A nurse is educating a client who was diagnosed with left testicular cancer and is scheduled for an orchiectomy. Which statement made by the client would require further teaching?

"After the surgery, I will have to be careful with heavy lifting for a few weeks."

"I know that after the surgery, I will only have one testicle left."

"I will have to take antibiotics as prescribed by my doctor to prevent infection."

"I will need to avoid showering for a month after the surgery."

Answer and Explanation

The Correct Answer is D

A. "After the surgery, I will have to be careful with heavy lifting for a few weeks": This statement demonstrates understanding of postoperative precautions, as heavy lifting can strain the surgical site and delay healing.

B. "I know that after the surgery, I will only have one testicle left": This statement indicates awareness of the surgical procedure and its potential outcomes, which is accurate.

C. "I will have to take antibiotics as prescribed by my doctor to prevent infection": This statement reflects understanding of the importance of antibiotic therapy to prevent postoperative infection, which is correct.

D. "I will need to avoid showering for a month after the surgery": This statement is incorrect.

Avoiding showering for a month after surgery is unnecessary and could lead to poor hygiene and potential complications such as infection. The client should be educated that showering is typically allowed after surgery, but they should avoid soaking the incision site in water until it has healed properly.

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

Explanation

A. Encouraging mouth care before and after meals helps maintain oral hygiene, which is essential for appetite stimulation and preventing oral infections.

B. Monitoring the client for changes in mental status is important as malnutrition can lead to cognitive impairment and changes in mental status.

C. Assessing the client's laboratory work for increased calcium levels may not be directly related to malnutrition due to cancer. Elevated calcium levels are more commonly associated with conditions like hyperparathyroidism or certain cancers, but it's not typically a direct consequence of malnutrition.

D. Advising the client to keep a food diary helps track food intake, identify any patterns related to malnutrition, and guide dietary interventions.

E. Instructing the client to drink extra fluids between meals helps prevent dehydration, especially if the client's intake is compromised due to malnutrition or cancer-related treatments.

A. "High blood pressure reduces renal blood flow and harms the kidney tissue, causing this diagnosis." B. "Thickening of the kidney structures and gradual death of nephrons has caused this diagnosis." C. "Cysts compress renal tissue, which destroys the kidneys, causing this diagnosis." D. "Immune complexes form in the kidney tissue and produce inflammation, causing this diagnosis."

Correct Answer is A

Explanation

A. "High blood pressure reduces renal blood flow and harms the kidney tissue, causing this diagnosis." Chronic renal disease often develops as a complication of long-standing

hypertension. Persistent high blood pressure can damage the small blood vessels in the kidneys, reducing blood flow and causing kidney tissue damage over time.

B. "Thickening of the kidney structures and gradual death of nephrons has caused this diagnosis." This statement describes changes seen in conditions like diabetic nephropathy but is not specific to the development of renal disease in hypertension.

C. "Cysts compress renal tissue, which destroys the kidneys, causing this diagnosis." This statement describes the pathogenesis of polycystic kidney disease, not chronic renal disease due to hypertension.

D. "Immune complexes form in the kidney tissue and produce inflammation, causing this diagnosis." This statement describes the pathogenesis of glomerulonephritis, not chronic renal disease due to hypertension.

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A nurse is educating a client who was diagnosed with left testicular cancer and is scheduled for an orchiectomy. Which statement made by the client would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has malnutrition due to cancer. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

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

Explanation

A client with a history of hypertension and diagnosis of chronic renal disease asks a nurse how the disease occurred. The nurse should accurately respond to the client by making which statement?

Correct Answer is A

Explanation

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