Nokea
The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for psychologic support, which question by the nurse will provide the most information?
- A. How long ago were you diagnosed with this cancer?'
- B. Do you have any concerns about body image changes?'
- C. Can you tell me what has been helpful to you in the past when coping with stressful events?'
- D. Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?'
Correct Answer: C
Rationale: Stage I colon cancer's early psych support hinges on coping history . Past wins reveal strengths, more than timing , body image (B less hit here), or textbook stages . Nurses in oncology dig this how they've handled stress before predicts now, guiding tailored help.
You may also like to solve these questions
Ziconotide is:
- A. Licensed for administration by the intrathecal route in Europe and North America.
- B. Associated with intrathecal granuloma formation.
- C. Contraindicated in schizophrenic patients.
- D. Likely to lead to hypogonadotropic hypogonadism during long-term infusion.
Correct Answer: A
Rationale: Ziconotide, a non-opioid analgesic, blocks N-type calcium channels intrathecally. It's licensed in Europe and North America for chronic pain (e.g., cancer, neuropathic), delivered via pumps. Unlike opioids, it doesn't form granulomas at catheter tips those are opioid-specific complications. It's contraindicated in psychosis (e.g., schizophrenia) due to neuropsychiatric side effects (confusion, hallucinations), per prescribing guidelines. Hypogonadism isn't linked; that's an opioid effect via hypothalamic suppression. Tolerance occurs, requiring dose escalation, but it's manageable. Its licensure reflects extensive trials showing efficacy and safety for refractory pain, distinguishing it as a targeted, non-addictive option in intrathecal therapy, critical for patients intolerant to opioids.
A nurse is caring for a client with a history of an abdominal aortic aneurysm. Which of the following assessment findings requires immediate intervention?
- A. Back pain
- B. Absent peripheral pulses
- C. Decreased urine output
- D. Nausea and vomiting
Correct Answer: B
Rationale: An AAA can rupture absent peripheral pulses signal dissection or clot, cutting flow, a surgical emergency needing instant action per ABCs. Back pain hints at expansion, urgent but less acute. Urine drop or nausea follows, not leads. Nurses jump on pulselessness, anticipating OR prep, a life-or-limb save in this ticking vascular bomb.
The nurse assesses a patient with non-Hodgkin's lymphoma who is receiving an infusion of rituximab (Rituxan). Which assessment finding would require the most rapid action by the nurse?
- A. Shortness of breath
- B. Shivering and chills
- C. Muscle aches and pains
- D. Temperature of 100.2°F (37.9°C)
Correct Answer: A
Rationale: Rituximab, a monoclonal antibody, can trigger anaphylaxis shortness of breath yells airway trouble, needing stat infusion halt over chills , aches , or mild fever . Nurses in oncology jump breathing trumps flu-like norms, a life-or-death call.
Which of the following is NOT an early warning symptom of hypoglycaemia?
- A. Tremors
- B. Palpitations
- C. Diaphoresis
- D. Giddiness, drowsiness
Correct Answer: D
Rationale: Hypo's early buzz tremors, palpitations, sweat, anxiety screams adrenaline, waking patients to act. Giddiness and drowsiness lag, hitting as brain sugar drops, a later neuroglycopenic fade, not the first alarm. Clinicians teach this split, pushing quick carbs at the front signs, a chronic drill to dodge the haze.
Which of the following is NOT part of the histology of non-alcoholic steatohepatitis?
- A. Fatty infiltration in liver
- B. Fibrosis of liver
- C. Inflammatory infiltrates in lobules
- D. Cirrhosis
Correct Answer: D
Rationale: NASH histology includes steatosis (fatty infiltration), lobular inflammation, and fibrosis, per pathology definitions. Mallory bodies (intracellular inclusions) are classic but not universal. Cirrhosis is an advanced NAFLD outcome, not a defining NASH feature progression, not initial histology. This distinction aids physicians in staging chronic liver disease accurately.