The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis?
A) "Once the colon tumor is removed, I will be fine."
B) "I will be happy once all the cancer is cut out."
C) "How could I be so unlucky to get cancer twice?"
D) "My cancer has now spread to my liver."
D
Feedback:
Response D shows that he has an understanding that he has primary cancer of the colon with spread to the liver. Choice A does not address the metastasis. Choice B is incorrect because metastases are not always resectable. Choice C is incorrect because it shows a lack of understanding about what metastasis is.
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Which of the following statements reflects just culture within an organization (select all that apply)?
a. Just culture is a punitive reaction to patient errors. b. Just culture occurs when the organization is transparent about its mistakes. c. Interpersonal learning is balanced with personal accountability and discipline. d. Expectations for system and individual learning are apparent. e. Serious safety events are reported to se-nior leadership and kept confidential.
In planning a program to reduce teen pregnancy rates, the nurse uses an evidence-based approach. The nurse learns that more research is needed for: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Timing of initial sexual intercourse. 2. Use of birth control by adolescents. 3. Prevention of sexually transmitted infections. 4. Engaging stakeholders in the implementation phase of sex education. 5. The success of sex education when coupled with the promotion of contraception.
The nurse administers B12 IM to a patient in a long-term care facility. After administering this medication, the nurse will (Select all that apply.)
a. carefully recap the needle. b. identify the patient. c. massage site of injection. d. dispose of the used needle according to policy. e. apply a small bandage to the site.
A 35-year-old woman is being treated for delirium after being lost in the woods for several days and becoming severely dehydrated
At 9 PM, she tells the nurse to get her clothes because she has to get home to her family. Which of the following responses by the nurse is most therapeutic? A) "It's time to sleep now; you can see your family in the morning." B) "We don't have your clothes; they are at home. You'll be going home when you recover." C) "Your family is fine. You need to take care of yourself now." D) "You're in the hospital. You did not drink for several days, but you're getting better now."