Chapter 66: Concepts of Care for Patients
with Gynecologic Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client has recently been diagnosed with type II endometrial cancer and will be
treated with brachytherapy. What statement by the client indicates a need for further
education on this treatment?
a. “Each treatment will take only 20 to 30 minutes.”
b. “I have to be alone in the room during treatment so I don’t expose others.”
c. “I can get up and walk around or read in a chair during the treatments.”
d. “I need to report any heavy vaginal bleeding or severe diarrhea.”
ANS: B
Type II endometrial cancer is likely to invade the uterine wall and metastasize.
Treatment with brachytherapy is intended to prevent recurrence. During the treatment,
which lasts 20 to 30 minutes each, the woman must remain on bedrest to avoid
dislodging the radioactive source. The source emits radiation while it is in place, so
the woman is in the treatment room by herself. Once it is removed, she has no
restrictions on being around others. She would need to report any heavy vaginal
bleeding or severe diarrhea.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Reproductive problems, Brachytherapy MSC: Client
Needs Category: Physiological Integrity: Physiological Adaptation
, 2. The outpatient clinic nurse has assessed a woman who reports a month-long history of
feeling full, urinary frequency, and bloating. What action by the nurse is best?
a. Obtain a clean catch urine specimen.
b. Instruct the client on a 3-day diet history.
c. Facilitate having a pelvic ultrasound.
d. Teach the woman about CA-125 test.
ANS: D
Evidence shows that women with ovarian cancer often have recognizable, early signs
such as abdominal bloating, urinary frequency or urgency, feeling full or difficulty
eating, and pelvic pain. The nurse should “think ovarian” and facilitate the client
having a CA-125 blood test, which is a cancer antigen test. The other actions may or
may not be needed, but with these symptoms, the client needs to be evaluated for
ovarian cancer.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Gynecologic problems, Ovarian cancer MSC: Client
Needs Category: Physiological Integrity: Reduction of Risk Potential
3. The nurse has educated a community group of risk factors for ovarian cancer. Which
statement by a participant shows the need for reviewing the information?
a. “This is a disease of young women.”
b. “Never being pregnant increases my risk.”
c. “Difficulty conceiving is a risk factor.”
d. “Having endometriosis is one of the risks.”
ANS: A
Ovarian cancer usually strikes women who are middle age or older. Nulliparity,
difficulty conceiving, and endometriosis all increase risk and are correct statements.
with Gynecologic Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client has recently been diagnosed with type II endometrial cancer and will be
treated with brachytherapy. What statement by the client indicates a need for further
education on this treatment?
a. “Each treatment will take only 20 to 30 minutes.”
b. “I have to be alone in the room during treatment so I don’t expose others.”
c. “I can get up and walk around or read in a chair during the treatments.”
d. “I need to report any heavy vaginal bleeding or severe diarrhea.”
ANS: B
Type II endometrial cancer is likely to invade the uterine wall and metastasize.
Treatment with brachytherapy is intended to prevent recurrence. During the treatment,
which lasts 20 to 30 minutes each, the woman must remain on bedrest to avoid
dislodging the radioactive source. The source emits radiation while it is in place, so
the woman is in the treatment room by herself. Once it is removed, she has no
restrictions on being around others. She would need to report any heavy vaginal
bleeding or severe diarrhea.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Reproductive problems, Brachytherapy MSC: Client
Needs Category: Physiological Integrity: Physiological Adaptation
, 2. The outpatient clinic nurse has assessed a woman who reports a month-long history of
feeling full, urinary frequency, and bloating. What action by the nurse is best?
a. Obtain a clean catch urine specimen.
b. Instruct the client on a 3-day diet history.
c. Facilitate having a pelvic ultrasound.
d. Teach the woman about CA-125 test.
ANS: D
Evidence shows that women with ovarian cancer often have recognizable, early signs
such as abdominal bloating, urinary frequency or urgency, feeling full or difficulty
eating, and pelvic pain. The nurse should “think ovarian” and facilitate the client
having a CA-125 blood test, which is a cancer antigen test. The other actions may or
may not be needed, but with these symptoms, the client needs to be evaluated for
ovarian cancer.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Gynecologic problems, Ovarian cancer MSC: Client
Needs Category: Physiological Integrity: Reduction of Risk Potential
3. The nurse has educated a community group of risk factors for ovarian cancer. Which
statement by a participant shows the need for reviewing the information?
a. “This is a disease of young women.”
b. “Never being pregnant increases my risk.”
c. “Difficulty conceiving is a risk factor.”
d. “Having endometriosis is one of the risks.”
ANS: A
Ovarian cancer usually strikes women who are middle age or older. Nulliparity,
difficulty conceiving, and endometriosis all increase risk and are correct statements.
