The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?
a. Palliative
b. Reconstructive
c. Diagnostic
d. Ablative
ANS: A
Palliative surgery is performed to alleviate distressing symptoms such as unrelenting pain, nausea, and vomiting. Palliative surgery will not attempt to cure the underlying disease process but will make the patient more comfortable.
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Of the following exercise regimens, which would be most suitable for the nurse to recommend to a 77 year old healthy woman with no restrictions from her physician?
a. five miles of bicycling per day on the county roads b. walking for a total of 20 – 30 minutes five days per week c. swimming 50 laps per day in the community swimming pool d. horse back riding in the country alone three times per week
A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority when preparing the grandmother for long-term suc-cess in this new role?
a. Reviewing the developmental milestones of childhood b. Identifying local sources of child counsel-ing services c. Discussing the common challenges of parenting a 6-year-old d. Teaching stress management and relaxa-tion techniques
The nurse is caring for an elderly client who has written advance directives. This means that the:
a. Client has made decisions regarding treatment if he becomes incapacitated. b. Client has a living will. c. Client has a Do Not Resuscitate order. d. Client's family has decided on a medical treatment regimen.
A patient with Parkinson's disease has difficulty tying shoes. What nursing intervention would be the most helpful?
a. Tie the shoes for the patient. b. Reteach the patient to tie shoes. c. Have a family member purchase shoes with Velcro fasteners. d. Explain to the patient that as the disease progresses, there will be many things that will require assistance.