LATEST NUR2811 Nursing Capstone Nursing Capstone (International College of Health Sciences)

Question 1 The nurse is educating a class about the risk factors for ovarian cancer. Which statement by a participant shows the need for further teaching? Downloaded by charity nimo () lOMoARcPSD| Having endometriosis is one of the risks.=Difficulty conceiving is a risk factor.=This is a disease of young women.=Correct!Correct!Never being pregnant increases my risk.= Ovarian cancer usually strikes women who are middle age or older. Nulliparity, difficulty conceiving, and endometriosis all increase risk and are correct statements. 1 / 1 ptsQuestion 2 A client is two days post-operative from a left radical mastectomy. Which of the following actions by the unlicensed assistive personnel (UAP) would require the nurse to intervene?Elevating the left arm on a pillowChecking the amount of urine in the catheter collection bag Taking the blood pressure on the left arm Correct!Correct!Encouraging the client to squeeze a rolled washcloth Health care professionals need to avoid the arm on the side of the surgery for blood pressure measurement, injections, or blood draws. Since lymph nodes are removed, lymph drainage would be compromised. The pressure from the blood pressure cuff could promote swelling. Infection could occur with injections and blood draws. Checking urine output, elevation of the affected arm on a pillow, and encouraging beginning exercises are all safe postoperative interventions. 1 / 1 ptsQuestion 3 A nurse is preparing discharge instructions for a client after a modified radical mastectomy with two drainage tubes. Which statement by the client would warrant further teaching? Downloaded by charity nimo () lOMoARcPSD| I am glad that these tubes will fall out at home when I finally shower.=Correct!Correct!If there is a foul odor from the drainage, I will contact my primary health care provider.=I should measure the drainage each day to make sure it is less than an ounce (30 mL).=I should be careful how I lie in bed so that I will not kink the tubing.= The drainage tubes (such as a Jackson–Pratt drain) lie just under the skin but need to be removed by the health care professional in about 1 to 3 weeks at an office visit. Drainage should be less than 30 mL for three consecutive days. The client should be aware of her positioning to prevent kinking of the tubing. A foul odor from the drainage may indicate an infection; the primary health care would be contacted immediately. 1 / 1 ptsQuestion 4 What is an expected assessment finding associated with bladder cancer?Urinary incontinence Painless hematuriaCorrect!Correct!Urinary retentionDifficulty urinating The classic and most common finding in clients who have bladder cancer is painless and intermittent hematuria that can be with gross or microscopic. Dysuria, frequency, and urgency occur in clients who have bladder infection or obstruction. 1 / 1 ptsQuestion 5 A client with diabetes mellitus asks, Why do I need to make sure I maintain blood glucose levels no lower than about 60 mg/dL ?= How will the nurse explain the reasoning? Downloaded by charity nimo () lOMoARcPSD|