During the admission assessment of a 35 year old client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
A. Diarrhea
B. Hypermenorrhea
C. Abdominal bleeding
D. Abdominal distention
Answer: D
Explanation: Clinical manifestations of ovarian cancer include abdominal distention, urinary frequency and urgency, pleural effusion, malnutrition, pain from pressure caused by the growing tumor and the effects of urinary or bowel obstruction, constipation, ascites with dyspnea, and ultimately general severe pain. Abnormal bleeding, often resulting in hypermenorrhea, is associated with uterine cancer.
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A client with chronic lung disease is having difficulty breathing, and is slumped in the bed. The priority nursing intervention would be to:
1. place the client on oxygen. 2. have the client breathe into a paper bag. 3. call and request a code team. 4. place the client in a high Fowler's position.
At 3 AM, a man walks into your emergency department. He paces back and forth in the waiting area before he approaches staff to ask if he can see his wife, who is a patient on another floor
He speaks rapidly, his face is flushed, he glances around often, and he keeps his hand in his jacket pocket. A best initial response would be to: a. Assess your situation and your surround-ings. b. Ask two or three staff to assist in con-fronting the individual. c. Ask what floor his wife is on and remind him that visiting hours are closed. d. Remain calm as there is no potential for violence here.
The nurse is taking a history on an older adult patient who reports chronic back pain. The nurse seeks to identify factors that are contributing to the pain. Which question is the most useful in eliciting information?
A.) "Have you had any recent falls or have you been in an accident?" B.) "Do you have a history of osteoarthritis?" C.) "Do you have a history of diabetes mellitus?" D.) "Are you having pain that radiates down your leg or into the buttocks?"