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
The Correct Answer is B
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 the most appropriate recommendation for a patient with a terminal diagnosis who has chosen to stop curative treatments. This specialty focuses on comfort, pain management, and emotional support for patients with a life expectancy of six months or less. It provides a multidisciplinary team to assist the patient and family during the end-of-life process.
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 involves the physical removal of cancerous tumors through operative procedures. Because the patient has decided not to continue with cancer treatment, surgery—which is an invasive form of treatment—is no longer an objective. A surgical consult would not align with the patient’s goal of comfort and the cessation of aggressive medical interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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