Shaniqua's patient is going for surgery to remove part of a tumor that has metastasized and is causing pain. What type of surgery is Shaniqua's patient having?
Palliative
Emergency
Diagnostic
Curative
The Correct Answer is A
A. Palliative. Palliative surgery aims to relieve symptoms or reduce the size of a tumor without curing the underlying disease. The patient is having part of the tumor removed to relieve pain.
B. Emergency. Emergency surgery is performed in response to a life-threatening situation, such as trauma or acute illness, not for a metastatic tumor causing pain.
C. Diagnostic. Diagnostic surgery is performed to obtain tissue samples for evaluation (e.g., biopsy) to determine the nature of a disease, not to remove part of a tumor.
D. Curative. Curative surgery aims to remove the entire tumor to eliminate the disease, which is not the case here since only part of the tumor is being removed for symptom relief.
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Related Questions
Correct Answer is D
Explanation
A. List the patient off the unit on the computer. Listing the patient off the unit in the computer is important for tracking, but this is not the most immediate priority when transporting the patient. Verifying the patient's identity is more crucial to prevent errors in patient care.
B. Tell the family how to get to the surgical waiting room. While it is helpful to guide the family to the surgical waiting room, the nurse's primary responsibility when the transport person arrives is to ensure the patient is correctly identified and safely transferred.
C. Assist with the transfer of the patient to the stretcher. Assisting with the transfer is important for patient safety, but the most important step is verifying the patient's identity to ensure the correct procedure is being performed.
D. Verify the patient's ID number with the medical record and transport slip. The most important task when the transport person arrives is to verify the patient's identity to prevent errors. The nurse must confirm the patient’s identity by checking the ID number against the medical record and transport slip before the patient is transferred to avoid any mistakes.
Correct Answer is C
Explanation
A. That vomiting might be an expected symptom. Vomiting can occur post-surgery, particularly if anesthesia was used, but this is not an expected or desired symptom. The education plan should focus on advising the patient about managing nausea if it occurs, rather than presenting vomiting as an expected outcome.
B. Limiting wine intake for 12 hours. Alcohol intake should be avoided after surgery, but the specific restriction may vary depending on the procedure and type of anesthesia used. The recommendation is usually to avoid alcohol for at least 24 hours, not just 12 hours. Therefore, this is not an ideal choice for the education plan.
C. Not driving or making important decisions for 24 hours. After same-day surgery, the effects of anesthesia can last for several hours, impairing the patient's cognitive and motor abilities. It is important to educate the patient to avoid driving or making significant decisions for at least 24 hours after surgery to prevent accidents and errors.
D. Reporting temperatures greater than 99°F. A temperature greater than 99°F may not be a significant concern post-surgery. Generally, a fever above 100.4°F (38°C) would be more concerning. The patient should be instructed to report a higher fever, but a temperature of 99°F alone is usually not an alarming sign.
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