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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Related Questions
Correct Answer is B
Explanation
A) Incorrect. Weight loss, fatigue, and abdominal pain can be associated with renal cancer, and it's important for the client to seek medical evaluation.
B) Correct. Weight loss, fatigue, and abdominal pain can be signs of renal cancer. It's crucial for the client to consult a healthcare provider for further evaluation and testing.
C) Incorrect. While these symptoms can occur in aging adults, they can also be indicative of various health conditions, including cancer.
D) Incorrect. Weight loss, fatigue, and abdominal pain can be associated with renal cancer, and it's important for the client to seek medical evaluation.
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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