The nurse working on an oncology unit directs care to reduce the growth of cancer cells and support normal cell function when including which of the following interventions? Select all that apply. Standard Text: Select all that apply
1. Increased calorie intake
2. Encouraging increased rest and sleep
3. Reducing oxygen supply to retard growth of cancer cells
4. Assessment of normal functioning
5. Encouraging mobility and exercise
1,2,4
Rationale: Cancer cells grow faster than normal cells, so they also use more nutrients for growth, resulting in wasting, which can be counteracted only by increasing the caloric intake of the client. Because cancer cells can grow in any area of the body, it is important for the nurse to assess normal functioning of all organ systems. Increased rest and sleep give the client's body more energy to fight the cancer cell. Decreasing oxygen supply will retard cancer cell growth but it will also retard normal cell health. While clients should not be inactive, they should be taught to reduce activity, to reduce weight loss and provide more energy to the healthy cells.
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An older man who is admitted to the hospital for surgery has a history of medication therapy for hypertension. Which intervention does the nurse implement when the client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours b. Orthostatic blood pressures c. Serum creatinine levels d. Blood levels of prescribed antihypertensive medications
The highest injury rate related to risk taking of all groups of children occurs in
1. Infants 2. Toddlers and preschoolers 3. School-age children 4. Adolescents
The nurse is caring for a client with an eating disorder in which self-imposed starvation resulted in more than a 15% loss of body weight. This condition is known as:
a. anorexia nervosa c. obesity b. bulimia d. substance abuse
The family of an older patient dying of liver cancer is concerned that the patient will not eat or drink. The patient is alert and oriented, and expresses no desire to eat. What action would the nurse take?
1. Force fluids. 2. Consult the dietician for feeding supplements. 3. Contact the physician for an order for tube feedings. 4. Comply with the patient's wishes despite the family's concern.