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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
The most appropriate advice for Osteosarcoma prevention strategies is to undergo regular medical surveillance.
Osteosarcoma is primarily a genetic condition, and there are no specific lifestyle changes or dietary modifications that can prevent its development.
Regular medical check-ups and surveillance can help in early detection and intervention if there are any signs or symptoms of the disease.
Choice A rationale:
Avoiding physical therapy is not a relevant or appropriate prevention strategy for Osteosarcoma.
Physical therapy is a valuable component of rehabilitation and may be beneficial for patients with Osteosarcoma to regain function and mobility after treatment.
Choice C rationale:
Increasing exposure to radiation is not a recommended prevention strategy for Osteosarcoma or any other condition.
Radiation exposure can increase the risk of cancer, and unnecessary radiation should be avoided.
Choice D rationale:
Consuming a diet high in calcium is not a specific prevention strategy for Osteosarcoma.
While calcium is important for bone health, Osteosarcoma is primarily a genetic condition, and dietary factors are not known to be a significant risk factor.
Choice E rationale:
Using over-the-counter medicine…
Correct Answer is B
Explanation
Chemotherapy is often used in the treatment of Osteosarcoma to help prevent the spread of cancer cells, which is known as metastasis.
Osteosarcoma has a tendency to metastasize to the lungs and other bones, and chemotherapy is administered to target and kill any remaining cancer cells that may have spread beyond the primary tumor site.
Therefore, the nurse's response that chemotherapy helps prevent metastasis is appropriate and educates the patient about one of its key purposes.
Choice A rationale:
"Chemotherapy helps reduce emotional distress" is an inaccurate statement.
While chemotherapy can be emotionally distressing due to its side effects, its primary purpose is to treat cancer by targeting and destroying cancer cells.
Managing emotional distress may be a part of supportive care but is not the main rationale behind chemotherapy.
Choice C rationale:
"Chemotherapy targets osteosarcoma cells directly" is not entirely accurate.
While chemotherapy does target cancer cells, it does not specifically target only Osteosarcoma cells.
It affects rapidly dividing cells, which includes both cancerous and some healthy cells, leading to various side effects.
The primary purpose of chemotherapy in Osteosarcoma is to prevent metastasis and shrink or eliminate the tumor.
Choice D rationale:
"Chemotherapy is used to manage pain" is not the main purpose of chemotherapy in Osteosarcoma.
Pain management is typically achieved through analgesics and other pain-relieving measures.
Chemotherapy may indirectly help with pain by shrinking the tumor and reducing pressure on surrounding tissues, but pain management is not its primary rationale.
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