A child needs surgery to resect a tumor, but is scheduled for several weeks of radiation therapy first. The parents are frustrated and want to know why the surgery that can cure the cancer is being delayed
Which response by the nurse is the most appropriate?
A.
"Children who have radiation first generally do better than others."
B.
"If the radiation destroys the tumor, surgery will not be needed."
C.
"Radiation will shrink the tumor, making it easier to get all of it out."
D.
"The surgeons must be worried that they cannot get the whole tumor."
ANS: C
Often radiation or chemotherapy is used prior to surgical resection to shrink the size of the tumor, maximizing the chances of complete removal. The other responses are not accurate.
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The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. What is the most caring response the student can make?
1. Tell the other students that they are being mean and then leave the table. 2. Shame the students for being so uncaring and cruel. 3. Ask the other students why they think the instructor is so picky. 4. Laugh and tell a story of a personal reprimand received from the instructor.
The emergency department nurse is assessing a client in shock. The nurse understands that shock can be caused by which conditions? Select all that apply.
A) Psychological distress B) Obstruction of blood flow C) Failure of the heart to pump D) Inflammatory vascular disease E) Low blood volume
A male client is considered infertile. He asks the nurse why drug companies aren't developing drugs to treat this problem. What is the best response by the nurse?
1. "It's difficult because the medications have many side effects that men do not like." 2. "It's difficult because about 25% of infertile men also have erectile dysfunction." 3. "It's difficult because only about 5% of infertile men have an endocrine problem." 4. "It's difficult because many men do not want to even admit they have a problem."
A nurse is caring for a client recently prescribed an oral antibiotic who is exhibiting signs of dermatologic toxicity. Which assessment findings support dermatologic toxicity?
1. Rash 2. Itching 3. Urticaria 4. Sunburn 5. Photosensitivity