A nurse is performing a comprehensive assessment on a patient suspected of having Osteosarcoma.
Select all the nursing assessment techniques that are relevant for this condition.
Palpating the lymph nodes.
Measuring blood pressure.
Assessing range of motion of the affected limb.
Inspecting the skin for changes in color or texture.
Evaluating the patient's cognitive function.
Correct Answer : A,C,D
Choice A rationale:
Palpating the lymph nodes.
Rationale: Palpating the lymph nodes is relevant because it helps assess for potential metastasis.
Osteosarcoma can spread to nearby lymph nodes, and checking for enlarged or palpable lymph nodes is important in assessing the extent of the disease.
Choice B rationale:
Measuring blood pressure.
Rationale: Measuring blood pressure is generally not directly relevant to assessing Osteosarcoma.
While hypertension can be a side effect of some cancer treatments, it is not a primary assessment for Osteosarcoma itself.
Choice C rationale:
Assessing range of motion of the affected limb.
Rationale: Assessing range of motion of the affected limb is relevant because Osteosarcoma can cause pain, swelling, and limitations in joint mobility.
Evaluating the range of motion helps in assessing the impact of the tumor on the patient's functional status.
Choice D rationale:
Inspecting the skin for changes in color or texture.
Rationale: Inspecting the skin for changes in color or texture is relevant because skin changes, such as erythema (redness), warmth, or ulceration, can be indicative of advanced disease or tumor extension into the soft tissues surrounding the bone.
Choice E rationale:
Evaluating the patient's cognitive function.
Rationale: Evaluating the patient's cognitive function is generally not directly relevant to assessing Osteosarcoma.
It may be important for other conditions or as part of a comprehensive patient assessment but is not specific to Osteosarcoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
"Examine the patient's liver function." While monitoring liver function is important in cancer patients, it is not a specific assessment related to Osteosarcoma.
Osteosarcoma primarily affects the bones and may spread to the lungs or other distant sites rather than the liver.
Choice E rationale:
"Perform a neurological examination." A neurological examination is not a standard assessment for Osteosarcoma.
This cancer primarily involves the bones and surrounding tissues, and neurological symptoms are not typically associated with it.
Correct Answer is B
Explanation
Choice A rationale:
Osteosarcoma arises from mature bone-forming cells called osteocytes.
Rationale: This statement is not accurate.
Osteosarcoma does not originate from osteocytes.
Instead, it arises from osteoblasts, which are immature bone-forming cells.
Genetic mutations can lead to uncontrolled proliferation of osteoblasts, contributing to the development of Osteosarcoma.
Choice B rationale:
Genetic mutations leading to uncontrolled proliferation of osteoblasts contribute to Osteosarcoma.
Rationale: This statement is accurate.
Osteosarcoma is characterized by genetic mutations that cause osteoblasts to multiply uncontrollably, resulting in the formation of malignant bone tumors.
This is a key aspect of the disease's pathophysiology.
Choice C rationale:
Osteosarcoma typically starts in the epiphyseal region of long bones.
Rationale: This statement is not accurate.
Osteosarcoma usually begins in the metaphyseal region of long bones, not the epiphyseal region.
The metaphysis is the area of the bone where growth occurs, making it more susceptible to malignant changes.
Choice D rationale:
The tumor primarily extends into the muscle tissues surrounding the bone.
Rationale: This statement is not accurate.
Osteosarcoma primarily affects the bone itself, with the tumor originating within the bone tissue.
While it can extend into nearby soft tissues, such as muscles, it does not primarily start in muscle tissues.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.