A patient diagnosed with breast cancer wishes to have reconstruction surgery as soon as possible. Which information should the nurse reinforce?
1. "Breast reconstruction works better if it is done as a separate surgery after you have recovered from mastectomy.".
2. "Breast reconstruction has to wait until after chemotherapy is completed.".
3. "The timing of reconstruction is your personal choice.".
4. "You should wait until we are certain your cancer does not recur.".
3
Rationale 1: There is no information that supports the need to wait until after recovery from the mastectomy.
Rationale 2: Immediate breast reconstruction would not delay chemotherapy.
Rationale 3: Reconstruction is usually performed at the time of the patient's preference.
Rationale 4: Reconstruction does not prevent detection of recurrent disease.
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a. Eat three large meals spaced throughout the day. b. Schedule rest periods to prevent overtir-ing. c. Severe stress can trigger vasospasm. d. Eat smaller, more frequent meals.
The nurse is attempting to provide discharge teaching to a patient recently diagnosed with a terminal illness. The patient says, "I would rather talk to my usual nurse about my discharge." What action by the nurse is indicated?
1. Ask the patient to sign a refusal of information form. 2. Continue to provide the information to the patient. 3. Ask the patient what efforts could be taken to make her feel more comfortable. 4. Contact the healthcare provider.
The nurse assesses several spider angiomas across the chest and lower abdomen of a 60-year-old patient. The patient reports that these lesions have developed within the last several months. Which nursing statement is indicated?
1. "We should check your blood glucose.". 2. "Do you take any vitamin supplements?" 3. "These commonly occur with aging.". 4. "We should check you for a bladder infection.".
The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related to the loss of their family member
Which family would the nurse screen as at greatest risk for complicated grief? The family of a client who: A) Died after developing diabetes-induced renal failure. B) Died after a long battle against cancer. C) Died from chronic heart disease. D) Was killed in the robbery of a bank.