The nurse is caring for a client with advanced gastric cancer who is scheduled for palliative surgery to relieve gastric outlet obstruction. The client asks the nurse why he should bother having the surgery, because he will not be cured
Which is the nurse's best response? a. "It will allow the doctors to determine more accurately how long you have to live."
b. "It will relieve the obstruction so you will be more comfortable and able to eat again."
c. "It will remove much of the tumor so that chemotherapy will be more effective."
d. "It will help prevent the tumor from spreading to other parts of your body."
B
Palliative surgery will relieve the gastric outlet obstruction and allow the client to eat again, thus improving quality of life. The surgery will not provide physicians with an accurate prognosis, make chemotherapy more effective, or prevent metastasis.
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A school nurse is trying to decrease the effects of an incredible health crisis attacking school children. Which of the following actions would be most appropriate for the nurse to take?
a. Arrange for booster shots to maximize immunization protection against childhood infectious diseases b. Arrange for swine flu and regular flu shots each year c. Establish recreational programs that encourage physical exercise each day d. For those whose parents give permission, teach adolescents about the need for abstinence or "safe sex"
The nurse is comparing a client's current status with the expected outcomes. This type of evaluation is considered as being:
a. process. b. structure. c. outcome. d. a nursing audit.
When administering a new medication to a client with celiac disease, the nurse should first check for any additives in the form of:
1. Sorbitol. 2. Gluten. 3. Lactose. 4. Sodium.
The nurse is monitoring a patient and finds a bulging area in the patient's groin. The nurse would be most concerned by which of the following findings?
a. The white blood cell count is 10,000/mm3. b. The patient develops pain at the site and vomiting. c. The bulging disappears at times. d. The bulging occurs when the patient coughs or strains.