A 32-year-old client who has a history of familial polyposis but no manifestations still wants to explore the possibility of preventive surgery. The most appropriate response the nurse can make is
a. "Cancer is not always hereditary, and you should change risk factors in your life."
b. "It is an overreaction to seek radical treatment before you develop symptoms."
c. "Monthly rectal smears may allay your anxiety without surgery."
d. "Subtotal colectomy is a procedure you might seek further information about."
D
Clients with familial polyposis have a 50% risk of developing colon cancer by age 40 . By age 70, all clients with this inherited trait have developed colon cancer. Clients with ulcerative colitis also have an increased risk for colon cancer. Prophylactic subtotal colectomies may be indicated for this group of clients.
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An elderly man has serious vision problems and is no longer allowed to obtain a driver's license. He has been very independent until this time. Which nursing diagnosis is most appropriate for this situation?
a. Confusion, chronic b. Coping, ineffective c. Self-esteem, risk for situational low d. Grieving, dysfunctional
In the 2010 annual Gallup Organization's Poll, data on professional and ethical standards indicated that:
a. nurses, pharmacists, and high school teachers were ranked highest b. members of the clergy and nurses were ranked in the middle c. nurses were ranked in the highest percentile d. policemen and clergy were ranked highest
Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. The role of the LPN/LVN is constantly:
a. enlarging. b. changing. c. improving. d. growing.
What information should the nurse include in the preoperative preparation for a client preparing to undergo a large surgical resection for oral cancer?
A. "You will have a temporary tracheostomy placed." B. "You will be restricted to bedrest for several days." C. "You will be able to drink only clear fluids the day after the surgery." D. "You will need to drink thickened fluids for 1 week after the surgery."