The oncology staff educator is precepting a graduate nurse. They are admitting a 77-year-old female patient with a diagnosis of stage IV astrocytoma
The graduate nurse asks how long the lady has known she has cancer. What would be the staff educator's best response?
A) "She hasn't known very long because she is pretty good at hiding things that change from her family."
B) "She hasn't known very long because an early sign is personality change and elderly people don't know that their personality has changed."
C) "She hasn't known very long because early signs and symptoms of intracranial tumors can be overlooked in the elderly because people think they are the result of normal aging."
D) "She hasn't known very long because elderly people have a tendency not to go to the doctor when early signs and symptoms appear."
Ans: C
Feedback: In elderly patients, early signs and symptoms of intracranial tumors can be easily overlooked or incorrectly attributed to cognitive and neurologic changes associated with normal aging.
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As the nurse assesses the pregnant client, the client states that she sometimes feels like she has difficulty breathing. The client has reached the 36th week of her pregnancy
Which is the reason that the client is experiencing this phenomenon? 1. The fetus is pushing the diaphragm upwards. 2. Fatigue due to the pregnancy. 3. Anxiety about her impending delivery. 4. Contractions.
Qualitative data are most likely to be collected in a(n):
A) Impact analysis B) Outcome analysis C) Process analysis D) Economic analysis
Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL. What is the nurse's best action?
A. Notify the emergency team. B. Document the finding as the only action. C. Ask the client if anyone in her family has diabetes mellitus. D. Slow the intravenous infusion of dextrose 5% in Ringer's lactate.
To reassure and educate their patients concerning changes in the cardiovascular system, maternity nurses should be aware that:
1. a pregnant woman experiencing disturbed cardiac rhythm such as sinus arrhyth-mia requires close medical and obstetric observation no matter how healthy she otherwise may appear. 2. changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. 3. in twin gestations palpitations are twice as likely to occur. 4. all of the above changes will likely occur.