A 45-year-old woman has been admitted for surgery to remove a cancerous abdominal tumor. She has been on chemotherapy and recently radiotherapy to shrink the tumor without success
To best facilitate wound healing, when is the best time for her to undergo surgery? a. During the radiotherapy treatments
b. Immediately after the radiotherapy treatments
c. 2 to 3 weeks after radiotherapy treatments
d. 4 to 6 weeks after radiotherapy treatments
D
Ideally surgery takes place 4 to 6 weeks after the completion of radiation treatments to avoid wound-healing problems. The patient with cancer may have radiotherapy before surgery to reduce the size of a cancerous tumor to remove it surgically. Radiation causes fibrosis and vascular scarring in the radiated area. This causes tissues to become fragile and poorly oxygenated, increasing the risk for wound infection.
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A nurse assesses a client who is recovering after a left-sided cardiac catheterization. Which assessment finding requires immediate intervention?
a. Urinary output less than intake b. Bruising at the insertion site c. Slurred speech and confusion d. Discomfort in the left leg
A patient who delivered her baby 4 weeks ago calls the home-health nurse because she is feeling very depressed. The nurse recognizes this call for help as a symptom of postpartum depression (PPD), and that one of the prominent features of this is:
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The nurse is instructing client's about the importance of taking the shingles vaccine. Which client would benefit from this vaccine?
A) A 24-year-old client who is pregnant B) A 17-year-old client who will be attending college and living in a dormitory C) A 32-year-old client who has never had chickenpox D) A 65-year-old client who had chicken pox when he was 12 years old
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