For a client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client?

Correct Answer: C

Rationale: The expected outcome that would be appropriate for a client with newly diagnosed cancer experiencing anxiety related to the threat of death would be "Client uses any effective method to reduce tension." This outcome focuses on the client actively engaging in coping strategies to reduce their anxiety. It is important for the client to actively participate in managing their anxiety by utilizing various methods to promote relaxation and reduce tension. It is a more proactive and empowering goal compared to simply verbalizing feelings of anxiety or stopping seeking information. By actively using effective methods to reduce tension, the client is taking steps to improve their emotional well-being and cope with the anxiety related to the cancer diagnosis.

Correct Answer: A

Rationale: The nurse should advise the client to inform the physician immediately. Finding a lump in the breast near the nipple can be concerning as it might indicate a potential issue like breast cancer. Prompt assessment by a healthcare provider is essential for proper evaluation and timely intervention if needed. It is crucial not to delay seeking medical attention for any breast abnormalities to ensure early detection and management of any possible health conditions.

Correct Answer: C

Rationale: A malignant tumor is characterized by its ability to spread to surrounding tissues and potentially enter the bloodstream to form secondary tumors in distant organs (metastasis). In the scenario provided, the tumor in Miss OB's left breast is described as spreading all over the surrounding and adjacent tissue but specifically noted not to be entering the bloodstream. This behavior is more indicative of a benign tumor that is growing locally but is not capable of metastasis. Therefore, the tumor is best classified as benign in this case.

Correct Answer: A

Rationale: Oxygen saturation above 90% is a discharge criterion from the PACU (Post-Anesthesia Care Unit) for a patient following surgery. This indicates that the patient is effectively exchanging oxygen and carbon dioxide, which is essential for proper respiratory function. Adequate oxygenation is crucial for the patient to be safely discharged from the PACU and transitioned to a regular hospital room or home. Monitoring oxygen saturation helps ensure that the patient's respiratory status is stable before leaving the PACU. If a patient's oxygen saturation is below 90%, further assessment and interventions may be necessary before discharge is considered.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.