A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?
Guarded
Good
Very good
Poor
None
None
The Correct Answer is D
A. Guarded suggests uncertainty, which may understate the seriousness of stage IV disease.
B. "Good" and "very good" prognoses suggest favorable outcomes, which are less likely with stage IV ovarian cancer.
C. "Poor" prognosis indicates a bleak outlook with limited treatment options and expected decline in health.
D. Stage IV ovarian cancer indicates advanced disease with metastasis to distant organs, such as the liver or lungs. Even with aggressive treatment (surgery, radiation, chemotherapy), the overall survival rate is low, and the prognosis is considered poor. Discussing a poor prognosis allows the client to make informed decisions about treatment options, advance care planning, and supportive care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
To calculate the infusion rate for an IV, the total volume to be infused (in this case, 1000 mL) is divided by the total time of infusion (8 hours). So, the calculation would be 1000 mL divided by 8 hours, which equals 125 mL per hour.
Correct Answer is ["A","B","E","F"]
Explanation
A. Tenderness in the area of the transplant incision can be a sign of inflammation or rejection.
B. Bilateral edema (swelling) in the lower legs can be a sign of fluid retention, which can occur with kidney dysfunction or rejection.
C. While high blood pressure can be a concern, it's not a specific indicator of transplant rejection in this scenario.
D. The sodium level is within normal limits in this case, decreasing the risk of a transplant rejection.
E. An elevated creatinine level can indicate worsening kidney function, which could be a sign of rejection.
F. Hypoactive bowel sounds in all four quadrants can suggest decreased blood flow or intestinal ischemia, which can be a complication of transplant rejection.
G. Normal lung sounds are not necessarily indicative of rejection.
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