Which referrals does the nurse make for an older adult client who is being discharged with esophageal cancer? (Select all that apply.)
a. IV infusionist
b. Home health aide
c. Medicare or Medicaid
d. Meals on Wheels
e. Housecleaning service
f. Transportation to and from treatment
B, D, F
The outcome is to keep the client as independent as possible. Providing a home health aide will help the client with normal self-care activities, shopping, and light housework, so the client can reserve energy for essential activities. Meals on Wheels will provide nutritious meals within the client's dietary restrictions. It is essential for the client to maintain adequate intake despite dys-phagia. Transportation to treatments and the physician's office is essential for maintaining the client's health. The client may or may not need home infusion therapy or full housekeeping ser-vices. The client may or may not be eligible for Medicare or Medicaid.
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The nurse is caring for a woman newly diagnosed with breast cancer who asks the nurse to explain the difference between a mastectomy and a radical mastectomy. The nurse's best response is:
1. "They are both the same except that a radical mastectomy removes muscles from the chest wall." 2. "Both remove the breast tissue, but a radical mastectomy removes muscles and lymph nodes." 3. "The radical mastectomy takes more tissue from the chest and improves the chances of survival." 4. "The mastectomy removes more tissue and reduces the risk of metastasis, thereby improving survival rates."
During a therapy session, a patient cries as the nurse explores the relationship of the patient and her now-deceased mother. The patient sobs, "I shouldn't be blubbering like this." A response by the nurse that will hinder communication is:
a. "The relationship with your mother is very painful for you." b. "I can see that you feel sad about this situation." c. "Why do you think you are so upset?" d. "Crying is a way of expressing the hurt you're experiencing."
What occurs physiologically during REM sleep?
a. Growth hormone is secreted. b. Metabolic needs are decreased. c. Sympathetic nervous system predominates. d. Heart rate and blood pressure decrease.
The nurse is caring for a 9-year-old boy with achondroplasia. Which of the following would the nurse expect to assess?
A) Narrow passages from the nose to the throat B) Slim stature, hypotonia, and a narrow face C) Craniosynostosis and a small nasopharynx D) Trident hand and persistent otitis media