A nurse assesses and suspects vulvar cancer based on which assessment finding?

• A. Sudden onset of heavy menstrual bleeding
• B. Presence of a persistent vulvar ulcer or lesion
• C. Frequent urinary tract infections
• D. Abdominal distension and bloating

Answer: (B)

Verified step by step guidance

1. Understand the question: The problem is asking for the specific assessment finding that would lead a nurse to suspect vulvar cancer. This involves identifying the hallmark symptom associated with vulvar cancer from the given options.
2. Review the symptoms of vulvar cancer: Vulvar cancer is often associated with persistent vulvar ulcers, lesions, or abnormal growths. These symptoms are localized to the vulvar region and are typically chronic rather than sudden.
3. Analyze the options: Evaluate each option to determine if it aligns with the symptoms of vulvar cancer. For example, sudden onset of heavy menstrual bleeding is more indicative of uterine or hormonal issues, frequent urinary tract infections are related to the urinary system, and abdominal distension and bloating are often linked to ovarian or gastrointestinal conditions.
4. Focus on the correct symptom: The presence of a persistent vulvar ulcer or lesion is a localized and chronic symptom that aligns with vulvar cancer, making it the most relevant finding.
5. Conclude the reasoning: Based on the analysis, the correct assessment finding for suspecting vulvar cancer is the presence of a persistent vulvar ulcer or lesion, as it directly corresponds to the typical presentation of this condition.