The nurse is caring for a client who has been newly diagnosed with cancer. The client has become withdrawn from family members. Which strategy will the nurse use to assist the client at this time?

Request the physician order an antidepressant medication for the client

Encourage the client to verbalize feelings about the diagnosis

Explain the improved prognosis for colon cancer with new treatment

Allow the client time to reflect on the diagnosis

Answer and Explanation

The Correct Answer is B

A. Requesting antidepressant medication may be appropriate later, but it does not address the immediate need for emotional support and communication.
B. Encouraging the client to verbalize feelings about their diagnosis provides an opportunity for the client to express their concerns and emotions, fostering a therapeutic relationship and aiding in emotional processing.
C. While explaining improved prognosis can provide hope, it may minimize the client’s feelings of fear and uncertainty and could be perceived as dismissive.
D. Allowing time for reflection is important, but it should be balanced with the need for communication and support to prevent isolation.

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Correct Answer is D

Explanation

A. The prone position is not suitable post-craniotomy as it can increase intracranial pressure and may compromise respiratory function.
B. The dorsal recumbent position is not ideal for patients post-craniotomy, as it can hinder optimal intracranial pressure management.
C. The lateral recumbent position is generally avoided immediately after craniotomy to prevent pressure on the surgical site and ensure proper cerebral perfusion.
D. The Semi-Fowler's position helps reduce intracranial pressure, promotes venous drainage, and is generally recommended for post-operative care following a craniotomy.

A. History of Roux-en-Y gastric bypass surgery B. High fiber, low fat diet C. Personal history of inflammatory bowel disease D. Distant relative with colorectal cancer

Correct Answer is C

Explanation

A. A history of Roux-en-Y gastric bypass surgery is not a direct risk factor for colorectal cancer; in some cases, it may reduce risk due to weight loss and dietary changes.
B. A high fiber, low fat diet is considered protective against colorectal cancer rather than a risk factor.
C. A personal history of inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, significantly increases the risk for developing colorectal cancer due to chronic inflammation and cellular changes in the colon.
D. Having a distant relative with colorectal cancer may increase risk, but the personal history of inflammatory bowel disease is a stronger risk factor warranting emphasis in teaching.

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The nurse is caring for a client who has been newly diagnosed with cancer. The client has become withdrawn from family members. Which strategy will the nurse use to assist the client at this time?

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Naxlex Comprehensive Predictor Exams

The client has been diagnosed with a frontal lobe brain tumor and has undergone a craniotomy. What position should the nurse place the client post-operatively?

Correct Answer is D

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?

Correct Answer is C

Explanation

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