A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?

Radiation Oncology

Hospice

Psychiatry

Surgical oncology

Answer and Explanation

The Correct Answer is D

A. Radiation oncology is focused on the use of radiation therapy to treat cancer. Since the patient has decided not to continue with treatment, this specialty would not be the most appropriate recommendation in this situation.
B. Hospice care is designed to provide comfort and support for individuals with terminal illnesses who are no longer seeking curative treatments. It focuses on improving the quality of life, pain management, and providing emotional and spiritual support for the patient and their family. This is the most appropriate referral in the context of a terminal cancer diagnosis where the patient has chosen to discontinue curative treatment.
C. Psychiatry may be helpful if the patient is experiencing significant emotional or psychological distress, but it is not the primary specialty needed for a terminal cancer patient who is opting for comfort-focused care.
D. Surgical oncology would be involved if surgery were part of the cancer treatment plan. Since the patient has chosen not to continue treatment, surgery is unlikely to be appropriate at this time.

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Correct Answer is B

Explanation

A. Monitoring urine output every two hours is not specifically required following the insertion of a permanent pacemaker. While urine output should be monitored as part of routine care, it is not directly related to the procedure.
B. Immobilizing the affected arm using a sling is a key intervention to prevent movement of the arm and ensure that the pacemaker leads are not displaced. This is important in the immediate postoperative period to reduce the risk of complications.
C. Teaching the client how to change the pacemaker dressing is typically not done immediately following insertion. The dressing is usually managed by the healthcare team in the early postoperative period until the site is sufficiently healed.
D. Arranging for ancillary personnel to feed the client is not a routine intervention following pacemaker insertion unless the client has specific limitations related to the procedure or recovery. The priority is to focus on the post-procedure care for the pacemaker.

A. using waxed dental floss B. using an alcohol based mouthwash C. soaking dentures in hydrogen peroxide D. using a soft or bristled toothbrush

Correct Answer is B

Explanation

A. Waxed dental floss is generally safe for most patients, including those receiving chemotherapy. It is important to be gentle when flossing to avoid injuring sensitive gums, which may be more prone to bleeding during chemotherapy due to reduced platelet count.

B. Alcohol-based mouthwashes should be avoided during chemotherapy because they can cause dryness and irritation to the mucous membranes in the mouth, which are already sensitive due to the side effects of chemotherapy. Alcohol can exacerbate mucositis (inflammation of the mucous lining) and increase discomfort.

C. Soaking dentures in hydrogen peroxide is generally safe for denture care, as hydrogen peroxide can be used to disinfect dentures. However, it is important to ensure that dentures are thoroughly rinsed after soaking to avoid irritation to the mouth.

D. Using a soft-bristled toothbrush is safe and recommended. A soft-bristled toothbrush is ideal for patients receiving chemotherapy, as their gums and mouth may become more sensitive. Brushing gently can help maintain oral hygiene without causing injury.

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A patient has been diagnosed with terminal cancer and has decided to not continue with treatment. The nurse would recommend a consult with which healthcare specialty?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client immediately following the insertion of a permanent pacemaker. Which intervention should be included in the plan of care?

Correct Answer is B

Explanation

The nurse is caring for a patient who has recently been diagnosed with cancer and is currently receiving their first dose of chemotherapy. Which oral hygiene practice should be avoided?

Correct Answer is B

Explanation

The nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. Which risk factor for colorectal cancer should the nurse include?

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