The parent of a child diagnosed with Wilms tumor asks the nurse what the treatment plan will be. The nurse explains the usual protocol for this condition. Which information should the nurse give to the parent?
1. The child will have chemotherapy and, after that has been completed, radiation.
2. The child will need to have surgery to remove the tumor.
3. The child will go to surgery for removal of the tumor and the kidney and will then start chemotherapy.
4. The child will need radiation and later surgery to remove the tumor.
3. The child will go to surgery for removal of the tumor and the kidney and will then start chemotherapy.
rationale for each:
1. Chemotherapy is started after tumor removal, and radiation is done depending on stage and histological pattern.
2. Combination therapy of surgery and chemotherapy is the therapeutic management.
3. Combination therapy of surgery and chemotherapy is the primary therapeutic management. Radiation is done depending on clinical stage and histological pattern.
4. Radiation should be done after surgery and chemotherapy, depending on stage and histological pattern.
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A woman is hospitalized with hyperemesis gravidarum. Which other member of the health-care team should the nurse ensure is involved in this patient's care as a priority?
A. Chaplain B. Diabetic educator C. Mental health nurse practitioner D. Registered dietician
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore."
What is the nurse's most therapeutic response? a. "Don't be concerned. All young women get upset before this kind of surgery." b. "Certainly, I will be glad to tell her about hormone replacement." c. "She will get over this feeling soon." d. "No matter what I may say to her, it is you that needs to listen to her concerns and assure her."
Why does the nurse avoid aspirating the syringe before injecting an insulin dose?
a. There are no blood vessels in subcutaneous tissue. b. The needle is too thin to penetrate the wall of a vein. c. Tissue can be damaged by pulling it into the needle. d. Aspirating blood into the syringe affects insulin activity.
An increased risk of toxicity from exposures to high doses of a drug is associated with which patient type? (Check all that apply correct.)
A. older adult patient B. pregnant patient C. patient with kidney disease D. pediatric patient