A 53-year-old works as a roofer & has chewed tobacco for 35 years. He tells the occupational health nurse that he has had a sore on his lip that been oozing blood for the past month. It is essential that the nurse recommends he;

contacts a support group for tobacco cessation

makes an appointment with his primary care provider as soon as possible.

avoid highly seasoned or acidic foods while to wound is actively oozing.

goes to an urgent care center to have his coagulation studies checked (PT/APTT/INR)

Answer and Explanation

The Correct Answer is B

A. While tobacco cessation is important for overall health, the priority in this case is addressing the potentially serious issue of a persistent sore that has been oozing blood for a month. This could be indicative of oral cancer, particularly given the client's long history of tobacco use.
B. Making an appointment with his primary care provider as soon as possible is the most appropriate recommendation. A persistent, non-healing lesion, especially with bleeding, should be evaluated by a healthcare provider to rule out oral cancer or other serious conditions. Early detection and intervention are crucial.
C. While avoiding highly seasoned or acidic foods while the wound is actively oozing might help reduce irritation to the sore, it does not address the underlying concern of the potential cancerous lesion that needs to be evaluated by a healthcare provider.
D. Going to an urgent care center to have his coagulation studies checked is no indication that the client has a bleeding disorder, so checking coagulation studies is not the immediate priority. The focus should be on evaluating the sore for signs of cancer or other serious conditions.

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Correct Answer is B

Explanation

A. Loss of appetite following surgery is common due to the body’s stress response and recovery process. While this may affect nutrition, it is not immediately concerning unless it persists or is associated with other symptoms like vomiting or fever.
B. Absent bowel sounds in the lower abdominal quadrants is a serious concern and requires nursing intervention. It could indicate ileus or bowel obstruction, both of which can lead to serious complications such as bowel perforation or peritonitis. If bowel sounds are absent and the client is post-surgery, this may need further assessment and intervention.
C. Mild pain at the surgical site when sitting up is typical after surgery, especially abdominal surgery. Mild pain or discomfort is expected in the early post-operative period and generally does not require urgent intervention unless it becomes severe or is unmanageable.
D. The client requires the use of a colostomy bag – This is an expected and necessary part of recovery for clients undergoing surgery to redirect intestinal contents. It does not indicate a complication but rather a standard post-operative outcome.

A. "I can't believe the doctor graduated from medical school. He doesn't know a thing about treating cancer?" B. "Even though I am not hurting right now. I don't feel like have the energy to get out of bed. C. The doctor has been so good to me. I know he has tried everything he can. It is just my time. D. The doctor says I only have a few months to live, but know he is exaggerating to get me to take my medication."

Correct Answer is D

Explanation

A. "I can't believe the doctor graduated from medical school. He doesn't know a thing about treating cancer?" This statement reflects anger rather than denial. In the anger stage of grief, individuals may direct their frustration toward others, including healthcare providers, feeling that they have been wronged or mistreated.

B. "Even though I am not hurting right now, I don't feel like I have the energy to get out of bed." This statement indicates depression rather than denial. Depression in the grieving process often includes feelings of fatigue, sadness, or a lack of motivation, and is characterized by a sense of hopelessness or resignation.

C. "The doctor has been so good to me. I know he has tried everything he can. It is just my time." This statement indicates acceptance, the final stage of the grief process. Acceptance involves coming to terms with the reality of the situation, recognizing that the end is near, and being at peace with it.

D. "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication." Denial is a defense mechanism in which the person refuses to accept the reality of the situation. In this case, the client is rejecting the doctor's prognosis, believing that the doctor is exaggerating, which is characteristic of the denial phase of grief.

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A 53-year-old works as a roofer & has chewed tobacco for 35 years. He tells the occupational health nurse that he has had a sore on his lip that been oozing blood for the past month. It is essential that the nurse recommends he;

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?

Correct Answer is B

Explanation

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

Correct Answer is D

Explanation

A 53-year-old works as a roofer & has chewed tobacco for 35 years. He tells the occupational health nurse that he has had a sore on his lip that been oozing blood for the past month. It is essential that the nurse recommends he;

Which assessment finding requires an immediate intervention by the nurse for the patient after surgery for the treatment of gastric cancer?

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