A patient with a brain tumor is scheduled for a chest x-ray and says "I don't understand why I'm having a chest x-ray when my problem is in my head!" What is the nurse's most appropriate response?
1. "The physician may be trying to determine if this is a metastatic brain tumor, as the most common source of these tumors is cancer of the lung."
2. "This is just a precautionary measure. The physician often prescribes chest x-rays."
3. "Don't get so upset about this! It's routine. The doctor will talk to you later."
4. "The escort is here to take you to radiology, so we'll discuss this when you return."
Correct Answer: 1
The most common source of metastatic brain tumors is cancer of the lung. Stating that the x-ray is just a precautionary measure is correct but not the most appropriate response. The nurse should not assume the patient is upset and/or defer addressing the patient's concern.
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