As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?

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Question 1 of 5

As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?

Correct Answer: D

Rationale: The correct answer is D: Hair loss. Teens are often very concerned about their appearance, so hair loss would likely be the side effect of chemotherapy that they are most interested in. The sudden change in physical appearance can have a significant impact on their self-esteem and body image. Additionally, hair loss is a visible side effect that can make the cancer treatment more real and tangible for them. Mouth sores (A), fatigue (B), and diarrhea (C) are also common side effects of chemotherapy, but they may not be as visually impactful or emotionally distressing for teenagers as hair loss.

Question 2 of 5

Following the death of a child, one of the parents begins to falsely accuse other members of the family of blaming the child's death on the parent. This leads to family members avoiding the mentioned parent for fear of the false accusation. The parent takes this as proof that the family truly believes the accusation. This sets up a destructive cycle of family dysfunction. Which nursing diagnosis is most appropriate for this family?

Correct Answer: D

Rationale: The correct answer is D: Dysfunctional grieving related to loss of relationships. This nursing diagnosis is most appropriate because the parent's behavior following the child's death is indicative of dysfunctional grieving, as they are falsely accusing family members and experiencing a breakdown in relationships. This behavior is a maladaptive way of coping with the loss, leading to further dysfunction within the family. A: Impaired family processes related to impaired adjustment does not fully capture the specific issue of dysfunctional grieving and loss of relationships. B: Impaired adjustment related to loneliness focuses more on the individual's emotional state rather than the family dynamics and dysfunction. C: Loneliness related to fear does not address the core issue of dysfunctional grieving and the breakdown in family relationships. In summary, the parent's behavior and the resulting family dysfunction point towards dysfunctional grieving as the primary nursing diagnosis in this case.

Question 3 of 5

The preferred site for intramuscular injection in children over 7 months and adults because the area does not contain large nerves or blood vessels is the:

Correct Answer: B

Rationale: The correct answer is B: Ventrogluteal Site. This site is preferred for intramuscular injections because it has a thick muscle mass and is located away from major nerves and blood vessels, reducing the risk of injury or complications. Steps to determine the correct answer: 1. Eliminate the Dorsogluteal Site (C) due to proximity to the sciatic nerve and superior gluteal artery, increasing the risk of nerve damage or arterial puncture. 2. Eliminate the Deltoid Site (A) which has a smaller muscle mass and is closer to the radial nerve and brachial artery, posing a higher risk of nerve injury or vascular puncture. 3. Eliminate the Vastus Lateralis Site (D) as it is often used in infants and small children due to the large muscle mass, but the ventrogluteal site is preferred in older children and adults for decreased risk of nerve and vascular injury.

Question 4 of 5

The kind of laxative that acts by causing the stool to absorb water and swell is known as:

Correct Answer: A

Rationale: The correct answer is A: Bulk forming. Bulk forming laxatives work by absorbing water in the stool, increasing its bulk and softening it for easier passage. This mechanism helps to promote regular bowel movements without causing irritation or dependency. Emollient laxatives (choice B) work by softening the stool surface. Lubricant laxatives (choice C) coat the stool and intestinal walls to ease passage. Stimulant laxatives (choice D) stimulate intestinal contractions to move stool along, but do not specifically act by causing stool to absorb water.

Question 5 of 5

Which first priority when inserting an indwelling urinary catheter?

Correct Answer: A

Rationale: Correct Answer: A (Aseptic technique) Rationale: Aseptic technique is crucial to prevent infections during catheter insertion. Steps include hand hygiene, using sterile gloves, cleaning the area, and maintaining sterility throughout. Taping the catheter is important but secondary. Instilling water into the balloon or inserting the catheter to the point where urine flows are incorrect as these steps come after ensuring aseptic technique.

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