The nurse is explaining a client's abnormal Pap smear results. Which statement should the nurse include?
1. "Your cervix needs to be treated with cryotherapy."
2. "The Pap smear is used to diagnose cervical cancer."
3. "Colposcopy to further examine your cervix is the next step."
4. "A loop electrosurgical excision procedure (LEEP) is needed."
3
Explanation:
1. Cryotherapy, or freezing of the cervix, is one treatment option for precancerous cervical lesions. However, this client does not yet have a diagnosis; she has only had an abnormal screening test.
2. The Pap smear is a screening tool for cervical abnormalities; it is not diagnostic.
3. Colposcopy is an examination of the cervix through a magnifying device. Solutions are often painted onto the cervix and surrounding tissue and observed for changes secondary to the application of the solution. Biopsy samples are taken of suspected abnormal tissue and sent for pathologic examination and diagnosis. Endocervical canal biopsy is often undertaken with colposcopy.
4. Although LEEP (the removal of the surface tissue of the cervix) might be performed to treat cervical dysplasia or carcinoma in situ, this client has not had a diagnostic examination yet.
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