A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

Provide the client with articles from the internet that explain colon cancer stages.

Encourage the client to write down questions to ask the provider.

Explain the various options available for treatment based on the cancer stage.

Assure the client that the provider will explain what has been planned.

Answer and Explanation

The Correct Answer is B

Choice A reason: Providing the client with articles from the internet that explain colon cancer stages is not the best approach. While it is important for the client to understand their condition, the nurse should ensure that the information is accurate and tailored to the client’s specific situation. Additionally, the nurse should facilitate a direct conversation between the client and the healthcare provider to address any questions or concerns.

Choice B reason: Encouraging the client to write down questions to ask the provider is an excellent approach. This empowers the client to actively participate in their care and ensures that they have a clear understanding of their diagnosis and treatment options. It also helps the client to remember important questions during their consultation with the provider.

Choice C reason: Explaining the various options available for treatment based on the cancer stage is not within the nurse’s scope of practice. Detailed discussions about treatment options should be conducted by the healthcare provider, who has the expertise to provide accurate and comprehensive information tailored to the client’s specific medical condition.

Choice D reason: Assuring the client that the provider will explain what has been planned is a supportive response, but it does not actively engage the client in their care. While it is important to reassure the client, the nurse should also encourage the client to prepare questions and participate in discussions with the provider to ensure they fully understand their treatment plan.

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Correct Answer is ["1"]

Explanation

Step 1: Determine the total daily dose of vancomycin.

Total daily dose = 50 mg

Step 2: Divide the total daily dose into four equal doses.

Each dose = 50 mg ÷ 4
Each dose = 12.5 mg

Step 3: Determine the amount of vancomycin available per capsule.

Each capsule = 125 mg

Step 4: Calculate the number of capsules needed for each dose.

Number of capsules per dose = 12.5 mg ÷ 125 mg
Number of capsules per dose = (12.5 ÷ 125)
Number of capsules per dose = 0.1

Step 5: Round the answer to the nearest whole number.

Rounded number of capsules per dose = 0.1 (rounded to 0)

Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.

So, the nurse should administer 1 tabletwith each dose.

A. Wash the cord daily with mild soap and water. B. Apply petroleum jelly to the cord stump. C. Cover the cord with the diaper. D. Give a sponge bath until the cord stump falls off.

Correct Answer is D

Explanation

Choice A reason:

Washing the cord daily with mild soap and water is not recommended. The best practice is to keep the umbilical cord stump clean and dry. Cleaning it with water and mild soap can be done if it gets dirty, but it should not be a daily routine as it might delay the drying process.

Choice B reason:

Applying petroleum jelly to the cord stump is not advised. The goal is to keep the stump dry to promote natural drying and falling off. Petroleum jelly can keep the area moist, which is counterproductive to the drying process.

Choice C reason:

Covering the cord with the diaper is not recommended. Instead, the diaper should be folded down below the umbilical cord stump to keep it exposed to air and prevent irritation from urine or stool3. This helps the stump to dry out and fall off naturally.

Choice D reason:

Giving a sponge bath until the cord stump falls off is the correct instruction. Submerging the baby in water can delay the drying and falling off of the stump. Sponge baths help keep the area dry and clean, promoting faster healing.

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A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1"]

Explanation

A nurse is teaching a newborn’s parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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