A newly diagnosed patient with non–small cell lung carcinoma (NSCLC) is anxious about upcoming surgery. Which intervention by the nurse would be most helpful?
a. Support the patient in preparation for sur-gery.
b. Educate the patient regarding the high survival rate with this type of carcinoma.
c. Assure the patient that chemotherapy and radiation can be used in this sort of cancer.
d. Refer the patient to the American Cancer Society for postdischarge follow-up.
A
Surgery is the treatment of choice of NSCLC carcinomas. The survival rate is only approximately 14%. Although referral may be in the long-range plan, the patient's need is immediate for in-formation that is within the scope of nursing.
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a. A patient status post outpatient cholecys-tectomy with a history of blood clots. b. A patient who is 6 days postoperative for total right hip replacement with a history of left-sided stroke. c. A patient who underwent major abdomin-al surgery and was dehydrated upon ad-mission. d. A patient who is 2 days postoperative for hernia repair with a history of diabetes.
The nurse is documenting using the SOAP format. This type of documentation is considered:
a. narrative. b. source oriented. c. problem oriented. d. charting by exception.
The nurse observes the patient during a major abdominal dressing change for signs of pain and discomfort. Which of the following facets of pain can be observed by the nurse during this procedure?
1. pain behaviors 2. nociception 3. pain 4. suffering
Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating, "No one can understand him but us." What clinical classification of speech disorder does the nurse suspect?
a. Global language delay b. Expressive language delay c. Language loss d. Articulation disorder