Obese 54-year-old client describes excessive menstrual bleeding that occurs approximately every 10 days. The nurse prepares the client for which diagnostic test that is used to evaluate for endometrial cancer? a. Bimanual pelvic examination b. Transvaginal ultrasound c. Son hysterography d. Endometrial biopsy ✓

he obese 54-year-old client describes excessive menstrual bleeding that occurs approximately every 10 days. The nurse prepares the client for which diagnostic test that is used to evaluate for endometrial cancer? a. Bimanual pelvic examination b. Transvaginal ultrasound c. Son hysterography d. Endometrial biopsy ✓

For the 54-year-old obese client who is experiencing excessive menstrual bleeding occurring approximately every 10 days, the most appropriate diagnostic test to evaluate for endometrial cancer is d. Endometrial biopsy.

Explanation:
Bimanual pelvic examination: This physical exam helps assess the reproductive organs but is not definitive for diagnosing endometrial cancer.

Transvaginal ultrasound: While this imaging test can be useful for assessing the endometrial lining and may indicate abnormalities, it is not definitive for diagnosing cancer. It can provide information about the thickness of the endometrium but does not obtain tissue samples for histological examination.

Sonohysterography (also known as saline infusion sonography): This procedure involves injecting saline into the uterus during an ultrasound to get a better view of the uterine lining. It may help identify abnormalities but does not provide a definitive diagnosis of cancer.

Endometrial biopsy: This procedure is the gold standard for diagnosing endometrial cancer. It involves taking a sample of the endometrial lining to be examined histologically for cancerous cells. Given the client’s symptoms and risk factors (being obese and having abnormal bleeding), this is the most appropriate test to evaluate for endometrial cancer.

Therefore, the correct answer is d. Endometrial biopsy.

Complete Answer:

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