NURS 111 Cervical Cancer
Cervical Cancer
Instructions
Meet the Client: Mrs. Judy Sailor
Mrs. Judy Sailor is a 52-year-old Hispanic client that presents to the
Women’s Health Clinic with vaginal bleeding. She is currently married with 2
grown children and 1 grandchild under the age of 5. Mrs. Sailor’s last
menstrual period was 2 years ago, and due to erratic health insurance, she
has not had a regular well women examination for over 8 years.
Risk Factors
The nurse reviews the client’s history and notes that Mrs. Sailor’s last Papanicolaou (Pap)
smear was 5 years ago.
1.
What information is most important for the nurse to obtain to determine Mrs. Sailor’s risk
for cervical cancer? (Select all that apply.)
A) Previous use of hormone replacement therapy.
INCORRECT
Although this may be important, it is not a significant risk factor for cervical cancer.
B) History of sexual partners.
CORRECT
The most significant risk factor for cervical cancer is being infected with certain types of
human papillomavirus (HPV). Because a history of multiple sexual partners increases the
risk of exposure to HPV, the client’s history of sexual partners is most important. HPV may
have been contracted at a much earlier date and unknown to the client. The link between
HPV infection and cervical cancer has been established in 80% to 90% of known cases of
cervical cancer.
C) Past gynecological surgical procedures.
INCORRECT
Although this may be important, it is not a significant risk factor for cervical cancer.
D) Abuse of alcohol or drugs.
INCORRECT
Although this may be important, it is not a significant risk factor for cervical cancer.
,NURS 111 Cervical Cancer
E) Age with first pregnancy.
CORRECT
Having a baby at a young age increases the risk for cervical cancer.
The healthcare provider assesses Mrs. Sailor and collects a cervical smear for a PAP test.
Mrs. Sailor is asked to come back to the clinic in 2 weeks for the results of the examination
and laboratory tests.
2.
When developing a plan of care to reduce the risks for cervical cancer, the nurse recognizes
that primary prevention should include which intervention?
A) Implement Pap smears for high-risk populations.
INCORRECT
Although this is important screening, this is an example of secondary prevention.
B) Provide community education.
CORRECT
Education about prevention of diseases to at-risk populations is an example of primary
prevention.
C) Notify partners and trace contacts.
INCORRECT
Although this is important screening, this is an example of secondary prevention.
D) Set up a cervical cancer support group.
INCORRECT
Although this is important screening, this is an example of tertiary prevention.
Diagnostic Tests and Nursing Implications
Mrs. Sailor returns to the clinic 2 weeks later, at which time the healthcare provider (HCP)
informs Mrs. Sailor that her Pap smear was abnormal and another Pap smear is done.
When the client visits the clinic the following week for the results of the Pap smear, which
was also abnormal, the HCP refers Mrs. Sailor to a gynecologist for an endocervical biopsy.
After the HCP leaves the examination room, the client starts to cry and states, “I don’t
understand the reason for the biopsy.”
3.
, NURS 111 Cervical Cancer
How should the nurse respond to the client?
A) Instruct the client that this procedure is part of the routine diagnostics.
INCORRECT
A biopsy is not part of the routine diagnostics.
B) Refer the client back to the HCP for further information.
INCORRECT
This response does not meet the client's needs. A better response allows the client to
express concerns or feelings.
C) Ask the client about her understanding of the abnormal pap smear result.
CORRECT
The therapeutic response allows the client to elaborate on her understanding of what an
abnormal result means to her. The nurse may then explain the meaning of an abnormal
result and correct any false information.
D) Supply the client with a brochure on women’s screenings.
INCORRECT
This does meet the client’s needs at this time. It is impersonal and does not allow the client
the opportunity to express her feelings and fears.
After speaking with the nurse, Mrs. Sailor understands that the endocervical biopsy will be
done by cervical conization to allow for microscopic examination of the cervical tissue. She
is scheduled for cervical conization in 2 days.
4.
When Mrs. Sailor asks the nurse where the biopsy will take place, how should the nurse
respond?
A) The HCP’s office.
CORRECT
This procedure can be performed in an office setting, due to minimal risk.
B) The hospital.
INCORRECT
Admission to the hospital is not necessary for this procedure.
C) Emergent care center.
INCORRECT
Emergent care centers are not used for this type of procedure.
D) Outpatient surgery center.
