A client has just been told that a colectomy and ileostomy are needed to treat a new diagnosis of colon cancer. Which diagnosis should the nurse use to plan this client's preoperative nursing care?
A) Knowledge Deficit
B) Risk for Disuse Syndrome
C) Risk for Perioperative-Positioning Injury
D) Anticipatory Grieving
Answer: D
The client and family will require support to deal with their emotional response to learning the client has cancer and will undergo body image-changing surgery. Disuse syndrome and injury from positioning may be factors after surgery. Now is not the time to begin instructions, because the client will most likely be unable to learn or concentrate on what the nurse is teaching.
You might also like to view...
What training system may help prevent osteoporosis?
a. Acupressure b. Yoga c. Therapeutic massage d. Tai chi
The plan for a depressed patient includes use of cognitive therapy. The nurse supports this therapy by
a. uncovering unconscious conflicts by encouraging description of childhood traumas. b. challenging pessimistic beliefs and recognizing the patient's accomplishments. c. determining areas of mutual understanding between the nurse and patient. d. using role-playing to rehearse new behaviors.
The ICU patient is NPO. Upon noting that the client's order for intravenous fluids expired with his last infusion several hours ago, the ICU nurse called to obtain a new order
The nurse is aware that maintaining adequate levels of hydration in a client is essential because in the human body water has many roles including: 1. Transport of nutrients and other substances. 2. Elimination of fecal material. 3. Weight stabilization. 4. Euhydration.
Which is not a warning sign of a sexually transmitted infection (STI)?
1) Penile discharge 2) Penile lesion 3) Testicular mass 4) Dysuria