A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?

“Even though I am not hurting right now, I don’t feel like I have the energy to get out of bed.”.

“The doctor has been so good to me. I know he has tried everything he can. It is just my time.”.

“The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.”.

“I can’t believe that doctor graduated from medical school. He doesn’t know a thing about treating cancer.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale
While some MRI scans may require fasting, it is not universally required for all MRI scans. The need for fasting depends on the specific type of scan and the contrast material used.
Choice B rationale
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper gastrointestinal (GI) endoscopy and x-rays to treat problems of the bile and pancreatic ducts. It often requires fasting before the procedure.

Choice C rationale
Esophagogastroduodenoscopy (EGD) is a procedure that examines the lining of the esophagus, stomach, and upper duodenum with a small camera (endoscope) which is inserted down the throat. It requires fasting before the procedure.
Choice D rationale
A barium swallow is a type of test used to look at the esophagus, the tube that connects the mouth to the stomach. It requires fasting before the procedure.

A. The patient needs to understand dietary modifications. B. The patient should know about medication management. C. The patient needs to be aware of signs of complications. D. The patient should understand the importance of follow-up appointments.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
After a subtotal gastrectomy, the patient’s diet will need to be modified. They will need to eat pureed foods and liquids for 3 weeks after the surgery. They may also need to use liquid nutritional supplements recommended by a healthcare provider to make sure they get enough calories.
Choice B rationale
Medication management is crucial after a subtotal gastrectomy. The patient will need to take their medicines in crushed or liquid form for 3 weeks after surgery.
Choice C rationale
Awareness of signs of complications is important for the patient after a subtotal gastrectomy. Complications can include infection, redness, swelling inside the belly (peritonitis) that can occur if the appendix bursts during surgery, blocked bowels, and injury to nearby organs.
Choice D rationale
Understanding the importance of follow-up appointments is crucial for the patient after a subtotal gastrectomy. Regular follow-ups allow the healthcare provider to monitor the patient’s recovery and address any potential issues promptly.

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A nurse is caring for a patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

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Naxlex Comprehensive Predictor Exams

When teaching patients about diagnostic procedures, the nurse should instruct them to fast and restrict fluids prior to which of these tests? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

Correct Answer is ["A","B","C","D"]

Explanation

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The nurse is caring for a client who received a new diet prescription from the physician for nothing by mouth (NPO) except ice chips. Which actions would the nurse take to alleviate the effects of dehydration? Select all that apply

A nurse is caring for a patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

The nurse is reviewing the medical record of a patient with peritonitis. Which prescription should prompt the nurse to seek clarification from the gastroenterologist?

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A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?