A client states, "I get so sick to my stomach after chemotherapy. Why can't they just put it directly into my tumor?" Which nursing response is indicated?

1. "There is no technology available to directly place chemotherapy in a tumor."
2. "These are such strong medications that they would eat up your tissues."
3. "That type of therapy does exist, but it does not work for your particular type of cancer."
4. "I know you get sick, but the nausea and vomiting is not severe and passes quickly."


Correct Answer: 3
Rationale 1: Some antineoplastics are given locally or through direct instillation into a tumor site. This treatment is not available for all tumors.
Rationale 2: Although this statement is somewhat accurate, it is not therapeutic and is not the best answer to this question.
Rationale 3: This is a straightforward and accurate statement of fact.
Rationale 4: Many clients experience severe nausea and vomiting that lasts several hours up to days.

Nursing

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The nurse is performing an oral assessment on a 40-year-old Black patient and notices the presence of a 1 cm, nontender, grayish-white lesion on the left buccal mucosa. Which one of these statements is true? This lesion is:

a. Leukoedema and is common in dark-pigmented persons. b. The result of hyperpigmentation and is normal. c. Torus palatinus and would normally be found only in smokers. d. Indicative of cancer and should be immediately tested.

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The nurse manager is anticipating changes on the unit because of managed care. It is up to the manager to "sell" the staff on this care concept. A goal of managed care that the staff must un-derstand is that managed care is:

a. Grounded in business theory. b. Useful for long-term patients only. c. Designed to reduce unit resources and staff. d. Not concerned with the best interests of clients.

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The nurse is preparing a client for ambulatory surgery. Which of the following is a recommended nursing function?

A) Administer regularly scheduled medications the morning of the procedure. B) Explain the procedure to the client and have him or her sign the consent form. C) Make sure the medication has worn off sufficiently for the client to drive home. D) Make sure the client has someone to stay with him or her for at least 8 hours after surgery.

Nursing

Which muscle lies between the two openings of the ureter and urethra?

a. Micturition b. Detrusor c. Trigone d. Urethra

Nursing