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

Answer and Explanation

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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Correct Answer is B

Explanation

A) Incorrect. Back pain can be associated with renal cancer, especially if there are other concerning symptoms present.

B) Correct. Back pain can have various causes, but it's important to consider the possibility of renal cancer, especially if there are other concerning symptoms like weight loss and hematuria.

C) Incorrect. While musculoskeletal issues can cause back pain, it's important to consider other potential causes, including conditions like renal cancer.

D) Incorrect. The severity of pain alone does not necessarily rule out the possibility of a serious underlying condition like renal cancer.

A. "A bone scan is used to directly visualize and biopsy tumors in the bones." B. "A bone scan is primarily performed to assess blood flow within the bones." C. "A bone scan helps identify if the cancer has spread to the bones, which is important for staging and treatment planning." D. "A bone scan provides detailed images of the bones and surrounding tissues, aiding in the assessment of bone health."

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports experiencing back pain that doesn't seem related to any specific injury or strain. The client asks the nurse if this could be a sign of renal cancer. How should the nurse respond?

Correct Answer is B

Explanation

A client diagnosed with renal cancer asks the nurse about the purpose of a bone scan. How should the nurse respond?

Correct Answer is C

Explanation

A nurse is discussing risk factors for renal cancer with a client. Which of the following should the nurse include?

A client asks the nurse about the role of genetics in the development of renal cancers. How should the nurse respond?

A nurse is assessing a client suspected of having renal cancer. What urinary symptom is commonly associated with renal cell carcinoma?

A nurse is educating a client about the potential signs and symptoms of renal cancer. What should the nurse include?

A nurse is caring for a client with renal cancer who has just returned from surgery. What is the priority nursing intervention for this client at this time?

A nurse is explaining the pathophysiology of renal cancers to a client. What is a key factor in the development of renal cell carcinoma?

A nurse is explaining risk factors for renal cancer to a client. Which of the following should the nurse include?

A client asks the nurse how renal cancers spread to other parts of the body. How should the nurse respond?