Patient During Routine Assignment Help: How to Answer This Question

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Original Question

A 48-yr-old patient during a routine health assessment tells the nurse about a family history of colon cancer. Which action should the nurse take next? Schedule a sigmoidoscopy to provide baseline data Get more information about the family history Teach the patient how to do home testing for fecal occult blood Teach the patient about the need for a colonoscopy at age 50 The nurse teaches the patient who is undergoing external radiation and has developed a dry desquamation of the treatment area about the management of the skin reaction. Which statement, made by the patient, indicates the teaching was effective? “I can use ice packs to relieve itching.” “I will scrub the area with warm water.” “I can buy aloe vera gel to use on my skin.” “I will expose my skin to a sun lamp each day.” Which of the following is consistent with recent trends in the incidence and death rates of cancer? As the population ages, the incidence of cancer increases Breast cancer is the leading cause of cancer deaths in women Lung cancer is the most common type of cancer in men A higher percentage of women than men have lung cancer. Which of following patients should the nurse assess first after receiving a change-of-shift report? 24-year-old who is receiving neck radiation and has red blood oozing from the neck post treatment 35-year-old who has wet desquamation associated with abdominal radiation 56-year-old who gets pericardial friction rub after each time receiving chest radiation 42-year-old who is sobbing after receiving a new diagnosis of ovarian cancer In which of the following assessment findings is dental floss use contraindicated Xerostomia Halitosis An increased white blood cell count A decreased platelet counts When teaching a patient with cancer about diet choices which are high in protein and calorie, which of the following snack choices by the patient indicates that the teaching has been ineffective Strawberry yogurt Peanut butter and banana Trail mix Fresh fruit salad To determine the need for psychological support for a patient diagnosed with stage 1 cancer of the liver during the nurse’s assessment, which of the following questions by the nurse will provide the most information? Can you tell me what has been helpful to you in the past when coping with stressful events?” “Do you have any concerns about body image changes?” When were you diagnosed with this cancer?” “Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the liver When preparing a patient for a biopsy of a lump in the left breast, the patient asks the nurse about the difference between a benign tumor and a malignant tumor. Which of the following responses by the nurse is correct? “Malignant tumors may spread to other tissues or organs.” “Benign tumors do not cause damage to other tissues.” benign tumors are likely to recur in the same location. “Malignant cells reproduce more rapidly than normal cells.” A client who has severe pain associated with terminal liver cancer is being cared for at home by family members. Which of the following findings indicates that teaching regarding pain management has been effective? The client uses the ordered opioid pain medication whenever the pain is greater than 5 (0-10 . scale) The client agrees to take the medications by the IV route in order to improve analgesic effectiveness The client takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs The client states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief. Which of the following nursing actions will be most effective in improving oral intake for a client with the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers? Provide education about the importance of nutritional intake Offer the client frequent small snacks between meals Assist the client to choose favorite foods from the menu Apply the ordered anesthetic gel to oral lesions before meals A newly diagnosed patient with extensive lung cancer that has metastasized asks the nurse why he must be careful to avoid crowds and people who are ill. What is the nurse’s best response? “The large amount of mucus produced by the cancer cells is a good breeding ground for bacteria and other microorganisms.” “When lung cancer is in the bones, it can prevent the production of immune system cells, making you less resistant to infection.” “With lung cancer, you are more likely to develop pneumonia and could pass this on to other people who are already ill.” “When lung cancer is in the bones, it becomes a bone marrow malignancy, which stops producing immune system cells.” A nurse is administering IV chemotherapy to his patient and the patient ask what the reason is for wearing a mask, gloves, and a gown. What is the nurse’s best response? “I am preventing the spread of infection from you to me or any other client here.” “These coverings protect you from getting an infection from me.” “The policy is for any nurse giving these drugs to wear a gown, gloves, and the mask.” “The covering protests me from accidentally absorbing these drugs.” A client with a large stomach tumour that is attached to the liver is scheduled to have a debulking procedure. When teaching the client, which of the following is the expected outcome of this surgery? Relief of pain by cutting sensory nerves in the stomach Decrease in tumour size to improve the effects of other therapy Promotion of better nutrition by relieving the pressure in the stomach Control of the tumour growth by removal of malignant tissue Which of the following information obtained by the nurse about a client with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for client teaching? The client eats frequently during the day The client swims in a pool 5 days a week The client has a history of dental caries The client showers with Dove soap daily The nurse is caring for a client with Hodgkin’s lymphoma who is undergoing external radiation therapy and tells the nurse, “I am so tired I can hardly get out of bed in the morning.” Which of the following interventions should the nurse implement? Establish a time to take a short walk almost every day Minimize activity until the treatment is completed Consult with a psychiatrist for treatment of depression Exercise vigorously when fatigue is not as noticeable.

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