A client with an advanced stage laryngeal cancer with widespread metastases is scheduled for surgery tomorrow morning. The nurse realizes that preoperative teaching has been effective when the client states
a. "After the operation, how soon will I know if they got it all?"
b. "I will be glad to have this tumor removed so I can breathe better."
c. "My family can't wait for this to be over so we can travel to Europe."
d. "So what is the cure rate for this kind of cancer?"
B
Surgery can be used for diagnosis, cure, palliation, reconstruction, or prevention of cancer. In this case, with an advanced cancer and widespread metastases, the client is probably undergoing surgery for palliation of symptoms, specifically airway obstruction.
You might also like to view...
A patient who had a pancreaticojejunostomy 2 months ago is in the office for a routine post-surgical appointment. The patient states in frustration that he is concerned that the surgery was not successful because the pain is still present
The most appropriate initial response by the nurse is: A) "The majority of patients who have a pancreaticojejunostomy do not achieve pain relief, so we will increase your pain medication dosage." B) "Pain relief occurs by 6 months in more than 80% of the patients who undergo this procedure, and it has been only 2 months since your surgery." C) "You will likely now require the removal of your gallbladder to achieve pain relief." D) "You are probably not taking the medications appropriately for your pancreatitis and pain, so we will need to discuss your medication regimen in detail."
A 79-year-old woman who lives independently has been admitted to the emergency department after falling on the ice on the sidewalk outside her house. The nurse should be aware that this client is most likely to have suffered what type of fracture?
A) Ankle fracture B) Hip fracture C) Knee fracture D) Rib fracture
When inspecting the breasts and axillae for color and vascularity in a nonpregnant female, it is normal to find
a. moles. c. reddened areas b. striae. d. unilateral superficial vascular patterns.
A nurse working on a geropsychiatric unit designs new clinical protocols. Which potential problems have the highest priority?
a. Risks for falls b. Cognitive errors c. Memory deficits d. Nutritional deficits