Leslie is a 45-year-old female who presented to her gynecologist office for her annual checkup

Leslie is a 45-year-old female who presented to her gynecologist office for her annual checkup. Leslie states that she missed her check-up last year due to her father being sick. Leslie states that she has been experiencing breakthrough vaginal bleeding and flank pain for the last six months. Upon review of Leslie’s EMR, you noted that her previous papanicolaou test (PAP) came back with atypical cells and positive for human papillomavirus. Her history includes obesity, a smoker for 20 years, and the use of oral contraceptives for the past 15 years. Her first sexual contact was at the age of 14, and she has had 4 sexual partners in her life. Leslie is a single mother of three children, ages 12, 10, and 8. You suspect, based on the presenting symptoms and history, that Leslie may have cervical cancer.

1. Why do you suspect Leslie has cervical cancer?

2. What do you anticipate as the next step?

3. Based on the findings, what treatment options do you anticipate?

4. What nursing care would be anticipated as Leslie prepares for surgery?

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