A nurse is caring for a patient who has just been diagnosed with cancer of the colon.
The patient asks the nurse several Questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Encourage the patient to write down Questions to ask the provider.
Provide the patient with articles from the Internet that explain colon cancer stages.
Assure the patient that the provider will explain what has been planned.
Explain the various options available for treatment based on the cancer stage.
The Correct Answer is A
Choice A rationale
Encouraging the patient to write down questions promotes active engagement in their care and ensures that all their concerns are addressed during the consultation with the provider. This empowers the patient to seek clarification and understand the proposed plan of care directly from the healthcare professional responsible for it.
Choice B rationale
Providing internet articles about colon cancer stages can overwhelm the newly diagnosed patient with potentially complex and sometimes unreliable information. The specifics of the patient's diagnosis and treatment plan should come directly from their healthcare provider, who can tailor the information to their individual situation and answer specific questions.
Choice C rationale
While it is true that the provider will explain the planned treatment, this response does not actively address the patient's immediate need for information and may make the patient feel dismissed. Encouraging the patient to prepare questions ensures a more productive and informative discussion with the provider.
Choice D rationale
Explaining treatment options based on cancer stage is the responsibility of the healthcare provider, who has the complete clinical picture and can discuss the risks, benefits, and potential outcomes of each option in the context of the patient's specific case. The nurse's role at this stage is to facilitate communication between the patient and the provider, not to provide detailed medical explanations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pantothenic acid (vitamin B5) is involved in fatty acid metabolism and coenzyme A synthesis, while vitamin B6 (pyridoxine) is crucial for amino acid metabolism and neurotransmitter synthesis. Prednisone does not typically lead to deficiencies in these vitamins.
Choice B rationale
Biotin (vitamin B7) plays a role in carbohydrate, fat, and protein metabolism, and vitamin B2 (riboflavin) is essential for cellular respiration and energy production. Prednisone therapy is not directly linked to a need for these supplements.
Choice C rationale
Folic acid (vitamin B9) is necessary for DNA synthesis and cell division, and vitamin C (ascorbic acid) is an antioxidant involved in collagen synthesis and immune function. Prednisone's effects do not primarily target these metabolic pathways to cause deficiencies.
Choice D rationale
Long-term prednisone therapy can lead to bone demineralization by increasing osteoclast activity and decreasing calcium absorption in the gut, thus increasing the risk of osteoporosis. Vitamin D is essential for calcium absorption and bone health. Supplementation with calcium and vitamin D helps to mitigate these adverse effects of prednisone. Normal serum calcium levels range from 8.5 to 10.5 mg/dL, and normal vitamin D levels are generally considered to be between 20 to 50 ng/mL, although optimal levels may vary.
Correct Answer is D
Explanation
Choice A rationale
Migraine headaches are a common comorbidity associated with fibromyalgia. Studies suggest a shared pathophysiology involving central sensitization and altered pain processing mechanisms in the central nervous system that contribute to both conditions.
Choice B rationale
Weather changes, particularly fluctuations in barometric pressure, temperature, and humidity, are frequently reported by individuals with fibromyalgia as triggers for increased pain and other symptoms like stiffness and fatigue. The exact mechanisms are not fully understood but may involve changes in tissue pressure and nerve sensitivity.
Choice C rationale
Chest pain, specifically non-cardiac chest pain, is a recognized symptom in some individuals with fibromyalgia. This pain is often musculoskeletal in origin, arising from tender points in the chest wall and surrounding muscles, and is not related to cardiac issues.
Choice D rationale
Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive issues. Unlike rheumatoid arthritis or osteoarthritis, fibromyalgia does not involve joint inflammation or structural damage to the joints. The pain is believed to originate from amplified pain signals in the brain and spinal cord.
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