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 The client has become withdrawn from family members.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 C

Explanation

A. Applying pressure to injection sites helps reduce bleeding but does not directly prevent tumor lysis syndrome.
B. Monitoring telemetry is important for patients with potential cardiac issues but is not specifically related to preventing complications from tumor lysis syndrome.
C. Ensuring a high fluid intake of 3000 to 5000 mL/day helps dilute electrolytes and reduce the risk of acute kidney injury and other complications associated with tumor lysis syndrome, making this the most crucial intervention.
D. Assisting the client in ambulatory activities may support their overall well-being but does not address the prevention of tumor lysis syndrome.

A. Lesion of cranial nerve IX B. Vestibular disease C. Dysfunction of the cerebellum D. Arteriovenous malformation (AVM) at frontal lobe

Correct Answer is C

Explanation

A. A lesion of cranial nerve IX primarily affects swallowing and taste sensations rather than motor coordination or balance, so this is unlikely to explain the patient's symptoms.
B. Vestibular disease typically results in vertigo and balance issues, but the specific observations of slow alternating movements and loss of balance during the Romberg Test suggest a different underlying cause.
C. Dysfunction of the cerebellum would explain the patient's difficulties with rapid alternating movements and balance issues, as the cerebellum is responsible for coordinating motor activity and maintaining posture and balance. This aligns with the assessment findings, indicating a probable cerebellar dysfunction.
D. While an AVM in the frontal lobe could affect motor control, the specific symptoms presented, such as the inability to perform rapid movements and balance issues, are more characteristic of cerebellar dysfunction rather than a frontal lobe lesion.

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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

Which intervention is most important for the nurse to implement to prevent complications from tumor lysis syndrome during chemotherapy?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

The client recovering from an esophagogastrectomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

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