A nurse is assessing a client with suspected Osteosarcoma.
Which clinical presentation is characteristic of this condition?
"I have been experiencing fatigue and weight loss.”
"I noticed a palpable mass on my leg.”
"I have difficulty moving my arm.”
"My joint pain seems to worsen at night.”
The Correct Answer is B
Choice A rationale:
"I have been experiencing fatigue and weight loss." Fatigue and weight loss are non-specific symptoms and can be attributed to various medical conditions, but they are not characteristic of Osteosarcoma.
Osteosarcoma typically presents with localized symptoms related to the tumor's location, such as a palpable mass, pain, and limited range of motion.
Choice C rationale:
"I have difficulty moving my arm." Difficulty moving the arm is more indicative of a problem in the upper extremities and is not a characteristic presentation of Osteosarcoma, which primarily affects the long bones of the extremities, such as the legs.
Choice D rationale:
"My joint pain seems to worsen at night." While joint pain can be a symptom of Osteosarcoma, it alone is not a characteristic presentation.
The key characteristic of Osteosarcoma is the development of a palpable mass, often accompanied by localized pain and swelling.
The mention of worsening pain at night is not specific enough to differentiate Osteosarcoma from other conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"Administering neoadjuvant chemotherapy." Neoadjuvant chemotherapy is administered before surgery in Osteosarcoma cases to shrink the tumor and increase the likelihood of preserving limb function.
The primary goal is not the administration of chemotherapy but rather limb preservation.
Choice C rationale:
"Performing amputation as the primary treatment." Amputation is considered in cases where limb preservation is not feasible, but it is not the primary goal of surgical treatment in Osteosarcoma.
The primary goal is to preserve limb function whenever possible.
Choice D rationale:
"Targeting residual tumor cells with radiation therapy." While radiation therapy may be used postoperatively to target residual tumor cells, it is not the primary goal of surgical treatment.
The primary goal of surgery in Osteosarcoma is to remove the tumor and preserve limb function.
Questions
Correct Answer is A
Explanation
Choice A rationale:
Administer analgesics as prescribed is the top priority nursing intervention for a patient with Osteosarcoma experiencing significant pain.
Osteosarcoma is a type of bone cancer known for causing severe pain, and effective pain management is crucial for the patient's comfort and well-being.
The nurse should follow the physician's orders and administer analgesics as prescribed to alleviate the pain.
This not only helps in providing immediate relief to the patient but also ensures that the pain is controlled effectively, improving the patient's overall quality of life and ability to participate in necessary treatments and activities.
Choice B rationale:
Offering emotional support to the patient is indeed an essential aspect of holistic care, but in this case, pain management takes precedence.
While emotional support is important, it should not be prioritized over addressing the patient's immediate physical discomfort.
Once the pain is managed, emotional support should be provided as part of comprehensive care.
Choice C rationale:
Monitoring surgical incisions for signs of infection is an important nursing responsibility, especially for post-surgery patients.
However, in this scenario, addressing the patient's significant pain should be the priority.
Infection monitoring should still be done but should not take precedence over pain management.
Choice D rationale:
Collaborating with physical therapists for rehabilitation is a valuable part of the patient's overall care plan, but it is not the immediate priority when the patient is experiencing significant pain.
Rehabilitation and physical therapy can be considered once the pain is under control and the patient's condition stabilizes.
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