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Chapter 23: Problem 85

A nurse is collecting data for a health history from a client newly diagnosed with cervical cancer. What would be most important for the nurse to determine? A. Sexual history B. Support system C. Obstetrical history D. Elimination patterns

Short Answer

Expert verified
Answer: The most important factor for the nurse to consider is the client's sexual history.

Step by step solution

01

Analyze the options

To determine the most important factor for the nurse to consider, we should understand the relevance and importance of each option when dealing with cervical cancer. Cervical cancer is primarily caused by human papillomavirus (HPV) infection. Sexual transmission of HPV is the main risk factor. Therefore, understanding the client's sexual history can help with providing appropriate care and counseling. A support system is essential for emotional well-being during cancer treatment and may significantly impact the client's ability to cope, but it might not have a direct influence on cervical cancer development. An obstetrical history may have some relevance, as having multiple full-term pregnancies and using birth control pills for a long time may increase the risk of cervical cancer. However, this factor might be less important than sexual history in terms of identifying the reason for cervical cancer. Elimination patterns are related to bowel and urinary processes, which may not have a direct influence on cervical cancer development.
02

Choose the best option

Based on our analysis of the options, understanding the client's sexual history is the most important factor for a nurse collecting data from a newly diagnosed cervical cancer client. Sexual transmission of HPV, which is the main cause of cervical cancer, makes this information essential in providing appropriate care and counseling.
03

Conclusion

The most important factor for the nurse to determine when collecting data from a client newly diagnosed with cervical cancer is their sexual history (option A).

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Sexual History Importance
In the context of cervical cancer, understanding a client's sexual history is crucial for nurses collecting data. This is because cervical cancer is often linked to the human papillomavirus (HPV), which is primarily transmitted through sexual contact. Having a detailed sexual history enables healthcare professionals to assess the risks related to HPV exposure and offer more tailored care and education.
Sexual history includes aspects such as:
  • The number of sexual partners the client has had
  • Use of protection, such as condoms, during intercourse
  • History of sexually transmitted infections (STIs)
  • Age at first sexual experience
These elements play a significant role in understanding a person's risk level for contracting HPV and subsequently developing cervical cancer. With this information, nurses can provide informed counseling to reduce further risks and guide patients on preventive practices.
HPV and Cervical Cancer
HPV is a group of viruses that can lead to cervical cancer, one of the most common cancers in women worldwide. It's important to recognize the link between HPV and cervical cancer, as it constitutes a major part of the disease's etiology.
There are several key points regarding HPV:
  • HPV is transmitted through direct sexual contact.
  • Most sexually active individuals will contract HPV at some point in their lives, though many will never show symptoms.
  • Certain strains of HPV are high-risk and more likely to cause cervical cancer.
  • HPV can also lead to other types of cancer, such as those affecting the throat, anus, and genitals.
The awareness of HPV's role allows healthcare providers to emphasize preventative measures, such as vaccinations and regular screenings like Pap tests, which can detect cellular changes in the cervix before they develop into cancer.
Nursing Data Collection
Collecting accurate and comprehensive data is a pivotal part of nursing care, especially when dealing with a diagnosis as serious as cervical cancer. The data gathered forms the basis for developing personalized care plans for each patient.
Nursing data collection involves:
  • Gathering a complete medical history, which involves asking specific questions related to the patient鈥檚 physical and psychological health
  • Assessing risk factors, such as sexual history, potentially impacting cervical cancer development
  • Understanding the patient鈥檚 current symptoms, health behaviors, and lifestyle choices
  • Documenting all relevant findings in a structured manner
This process is not only about acquiring information but also about building rapport and trust with the patient. Effective data collection enables nurses to deliver holistic care, support patients emotionally, and educate them about their diagnosis and treatment options.

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Most popular questions from this chapter

The nurse determines that the transcribed dose of hydromorphone (Dilaudid) on the medication record of the oncology client is not within a safe range. Which action should the nurse take first? A. Verify the order was transcribed correctly B. Give the dose anyway because client is terminal C. Alter the dose to the recommended amount D. Call the pharmacy to approve the dosage

A client with cancer has been receiving the oprelvekin (Neumega). Which of the following laboratory results best indicates that the drug is not having the desired effect and further evaluation is necessary? A. An increase in WBC to 14,000 cells \(/ \mathrm{mm}\) B. A drop in hematocrit to \(29 \%\) C. An increase in cretinine level to \(4.2 \mathrm{mg} / \mathrm{dL}\) D. A drop in platelet count to \(50,000 \mathrm{~mm}\)

Which of the following actions would the nurse perform for a bladder scan procedure? A. Positioning the patient left Sim's B. Inserting the wand rectally C. Application of gel on the abdomen D. Ask the client to perform the Valsalva maneuver

The nurse is caring for a client admitted with bleeding tendencies. The physician suspects hemophilia. Which laboratory value supports the diagnosis? A. Prolonged aPTT B. Increased protime C. Abnormal fibrinogen level D. Increased platelet count

A client with myasthenia gravis, who has been taking pyridostigmine (Mestinon), tells the nurse, "This medication's side effects are making me uncomfortable." The nurse would expect the client to complain of the medication causing which of the following effects? A. Muscle cramps B. Dry mouth C. Decreased lacrimation D. Hyperactivity episodes
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