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 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.

A. Pancreatic cancers are classified as either endocrine pancreatic cancer or exocrine pancreatic cancer. B. Pancreatic cancer typically develops from a polyp C. The pancreas location increases the risk that cancer will spread into nearby structures and blood vessels D. Pancreatic Cancer is distinguished based on the layers of the pancreas.

Correct Answer is A

Explanation

A. Pancreatic cancers are indeed classified into two main categories: endocrine (which involves the hormone-producing cells, such as insulin-producing cells, and is much less common) and exocrine (which involves the cells that produce digestive enzymes, and is the more common form, typically referred to as pancreatic adenocarcinoma). However, this option doesn't provide the most relevant information for client education, particularly because the exocrine type is much more common, and the statement is somewhat vague in terms of how it relates to the client's immediate understanding of the condition.

B. Unlike some other cancers (e.g., colorectal cancer), pancreatic cancer does not typically develop from polyps. Most cases of pancreatic cancer develop from the pancreatic ductal cells (the cells lining the ducts of the pancreas), and the disease is typically aggressive and diagnosed at a later stage.

C. The pancreas is located in a central area of the abdomen, near many vital organs such as the liver, stomach, intestines, and large blood vessels. Because of this location, pancreatic cancer has a high tendency to spread to nearby structures such as the liver, stomach, and major blood vessels early in its course. This characteristic often makes pancreatic cancer more difficult to treat and contributes to its poor prognosis.

D. Pancreatic cancer is not distinguished based on layers. Instead, it is generally categorized based on the type of cells it affects (e.g., ductal cells in exocrine pancreatic cancer). The staging of pancreatic cancer is based on factors like tumor size, lymph node involvement, and metastasis, rather than the layers of the pancreas.

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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;

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 nurse is educating a client about a recent diagnosis of pancreatic cancer. Which of the following information should the nurse include in the client education?

Correct Answer is A

Explanation

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority?

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