A client has renal cancer and is scheduled for a nephrectomy. Preoperatively, the nurse finds the client very quiet with a worried facial expression. Which statement by the nurse would be most appropriate?
a. "Chemotherapy has very good results when given after surgery."
b. "Don't worry; only about 35% of clients have advanced disease when diag-nosed."
c. "Most people are worried before they go to surgery to remove cancer."
d. "You look concerned. Are you worried about having only one kidney?"
D
Along with all the typical worries that a newly diagnosed cancer client has, the client undergoing nephrectomy often has concerns about living with only one kidney. While about 35% of clients with renal cancer have metastases when diagnosed, telling the client not to worry is dismissive of his/her fears. Chemotherapy has poor results with renal cancer, probably because it grows so slowly.
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The nurse is providing discharge teaching about the use of antihyperlipidemics. The patient must understand that timing is very important. The nurse tells the patient that other medications should be taken at which time?
a. 30 minutes before taking the antihyperlipidemic b. 1 hour after taking the antihyperlipidemic c. Any time before taking the antihyperlipidemic d. 4 to 6 hours after taking the antihyperlipidemic
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a. Postoperative gastric distention b. Motion sickness c. Radiation therapy and chemotherapy d. Gastroparesis
The nursing instructor is explaining cardiac function to the senior nursing class. The instructor explains that blood is ejected into circulation as the chambers of the heart become smaller
The instructor categorizes this action of the heart as what? A) Systole B) Diastole C) Hypertension D) Ejection fraction
The nurse assessing a child with long-term congestive heart failure would anticipate signs that include: (Select all that apply.)
a. Periorbital edema b. Enlarged liver c. Polyuria d. Tachypnea e. Flushed face