Question

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

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

Step-by-step solution

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.

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.

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).

Key concepts

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’s physical and psychological health
• Assessing risk factors, such as sexual history, potentially impacting cervical cancer development
• Understanding the patient’s 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.