A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?
a. Pain will be relieved by cutting sensory nerves in the stomach.
b. Relief of pressure in the stomach will promote better nutrition.
c. Tumor growth will be controlled by the removal of malignant tissue.
d. Tumor size will decrease and this will improve the effects of other therapy.
A debulking surgery reduces the size of the tumor and makes radiation and chemotherapy more effective. Debulking surgeries do not control tumor growth. The tumor is debulked because it is attached to the liver, a vital organ (not to relieve pressure on the stomach). Debulking does not sever the sensory nerves, although pain may be lessened by the reduction in pressure on the abdominal organs.
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A nurse manager's supervisor reports that many staff members have complained about the manager's rigidity. What situations reflect this rigidity? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. The manager has historically used trial and error as a decision-making strategy. 2. The manager takes unnecessary risks when staffing the unit. 3. The manager is not concerned when staff members arrive late to work. 4. The manager uses old ways of thinking to solve the day-to-day issues of the unit. 5. The manager does not consider the advice of the unit comanager when making a decision.
A patient diagnosed with type 1 diabetes mellitus is receiving insulin. The physician has prescribed a monoamine oxidase inhibitor (MAOI) to treat this patient's depression. What interaction will the nurse assess for with this drug combination?
A) Increased risk of hypoglycemia B) Increased risk of hyperglycemia C) Increase in appetite D) Increased total cholesterol
The nurse is caring for an older client with chronic pain caused by arthritis and uterine cancer. What is the best approach for the nurse to take when managing this client's pain?
1. Administering the pain medication around the clock 2. Administering the medication when the client requests it 3. Consulting the physician to order intravenous pain medication 4. Administering the medication sparingly to avoid narcotic addiction
The nurse is planning the care of a patient who has burns to the face, neck, upper chest, and both upper arms. To prevent contracture development, the nurse should include which of the following in the patient's plan of care?
1. place the arms in an adduction position 2. instruct the patient to avoid using pillows under the head 3. limit the use of pain medications unless pain is severe 4. use bed cradles over the burned areas while patient is sleeping