A nurse is providing postoperative care to a client who underwent a radical nephrectomy for renal cancer. What is a priority nursing intervention for this client?
Monitoring blood pressure and heart rate
Administering chemotherapy medications
Encouraging the client to perform vigorous physical activity
Providing a high-sodium diet to prevent electrolyte imbalances
The Correct Answer is A
A) Correct. Monitoring vital signs, including blood pressure and heart rate, is a priority after a radical nephrectomy. Changes in blood pressure or heart rate can indicate potential complications.
B) Incorrect. Administering chemotherapy medications is not typically part of the immediate postoperative care for a radical nephrectomy.
C) Incorrect. Encouraging vigorous physical activity is not recommended immediately after a radical nephrectomy. The client will need time to recover and gradually resume normal activities.
D) Incorrect. Providing a high-sodium diet is not typically indicated after a radical nephrectomy. The client's diet will be based on their specific needs and any potential dietary restrictions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. While regular exercise is beneficial, it should be balanced with rest, especially if the client is experiencing fatigue.
B) Incorrect. Long naps during the day may disrupt the client's sleep pattern at night. Short, well-timed naps may be more effective.
C) Correct. Conserving energy by prioritizing activities and taking rest breaks can help manage fatigue. This allows the client to allocate energy for essential tasks and rest when needed.
D) Incorrect. Increasing caffeine intake is not a sustainable or recommended strategy for managing fatigue. It may lead to disrupted sleep patterns and other negative effects.
Correct Answer is B
Explanation
A) Incorrect. Renal cancer is associated with specific risk factors, and it's important to educate clients about them.
B) Correct. Chronic kidney disease is considered a potential risk factor for the development of renal cancer.
C) Incorrect. Consuming a diet high in fiber is generally associated with a reduced risk of various cancers, including renal cancer.
D) Incorrect. Regular exercise and physical activity can help reduce the risk of renal cancer, along with providing other health benefits.
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