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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
The statement “You will be fitted for your permanent prosthesis at the time of surgery” is incorrect. Typically, a temporary prosthesis is used initially after surgery. The permanent prosthesis is fitted later, once the residual limb has healed and any swelling has subsided. This process ensures a better fit and comfort for the client.
Choice B reason:
The statement “You will do muscle strengthening exercises in advance of getting your prosthesis” is correct. Muscle strengthening exercises are crucial for preparing the residual limb and the rest of the body for the use of a prosthesis. These exercises help improve balance, strength, and mobility, which are essential for successful prosthesis use.
Choice C reason:
The statement “The structure of the prosthesis will be adjustable depending on what shoe you are wearing” is incorrect. While some prostheses can accommodate different types of footwear, the structure of the prosthesis itself is not typically adjustable. Clients may need to have different prosthetic feet or adjustments made by a prosthetist to accommodate various shoes.
Choice D reason:
The statement “A special pressure dressing will remain in place even when your limb is healed to cushion your prosthesis” is incorrect. A special pressure dressing, also known as a compression dressing, is used initially after surgery to reduce swelling and shape the residual limb. Once the limb has healed, the dressing is no longer needed. The prosthesis itself will have a socket designed to fit the residual limb comfortably.
Correct Answer is D
Explanation
Choice A reason: Diuretic use
Diuretic use can influence the formation of kidney stones, particularly certain types of diuretics that increase calcium excretion in the urine. However, this is not the most common or significant risk factor compared to others like family history or dietary habits. Diuretics such as loop diuretics can increase the risk of calcium stones by increasing calcium excretion.
Choice B reason: BMI less than 25
A BMI less than 25 is generally considered within the normal range and is not typically associated with an increased risk of urolithiasis. In fact, obesity is a more significant risk factor for kidney stones. Higher BMI is linked to increased excretion of stone-forming substances like calcium and oxalate.
Choice C reason: Hypocalcemia
Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis. In fact, low dietary calcium can increase the risk of kidney stones because it leads to higher oxalate absorption in the gut, which can then form stones in the kidneys. Therefore, hypocalcemia is not typically associated with an increased risk of kidney stones.
Choice D reason: Family history
Family history is a significant risk factor for urolithiasis. If a close relative has had kidney stones, the likelihood of developing them increases. This is due to genetic predispositions that affect factors like urine composition and kidney function. Studies have shown that individuals with a family history of kidney stones are more likely to develop them themselves.
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