A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Provide the client with articles from the internet that explain colon cancer stages.
Encourage the client to write down questions to ask the provider.
Explain the various options available for treatment based on the cancer stage.
Assure the client that the provider will explain what has been planned.
The Correct Answer is B
Choice A reason: Providing the client with articles from the internet that explain colon cancer stages is not the best approach. While it is important for the client to understand their condition, the nurse should ensure that the information is accurate and tailored to the client’s specific situation. Additionally, the nurse should facilitate a direct conversation between the client and the healthcare provider to address any questions or concerns.
Choice B reason: Encouraging the client to write down questions to ask the provider is an excellent approach. This empowers the client to actively participate in their care and ensures that they have a clear understanding of their diagnosis and treatment options. It also helps the client to remember important questions during their consultation with the provider.
Choice C reason: Explaining the various options available for treatment based on the cancer stage is not within the nurse’s scope of practice. Detailed discussions about treatment options should be conducted by the healthcare provider, who has the expertise to provide accurate and comprehensive information tailored to the client’s specific medical condition.
Choice D reason: Assuring the client that the provider will explain what has been planned is a supportive response, but it does not actively engage the client in their care. While it is important to reassure the client, the nurse should also encourage the client to prepare questions and participate in discussions with the provider to ensure they fully understand their treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
White bread is generally low in fiber and easy to digest, making it less likely to cause symptoms of dumping syndrome. While whole grains are typically healthier, in the case of dumping syndrome, low-fiber foods like white bread can be better tolerated.
Choice B reason:
Fresh apples should be avoided because they are high in fiber and can be difficult to digest, potentially exacerbating symptoms of dumping syndrome. The high fiber content can lead to rapid gastric emptying and increased symptoms such as cramping, bloating, and diarrhea.
Choice C reason:
Poached eggs are a good source of protein and are generally well-tolerated by individuals with dumping syndrome. They are easy to digest and do not contribute to rapid gastric emptying, making them a suitable food choice.
Correct Answer is C
Explanation
Choice A reason: A productive cough
A productive cough is not typically associated with an acute hemolytic reaction. This symptom is more commonly related to respiratory conditions such as infections or chronic obstructive pulmonary disease (COPD). Acute hemolytic reactions primarily involve symptoms related to the destruction of red blood cells and the immune response.
Choice B reason: Distended neck veins
Distended neck veins are usually a sign of congestive heart failure or fluid overload. While they can indicate a serious condition, they are not specific to acute hemolytic reactions. The primary symptoms of an acute hemolytic reaction involve the immune system’s response to incompatible blood transfusion.
Choice C reason: Client report of low back pain
Low back pain is a classic symptom of an acute hemolytic reaction. This pain is typically due to the kidneys’ response to the breakdown of red blood cells, which can lead to hemoglobinuria and renal damage. The immune system’s attack on the transfused red blood cells causes this reaction, making it a critical symptom to recognize.
Choice D reason: Client report of tinnitus
Tinnitus, or ringing in the ears, is not associated with acute hemolytic reactions. This symptom is more commonly related to auditory issues or side effects of certain medications. Acute hemolytic reactions involve symptoms such as fever, chills, back pain, and hemoglobinuria.
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