Oncology Certified Nurse (OCN) Nursing Practice Test

Which of the following is NOT considered a late effect of radiation therapy on the vagina?

1. Increased secretions

2. Fibrosis

3. Decreased lubrication

4. Changes in tissue structure

The correct answer is: Increased secretions

Increased secretions are not classified as a late effect of radiation therapy on the vagina. Radiation therapy primarily targets malignant cells but can also affect surrounding healthy tissues, leading to various late effects. These late effects typically include conditions such as fibrosis, which results in the thickening and scarring of tissue, decreased lubrication due to damage to glands, and changes in tissue structure, including alterations in cellular composition and vasculature. Increased secretions, however, are not a common consequence of radiation therapy. Instead, patients may experience decreased vaginal lubrication and increased dryness due to the damage to the vaginal mucosa and surrounding structures, which can reduce secretions. Understanding these effects is essential for providing appropriate care and interventions for patients undergoing radiation therapy for gynecological cancers.