The client, who has a recurrence of breast cancer, questions the female nurse about treatment options. Which responses by the nurse would be appropriate? Select All That Apply.

I can arrange a conference for you and your family with the oncologist would that be okay?"

"Is there something your oncologist told you about your options you don't understand?"

"You should discuss your concerns with your oncologist I cannot give any medical advice." "know that if I had breast cancer, I would have both chemotherapy and radiation."

"Have you asked for a second opinion yet? There might be other options for treatment."

Answer and Explanation

Correct Answer : A,B,D

Oncology communication requires therapeutic communication, patient autonomy, shared decision-making, and interdisciplinary collaboration. Nurses facilitate understanding, clarify information, and support informed choices while avoiding personal bias or prescriptive advice in complex cancer treatment planning.

Rationale:

A. Arranging a conference with the oncologist supports coordinated care and ensures accurate information delivery. It facilitates patient understanding and family involvement in decision-making. This promotes interdisciplinary collaboration and enhances informed consent through direct communication with the specialist.

B. Asking about unclear information encourages the client to express concerns and promotes clarification of prior teaching. It uses open-ended communication to assess knowledge gaps. This supports therapeutic communication and improves patient understanding without introducing bias or misinformation.

C. Stating inability to give advice and then offering a personal treatment preference is inappropriate and contradictory. Personal opinions can influence decisions and violate professional boundaries. This undermines professional integrity and introduces personal bias into sensitive clinical decision-making.

D. Suggesting a second opinion is appropriate as it empowers the client to explore all treatment options. It supports autonomy and informed decision-making without directing a specific choice. This enhances patient autonomy and promotes comprehensive evaluation of treatment options.

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Correct Answer is C

Explanation

Severe malnutrition in anorexia nervosa triggers electrolyte imbalances, specifically hypokalemia and hypomagnesemia, which disrupt myocardial electrical conduction. This state of metabolic instability leads to bradycardia and lethal dysrhythmias. Physiological restoration of nutritional homeostasis is the immediate life-saving priority over psychological or family-based interventions.

Rationale:

A. Establishing a sense of control is a vital long-term psychotherapeutic objective for recovery from eating disorders. However, psychological milestones are secondary to physiological stabilization when life-threatening arrhythmias are present. The nurse must prioritize physical survival before addressing behavioral or cognitive autonomy issues.

B. Addressing body dysmorphia is essential for resolving the cognitive distortions that drive restrictive eating behaviors. Despite its importance in psychiatric rehabilitation, it does not mitigate the immediate mortality risk associated with cardiac instability. Physiological needs always take precedence over psychosocial needs in the acute clinical setting.

C. Restoring body weight is the priority to reverse myocardial atrophy and correct the biochemical deficiencies causing arrhythmias. Reaching a safe weight threshold facilitates cardiac recovery and prevents sudden death. This goal addresses the most acute threat to the client’s physical integrity and survival.

D. Enhancing family dynamics and promoting autonomy are components of systemic therapy used during the maintenance phase. While these promote long-term resilience, they do not resolve the acute starvation state or the current cardiac emergency. Clinical focus must remain on biological stabilization during the initial hospitalization phase.

Correct Answer is ["200"]

Explanation

Step 1: Identify total volume and time
Total volume = 100 mL, Time = 30 minutes = 0.5 hours

Step 2: Use the formula
mL/hour = Total volume ÷ Time (in hours)

Step 3: Insert values
= 100 ÷ 0.5

Step 4: Calculate
= 200 mL/hour

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The client, who has a recurrence of breast cancer, questions the female nurse about treatment options. Which responses by the nurse would be appropriate? Select All That Apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has anorexia nervosa and has been admitted for cardiac arrhythmias. Which client goal should the nurse identify as the priority?

Correct Answer is C

Explanation

Correct Answer is ["200"]

Explanation

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