The female client who has been receiving radiation therapy for bladder cancer tells the nurse that it feels as if she is voiding through the vagina. The nurse interprets that the client may be experiencing:
A. Extreme stress caused by the diagnosis of cancer
B. Altered perineal sensation as a side effect of radiation therapy
C. Rupture of the bladder
D. The development of a vesicovaginal fistula
Correct Answer: D. The development of a vesicovaginal fistula
Option D: A vesicovaginal fistula is a genital fistula that occurs between the bladder and vagina. The fistula is an abnormal opening between these two body parts and, if this occurs, the client may experience drainage of urine through the vagina.
Options A, B, and C: The client’s complaint is not associated.
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