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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Occupational exposure to certain chemicals and substances, such as asbestos, organic solvents, and heavy metals, can increase the risk of developing renal cancer.
B) Incorrect. Occupational risk factors, particularly exposure to specific chemicals and substances, can indeed impact the risk of renal cancer.
C) Incorrect. Working in an office environment is not a recognized occupational risk factor for renal cancer.
D) Incorrect. Occupational factors can influence the risk of various cancers, including renal cancer, not just lung cancer.
Correct Answer is C
Explanation
A) Incorrect. A bone scan is not used for direct visualization and biopsy of tumors in the bones. It is an imaging test for identifying abnormalities in bone metabolism.
B) Incorrect. While a bone scan provides information about bone metabolism, it is not primarily performed to assess blood flow within the bones.
C) Correct. A bone scan is used to detect whether cancer has spread (metastasized) to the bones. This information is crucial for staging the cancer and planning appropriate treatment.
D) Incorrect. While a bone scan provides information about bone health, its primary purpose is to identify abnormalities related to bone metabolism, such as metastases from cancer.
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