A 75-year-old woman complains of a feeling of heaviness in the pelvic area and a feeling of a mass in her vagina. What health problem would the health care team most likely suspect?
A) Vaginal cancer
B) Cervical cancer
C) Perineal herniation
D) Endometrial cancer
C
Feedback:
As a result of the stretching and tearing of muscles during childbirth and of the muscle weakness associated with advanced age, perineal herniation is a common problem among older women. Associated with this problem are lower back pain, pelvic heaviness, and a pulling sensation. Sometimes the woman is able to palpate a mass in her vagina. In addition to these symptoms, women may complain of urinary and fecal incontinence, retention, and constipation.
You might also like to view...
A client with anorexia nervosa is particularly resistant to the idea of weight gain
What is the rationale for establishing a contract with the client in which she agrees to participate in measures designed to produce a specified weekly weight gain? a. Because severe anxiety concerning eating is to be expected, objective and subjective data must be routinely collected. b. A team approach to planning the diet ensures that physical and emotional needs will be met. c. Client involvement in decision making increases sense of control and promotes compliance with treatment. d. Because of increased risk of physical problems with refeeding, client permission is essential.
The parents of a 10-year-old boy with gender identity disorder ask the nurse how they can help their son. What treatment would the nurse suggest?
A) Physiologic treatment B) A sex-change operation C) Psychological treatment D) Hormonal treatment
Nurses should use I-statements with caution in provider-to-patient relationships because
A. Patients are often in dependent positions. B. Nurses may appear to be self-motivated. C. There are tricky boundaries regarding privacy. D. All of the above
Which of the following can be implemented as part of effective care for bereaved relatives?
a. finding a comfortable, non-denominational venue to ensure privacy b. providing the family with opportunities to verbalize emotions and have their questions answered simply, clearly, sensitively and informatively c. offering relatives the opportunity to view the deceased (when appropriate) d. all of these