A former kidney transplant patient, diagnosed with skin cancer, tells the nurse that he cannot believe that he has cancer since he has already gone through "so much" with the kidney disease
With which of the following should the nurse respond to this patient? 1. The cancer will not affect the transplanted kidney.
2. There is no way to predict who will or will not develop cancer after a transplant.
3. Patients on long term medications to prevent organ rejection are at risk for developing cancer later.
4. Everyone can develop cancer at any time.
3
Rationale: Patients on long-term immunosuppressant therapy are at increased risk for development of some form of malignancy. This is what the nurse should explain to the patient. The nurse has no way of knowing if the cancer will affect the transplanted kidney. The nurse should also not tell the patient that there is no way to predict who will or will not develop cancer after a transplant since the incidence of cancer at 20 years post-renal transplantation may be as high as 40 percent; and cancer is the reported cause of death of 26 percent of patients who die within 10 years of renal transplant. The nurse should also not tell the patient that everyone could develop cancer at any time.
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A 45-year-old man has just been diagnosed with Huntington disease. He and his wife are concerned about their four children. What will the nurse understand about the children's possibility of inheriting the gene for the disease?
A) Each child will have a 25% chance of inheriting the disease. B) Each child will have a 50% chance of inheriting the disease. C) Each child will have a 75% chance of inheriting the disease. D) Each child will have no chance of inheriting the disease.
Which of the following are methods for reimbursement for health care services in the United States? Select all that apply
a. universal health care c. publicly funded payers b. private insurers d. direct payment by consumers
The nurse explains that children learn roles during family interaction by the process of:
1. interaction. 2. role playing. 3. observation. 4. rewards.
A client who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled
Two weeks later, the client presents at the clinic office complaining of "crampy" abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100° F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/min (bpm), and respirations, 20 breaths/min. Based on these assessment data, what does the nurse anticipate as a clinical diagnosis? a. Ectopic pregnancy b. Uterine infection c. Gestational trophoblastic disease d. Endometriosis