A newly diagnosed patient with squamous cell lung carcinoma (SCLC) is anxious about having to take chemotherapy. The intervention by the nurse that would be helpful is to:
1. support the patient in preparation for surgery.
2. educate the patient regarding the high survival rate with this type of carcinoma.
3. assure the patient that chemotherapy and radiation are seldom used in this sort of cancer.
4. refer the patient to the American Cancer Society for postdischarge follow-up.
1
Surgery is the treatment of choice of SCLC carcinomas. Options 2 and 3 are not correct, because SCLC tumors are sometimes treated by chemotherapy and radiation before or after surgery. The survival rate is only about 14%. Although referral may be in the long-range plan, the patient's need is immediate for information that is in the scope of nursing.
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Joan is unsure if she wants to apply for critical care certification with AACN. She asks her co-worker if it is "worth it." Certification has which of the following benefits?
A) Recognition of accomplishment with peers and co-workers B) Increased autonomy in the workplace C) Career advancement D) All of the above are correct.
The nurse is conducting peritoneal dialysis for a client with renal failure and finds the drainage tubing has no outflow. The priority action that the nurse would take is to
a. apply a 5-pound sandbag to the abdomen. b. check the tubing for kinks or obstruction. c. notify the physician about the problem. d. try a more concentrated dialysate solution.
After learning about the need for a cesarean birth, the pregnant patient begins to cry and hyperventilate. Which nursing diagnosis should the nurse use to guide the care that the patient needs at this time?
A) Fear related to impending surgery B) Risk for infection related to a surgical incision C) Powerlessness related to medical need for cesarean birth D) Risk for impaired parent/infant attachment related to unplanned method of birth
Which of the following congregations is cited as an example of a long-standing tradition of encouraging members to be good stewards or responsible managers of body, mind, the envi-ronment, and total resources?
1. Presbyterian 2. Catholic 3. Lutheran 4. Methodist