A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?

Radiation Oncology

Hospice

Psychiatry

Surgical oncology

Answer and Explanation

The Correct Answer is D

A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B. Hospice care is designed to provide comfort and support for individuals with terminal illnesses who are no longer seeking curative treatments. It focuses on improving the quality of life, pain management, and providing emotional and spiritual support for the patient and their family. This is the most appropriate referral in the context of a terminal cancer diagnosis where the patient has chosen to discontinue curative treatment.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D. Surgical oncology would be involved if surgery were part of the cancer treatment plan. Since the patient has chosen not to continue treatment, surgery is unlikely to be appropriate at this time.

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Correct Answer is C

Explanation

A. Anorexia is a common symptom after surgery and may be due to the stress of surgery, anesthesia, or the body's adjustment to changes in digestion. While it requires monitoring, it is not an immediate concern unless it worsens or is accompanied by other signs of complications.
B. Mild to moderate pain is expected after surgery, especially following major procedures like gastric cancer surgery. Pain management is important, but it is not usually an immediate concern unless it is severe, unmanageable, or worsens suddenly.
C. Excessive sweating (diaphoresis) after surgery could indicate a serious complication, such as hypovolemic shock, infection, or a cardiovascular event. It is critical for the nurse to assess for other signs, such as low blood pressure, rapid heart rate, or fever, and take immediate action.
D. Nausea can occur after surgery and is a common side effect from anesthesia, pain medications, or the digestive system adjusting. While it requires management, it is typically not as urgent as diaphoresis, unless it is persistent or associated with other concerning symptoms like vomiting or dehydration.

A. 24-year-old who uses a tanning booth on a weekly basis B. 40-year-old who complains of freckles all over her body C. 50-year-old who goes to the beach at 8 AM daily for a swim D. 25 year old who uses a tanning spray in the summer

Correct Answer is A

Explanation

A. Tanning beds significantly increase the risk of developing skin cancer, particularly melanoma. The UV radiation from tanning beds is a known carcinogen, and frequent use can damage the skin's DNA, leading to an increased risk of skin cancer. This individual is at high risk and should definitely follow up for skin cancer screenings.
B. While freckles can be a sign of sun exposure, they are not necessarily indicative of a higher risk of skin cancer. However, it is important for this individual to monitor for any changes in freckles (such as size, shape, or color) and to perform regular self-exams.
C. While sun exposure should be minimized, the risk of skin cancer is lower at 8 AM when UV rays are less intense. That said, the individual should still take precautions like wearing sunscreen and protective clothing, but their risk is not as elevated as that of someone using tanning beds.
D. Tanning sprays do not expose the skin to harmful UV radiation, so they do not increase the risk of skin cancer. However, it's important to note that this individual should still be mindful of overall skin health.

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A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

The nurse is assessing a client for the risk of developing skin cancer. It would be a priority for the nurse to suggest follow up for which client?

Correct Answer is A

Explanation

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