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The nurse writes a problem of 'anticipatory grieving' for a client diagnosed with ovarian cancer. Which nursing intervention is priority for this client?
- A. Request the HCP to order an antidepressant medication.
- B. Refer the client to a CanSurmount volunteer for counseling.
- C. Encourage the client to verbalize feelings about having cancer.
- D. Give the client an advance directive form to fill out.
Correct Answer: C
Rationale: Encouraging verbalization of feelings addresses anticipatory grieving, promoting emotional coping. Antidepressants are premature, CanSurmount is supportive but secondary, and advance directives are unrelated to grieving.
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Before taking the client to the room where the pelvic examination will be performed, which nursing action is most appropriate?
- A. Ask the client to sign a consent form.
- B. Give the client a gown to wear.
- C. Offer the client a mild analgesic.
- D. Help the client instill a vaginal lubricant.
Correct Answer: B
Rationale: Providing a gown ensures the client's privacy and comfort during the pelvic examination, which is a priority before the procedure.
The client has been diagnosed with cancer of the breast. Which referral is most important for the nurse to make?
- A. The hospital social worker.
- B. CanSurmount.
- C. Reach to Recovery.
- D. I CanCope.
Correct Answer: C
Rationale: Reach to Recovery provides peer support from breast cancer survivors, addressing emotional and practical needs post-diagnosis. Social workers, CanSurmount, and I CanCope are valuable but less specific to breast cancer support.
The client is diagnosed with left mastitis. Which assessment findings should the nurse observe?
- A. Dimpling of the left breast when the client raises the arm.
- B. A round lump in the left breast that is tender during menses.
- C. A dull pain in the left breast and tough, doughy feeling skin.
- D. Bloody discharge from the nipple and a hard palpable mass.
Correct Answer: C
Rationale: Mastitis causes dull pain and tough, doughy skin due to inflammation. Dimpling suggests cancer, cyclical lumps are fibrocystic, and bloody discharge/mass indicates malignancy.
An elderly woman is diagnosed with pelvic relaxation disorder secondary to age-related changes. Which medication should the nurse expect to administer?
- A. Estrogen, a hormone.
- B. Cervidil, a cervical ripening agent.
- C. Progesterone, a hormone.
- D. Pitocin, an oxytocic agent.
Correct Answer: A
Rationale: Estrogen strengthens pelvic tissues in postmenopausal women with pelvic relaxation. Cervidil and Pitocin are for labor, and progesterone is less effective for this condition.
When the office nurse gives the client instructions on how to prepare for the mammogram, which of the following statements offers accurate information? Select all that apply.
- A. I will perform a BSE 3 to 7 days after my period ends.
- B. Do not wear any underarm deodorant the day of the test.
- C. Wipe each breast with an antiseptic pad before the test.
- D. Do not wear constricting clothing to the test.
- E. Avoid wearing body powder the day of the test.
- F. Refrain from applying lotion to the breasts or axillae.
Correct Answer: B,E,F
Rationale: Deodorants, powders, and lotions can interfere with mammogram imaging by creating artifacts, so avoiding these on the day of the test is critical. Constricting clothing is not a concern, and antiseptic wipes are not required.