The nurse is providing discharge instructions to a patient newly diagnosed with leukemia. The patient says, "My physician mentioned that her survival rates for this type of cancer are good, so I guess my chances of beating this are good, too
". How should the nurse respond? 1. "That means that your physician also had this type of leukemia and is a survivor.".
2. "It means that your chances are better than if you were being treated by a different physician.".
3. "Survival rates are a way of showing how well treatments work generally. They are not specific to an individual patient.".
4. "Do not put too much faith in statistics. They seem to change all the time.".
3
Rationale 1: The physician is not discussing personal survival.
Rationale 2: The nurse should not assume that other physicians have not been as successful at treating this cancer.
Rationale 3: Survival rates provide useful measures for the end result of treatment and may reflect improvements in cancer treatment. Each patient is different, so statistics may or may not be valid for individuals.
Rationale 4: The nurse should explain the implications of these statistics rather than dismiss them as invalid.
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A new mother has brought her 6-week-old infant into the pediatric clinic for a routine checkup. She appears anxious and expresses several concerns regarding her infant's care
a. The mother is confused about the need for immunizations as she has been told that there is a link between autism and certain immunizations. What would you say to the mother regarding the importance of immunizations? b. The mother tells the nurse that she is concerned that her infant is not feeding well. She has been breast-feeding primarily, but supplementing with formula, and says her infant has been "spitting up" frequently. What questions would you ask the client?
The student nurse is assessing the client's cardiovascular system while the experienced nurse observes
The employment of which of the following techniques by the student nurse indicate the need for further education? Standard Text: Select all that apply. 1. The client complains of discomfort while lying flat. The student nurse auscultates the client's chest quickly while the client continues to lie flat. 2. The student nurse determines that the apical impulse is located at the fifth intercostal space at the midclavicular line. 3. The student nurse examines the client's legs and notes that the client's hair is evenly distributed. 4. The student nurse gently palpates the client's carotid arteries simultaneously to determine pulse strength, rhythm, and rate. 5. The student nurse examines the client's hands and fingers and notes the presence of clubbing.
When a client is admitted to the emergency department with a gunshot wound to the abdomen and is experiencing severe blood loss, the nurse anticipates the initial use of
a. dextran. b. normal saline. c. packed red blood cells. d. whole blood.
Which of the following public health efforts will assist in reducing drug-resistant tuberculosis in third world countries?
A) Worldwide screening for tuberculosis B) Daily administration of isoniazid (INH) C) Daily administration of vitamin B6 D) Provision of clean drinking water