplatin, carboplatin, and paclitaxel (Taxol). A total abdominal hysterectomy and bilateral salpingo-oophorectomy is the surgery performed for stage I cancer. Endometrial ablation is not sufficient to treat this condition.

[jeatrice]

Thanks for the timely response, appreciate it

[lkanara2]

TYSM