INCORRECT
Cervical Cancer
Instructions
Meet the Client: Mrs. Judy Sailor
Mrs. Judy Sailor is a 52-year-old Hispanic client that presents to the
Women’s Health Clinic with vaginal bleeding. She is currently married with 2
grown children and 1 grandchild under the age of 5. Mrs. Sailor’s last
menstrual period was 2 years ago, and due to erratic health insurance, she
has not had a regular well women examination for over 8 years.
Risk Factors
The nurse reviews the client’s history and notes that Mrs. Sailor’s last Papanicolaou (Pap)
smear was 5 years ago.
1.
What information is most important for the nurse to obtain to determine Mrs. Sailor’s risk
for cervical cancer? (Select all that apply.)
A) Previous use of hormone replacement therapy.
INCORRECT
Although this may be important, it is not a significant risk factor for cervical cancer.
B) History of sexual partners.
CORRECT
The most significant risk factor for cervical cancer is being infected with certain types of
human papillomavirus (HPV). Because a history of multiple sexual partners increases the
risk of exposure to HPV, the client’s history of sexual partners is most important. HPV may
have been contracted at a much earlier date and unknown to the client. The link between
HPV infection and cervical cancer has been established in 80% to 90% of known cases of
cervical cancer.
C) Past gynecological surgical procedures.
INCORRECT
Although this may be important, it is not a significant risk factor for cervical cancer.
D) Abuse of alcohol or drugs.
INCORRECT
Although this may be important, it is not a significant risk factor for cervical cancer.
,NURS 111 Cervical Cancer
E) Age with first pregnancy.
CORRECT
Having a baby at a young age increases the risk for cervical cancer.
The healthcare provider assesses Mrs. Sailor and collects a cervical smear for a PAP test.
Mrs. Sailor is asked to come back to the clinic in 2 weeks for the results of the examination
and laboratory tests.
2.
When developing a plan of care to reduce the risks for cervical cancer, the nurse recognizes
that primary prevention should include which intervention?
A) Implement Pap smears for high-risk populations.
INCORRECT
Although this is important screening, this is an example of secondary prevention.
B) Provide community education.
CORRECT
Education about prevention of diseases to at-risk populations is an example of primary
prevention.
C) Notify partners and trace contacts.
INCORRECT
Although this is important screening, this is an example of secondary prevention.
D) Set up a cervical cancer support group.
INCORRECT
Although this is important screening, this is an example of tertiary prevention.
Diagnostic Tests and Nursing Implications
Mrs. Sailor returns to the clinic 2 weeks later, at which time the healthcare provider (HCP)
informs Mrs. Sailor that her Pap smear was abnormal and another Pap smear is done.
When the client visits the clinic the following week for the results of the Pap smear, which
was also abnormal, the HCP refers Mrs. Sailor to a gynecologist for an endocervical biopsy.
After the HCP leaves the examination room, the client starts to cry and states, “I don’t
understand the reason for the biopsy.”
3.
, NURS 111 Cervical Cancer
How should the nurse respond to the client?
A) Instruct the client that this procedure is part of the routine diagnostics.
INCORRECT
A biopsy is not part of the routine diagnostics.
B) Refer the client back to the HCP for further information.
INCORRECT
This response does not meet the client's needs. A better response allows the client to
express concerns or feelings.
C) Ask the client about her understanding of the abnormal pap smear result.
CORRECT
The therapeutic response allows the client to elaborate on her understanding of what an
abnormal result means to her. The nurse may then explain the meaning of an abnormal
result and correct any false information.
D) Supply the client with a brochure on women’s screenings.
INCORRECT
This does meet the client’s needs at this time. It is impersonal and does not allow the client
the opportunity to express her feelings and fears.
After speaking with the nurse, Mrs. Sailor understands that the endocervical biopsy will be
done by cervical conization to allow for microscopic examination of the cervical tissue. She
is scheduled for cervical conization in 2 days.
4.
When Mrs. Sailor asks the nurse where the biopsy will take place, how should the nurse
respond?
A) The HCP’s office.
CORRECT
This procedure can be performed in an office setting, due to minimal risk.
B) The hospital.
INCORRECT
Admission to the hospital is not necessary for this procedure.
C) Emergent care center.
INCORRECT
Emergent care centers are not used for this type of procedure.
D) Outpatient surgery center.
INCORRECT
