A client with ovarian cancer is scheduled for surgery.
What should the nurse prioritize in the preoperative care of this client?
Administer chemotherapy before surgery.
Encourage the client to eat a heavy meal the night before surgery.
Provide emotional support and information about the surgery.
Delay surgery until the client's anxiety decreases.
The Correct Answer is C
Choice C rationale:
Providing emotional support and information about the surgery should be the nurse's top priority in the preoperative care of a client with ovarian cancer.
A cancer diagnosis and impending surgery can be emotionally distressing for the patient.
The nurse should offer emotional support, answer questions, and provide information to alleviate anxiety and ensure the client feels informed and prepared for the surgery.
This approach helps in reducing the client's anxiety and contributes to their overall well-being.
Now, let's explain why the other choices are not correct:
Choice A rationale:
Administering chemotherapy before surgery is not a standard practice for ovarian cancer.
Ovarian cancer treatment typically involves surgery to remove the tumor (debulking surgery) followed by chemotherapy.
Administering chemotherapy before surgery is not the recommended sequence of treatment.
Choice B rationale:
Encouraging the client to eat a heavy meal the night before surgery is not advisable.
It's important for the patient to have an empty stomach before surgery to reduce the risk of aspiration during anesthesia induction.
The patient is usually instructed to fast for a specified period before surgery to ensure their safety during the procedure.
Choice D rationale:
Delaying surgery until the client's anxiety decreases is not a recommended approach.
Delaying surgery can have detrimental effects on the progression and management of ovarian cancer.
Addressing the client's anxiety through emotional support and information is a more appropriate way to prepare the client for surgery without unnecessary delays.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Instructing the client to be strong and not show emotions is not an appropriate approach to providing emotional support.
Everyone copes with a cancer diagnosis differently, and it's essential to validate the client's feelings and emotions rather than telling them how to react.
Choice C rationale:
Telling the client that they need to handle their diagnosis on their own is not supportive or empathetic.
It's essential for the healthcare provider to offer assistance and emotional support to clients facing a cancer diagnosis.
Choice D rationale:
Delaying the visit until the client has calmed down is not an appropriate response to a newly diagnosed patient's emotional distress.
The nurse should be available to provide support and information when the client needs it.
Choice B rationale:
"I'm here to listen and support you during this difficult time" is the appropriate action to provide emotional support to the client.
It acknowledges the client's feelings, offers a listening ear, and conveys empathy and willingness to be there for the client during a challenging period.
This approach fosters trust and a therapeutic nurse-patient relationship.
Correct Answer is D
Explanation
Choice A rationale:
Ovarian cancer does not originate from the cells of the cervix.
It arises from the cells of the ovaries.
The cervix and ovaries are distinct anatomical structures.
Choice B rationale:
All ovarian cancers do not have the same pathophysiology.
Ovarian cancer is a broad term that includes different histological types, including epithelial ovarian cancer, germ cell tumors, and stromal tumors.
Each of these types has its unique pathophysiology and characteristics.
Choice C rationale:
This statement is incorrect.
There are different types of ovarian cancer, as mentioned in choice D.
Choice D rationale:
Ovarian cancer originates from the cells of the ovaries and has different types, including epithelial ovarian cancer, germ cell tumors, and stromal tumors.
Each of these types has distinct pathophysiological features, prognosis, and treatment approaches.
Epithelial ovarian cancer is the most common type, accounting for the majority of cases.
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