A client has liver cancer. Which statement by the client about treatment options demonstrates an accurate understanding?
a. "I guess it's a good thing that surgery is usually so successful."
b. "I choose hepatic arterial infusion of chemo to limit side effects."
c. "Because I have only local metastases, I am thinking about transplant."
d. "This disease is so rare, no wonder no good treatments are available."
B
Hepatic arterial chemotherapy infusion allows chemotherapeutic agents to be delivered directly into the liver tumor, limiting systemic side effects. Surgery is not usually successful because the cancer is frequently widespread when detected. Transplant is considered only for primary liver tumors that have not metastasized. The lack of successful treatments is due not to rarity, but ra-ther to the fact that generally the cancer has already spread when found.
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A critically ill patient has developed multiple organ dysfunction syndrome (MODS). What should the nursing goal for management of the patient with impending MODS center on?
A) Early normalization of SvO2 and acid–base balance B) Use of intravenous drotrecogin alfa (Xigris) C) Specific organ system support D) General intensive nursing care
When examining a patient with Guillain-Barre' syndrome, the nurse would expect to assess which of the following clinical manifestations?
A) Paresthesias of the hands and feet B) Hyperactive deep tendon reflexes C) Hypotension D) Descending weakness
Which of the following makes training is most effective?
1. It occurs during the nurse's scheduled shift 2. When measurable objectives are employed 3. Training is conducted on the staff's day off 4. Another staff member conducts the session
How should the nurse use the JCAHO 2006 National Patient Safety Goals to improve communication among caregivers?
1. Review a list of look-alike/sound-alike drugs used in the organization. 2. Use a verification process to confirm the correct procedure. 3. Studying a list of abbreviations that are not to be used throughout the organization. 4. Use the client's room number as an identifier.