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. Hematuria, or the presence of blood in the urine, is a common urinary symptom associated with renal cell carcinoma.
B) Incorrect. Urinary retention is not a typical urinary symptom of renal cell carcinoma.
C) Incorrect. While changes in urinary frequency can occur in various conditions, it is not a specific symptom associated with renal cell carcinoma.
D) Incorrect. Urinary incontinence is not a typical symptom of renal cell carcinoma.
Correct Answer is B
Explanation
A) Incorrect. Hydration is important during cancer treatment to help support the body's response to treatment and manage side effects. It is not advisable to dismiss its importance.
B) Correct. Staying well-hydrated is crucial during cancer treatment to support the body's response to therapy and minimize potential side effects, such as nausea and fatigue.
C) Incorrect. While there may be specific cases where fluid intake needs to be monitored, limiting hydration in general is not advisable, especially during cancer treatment.
D) Incorrect. It is important for the client to stay hydrated throughout the day, not just immediately before and after treatment sessions.
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