A client has been diagnosed with cancer of the gallbladder. Which statement by the client would lead the nurse to feel concern for this client's coping?
a. "After my chemotherapy is over, I think I will retire and do a lot of traveling.
b. "I'm going to see a lawyer and update my will and advance directives."
c. "It's hard deciding if I should have chemo or radiation because both have bad results."
d. "My doctors say there is no agreement on the best treatment."
A
The prognosis for gallbladder cancer is poor; only about 5% of clients with unresectable cancer are alive at the end of the first year after diagnosis. There is no agreement on the best treatment and neither chemotherapy nor radiation therapy offers good outcomes.
You might also like to view...
Factors in our internal and external environments affect both personal and professional decision making. External environment factors include which of the following? Select all that apply
a. Ideals b. Mind-set c. Expectations of patients d. Professional systems we interact with e. Personal beliefs
A patient who is on hemodialysis for chronic kidney disease is given sevelamer hydrochloride (Renagel) with meals. What explanation should be provided to the patient as the primary reason the medication is being given?
a. To prevent metabolic acidosis b. To relieve gastric irritation from excess acid production c. To prevent gastrointestinal ulcer formation d. To prevent damage to bones from high phosphorus levels
The nurse points out that the use of oral contraceptives has increased the risk of acquiring a sexually transmitted infection (STI) because oral contraceptive pills: (Select all that apply.)
a. increase the level of progesterone. b. cause an alkaline vaginal environment. c. may reduce the perception of the need for condom use. d. decrease the inflammatory response. e. alter cervical secretions.
The nurse prepares to administer blood to the client. Which is the nurse's priority intervention?
1. Determining client history of autologous blood donations 2. Assessing client baseline vital signs before the transfusion 3. Confirming the rate of the blood infusion with the provider 4. Identifying client blood type, cross-match, and blood product