A postmenopausal client is experiencing low back and pelvic pain, fatigue, and bloody vaginal discharge. What laboratory tests would the nurse expect to see ordered for this client if endometrial cancer is suspected? (Select all that apply.)
a. Cancer antigen-125 (CA-125)
b. White blood cell (WBC) count
c. Hemoglobin and hematocrit (H&H)
d. International normalized ratio (INR)
e. Prothrombin time (PT)
ANS: A, C
Serum tumor markers such as CA-125 assess for metastasis, especially if elevated. H&H would evaluate the possibility of anemia, a common finding with postmenopausal bleeding with endometrial cancer. WBC count is not indicated since there are no signs of infection. The INR and PT are coagulation tests to measure the time it takes for a fibrin clot to form. They are used to evaluate the extrinsic pathway of coagulation in clients receiving oral warfarin.
You might also like to view...
The LPN is working as a team member and notices signs of a dysfunctional team. What should the LPN do?
1. Share what was seen in an open and caring manner. 2. Act as the manager to correct the problem. 3. Report the problem to the next most senior member of the team. 4. Ignore it and it will probably resolve on its own.
What medication would the nurse expect to administer to the client with ulcerative colitis who complains of painful abdominal cramping?
A. Meperidine (Demerol) B. Methylprednisolone sodium succinate (Solu-Medrol) C. Sulfasalazine (Azulfidine) D. Dicyclomine (Bentyl)
A nurse is explaining the importance of chemotaxis and phagocytosis in fighting invading organisms and other foreign materials
What would be the best explanation by the nurse to clients about the role of phagocytosis in fighting invading organisms and other foreign materials? A) Engulfing of extracellular fluid materials B) Engulfing of particulate matter C) Moving directly to sites of infection or damaged tissues as a result of their attraction to specific chemicals D) Increasing in number and engulfing and devouring invaders
A male patient who has been diagnosed with gonorrhea twice over the last year states, "It's no big deal. I just come here and get antibiotics when it gets bad." What should the nurse identify as a priority problem for this patient?
A. Potential for harm to the patient and partners related to the disease process B. Pain related to appearance of chancres C. Noncompliance related to disease treatment D. Impaired social interactions because of low self-esteem