Nur 271 test #3
Which information noted by the nurse reviewing the laboratory result of a patient who is receiving chemotherapy is most important report to the health care provider? a) Hemoglobin of 10g/l b) WBC of 1700/ul c) Platelet of 65,000/ul d) Serum creatinine level of 1.2mg/dl
b) WBC of 1700/ul
A nurse is assessing an older patient. What will the the nurse suspecting leukemia ask the patient to describe? Select all that apply. A. Fatigue B.An unexplained increase in energy C. Unexplained fevers D. Night Sweats
A. Fatigue C. Unexplained fevers D. Night Sweats
The nurse is performing an assessment on a 10-yr-old child suspected to have Hodgkin's disease. The nurse understands that which assessment findings are specifically characteristic of this disease? Select all that apply. 1. Abdominal pain 2. Fever and malaise 3. Anorexia and weight loss 4. Painful, enlarged inguinal lymph nodes 5. Painless, firm, and movable adenopathy in the cervical area
(1) Abdominal pain (5) Painless, firm, and movable adenopathy in the cervical area
A client receiving chemotherapy for breast cancer develops myelosuppression. Which instructions should the nurse expect in the discharge teaching? Select all that apply. 1. Avoid people who have recently received attenuated vaccines. 2. Avoid activities that may cause bleeding. 3. Wash hands frequently. 4. Increase intake of fresh fruits and vegetables. 5. Avoid crowded places such as shopping malls. 6. Treat a sore throat with OTC medications.
1. Avoid people who have recently received attenuated vaccines. 2. Avoid activities that may cause bleeding. 3. Wash hands frequently. 5. Avoid crowded places such as shopping malls.
The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan? 1. Encouraging fluids 2. Providing frequent oral care 3. Coughing and deep breathing 4. Monitoring the red blood cell count
1. Encouraging fluids
A 12 year old boy seen in the clinic, and a diagnosis of Hodgkin's disease is suspected. Which diagnostic test results confirm the diagnosis of Hodgkin's disease? A . Elevated vanillylmandelic acid urinary level. B. The presence of blast cells in the bone marrow C. The presence of Epstein-Barr virus in the blood. D. The presence of Reed-Sternberg cells in the lymph nodes
D. The presence of Reed-Sternberg cells in the lymph nodes
A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipaes that which of the following may be prescribed? SELECT ALL THAT APPLY. 1. Radiation 2. Chemotherapy 3. Increased fluid intake 4. Serum sodium levels 5. Decreased oral sodium intake 6. Medication that is antagonistic to ADH
1. Radiation 2. Chemotherapy 4. Serum sodium levels 6. Medication that is antagonistic to ADH
A client with breast cancer was admitted earlier in the day with sepsis and complaints of nausea, pain, and lethargy. She completed her third round of chemotherapy last week. A physician has just ordered IV D5 half normal saline solution at 150 ml/hr. Which notes would the nurse expect to see documented in the client's chart? Select all that apply. 1. Flushed skin. 2. Client groggy but answers questions appropriately. 3. Auscultation of lungs; Clear bilaterally. 4. Abdomen soft and non-tender. Bowel sounds present in all quadrants. 5. BP 96/50, HR 114/min, RR 22/min, T 103.2F, Urine output 150ml in the past 6 hours. 6. BUN 35, creatinine 0.4, Na 134, K 4.2, Cl 104.
1. Flushed skin. 2. Client groggy but answers questions appropriately. 5. BP 96/50, HR 114/min, RR 22/min, T 103.2F, Urine output 150ml in the past 6 hours. 6. BUN 35, creatinine 0.4, Na 134, K 4.2, Cl 104.
Age 21 year-old client undergoes bone marrow aspiration at the clinic to establish a diagnosis of possible lymphoma. Which statement made by the client demonstrates proper understanding of discharge teaching select all that apply 1. I will take Tylenol for pain 2. I do not need to inspect the puncture site 3. I will not be able to play basketball for the next two days 4. I will take aspirin if I have pain 5. I can apply an ice pack or a cold compress to the puncture site
1. I will take Tylenol for pain 3. I will not be able to play basketball for the next two days 5. I can apply an ice pack or a cold compress to the puncture site
A 42-year-old female highway construction worker is concerned about her cancer risks. She has been married for 18 years, has two children, smokes one pack of cigarettes per day, and occasionally drinks one to two beers. She is 30 lbs. overweight, eats fast food often, and rarely eats fresh fruits and vegetables. Her mother was diagnosed with breast cancer 2 years ago. Her father and an aunt both died of lung cancer. She had a basal cell carcinoma removed from her cheek 3 years earlier. What behavioral changes should the nurse instruct this client to make to decrease her risk of cancer? Select all that apply. 1. Improve nutrition. 2. Decrease alcohol consumption. 3. Use sunscreen. 4. Stop smoking. 5. Loose weight. 6. Change her job to work inside
1. Improve nutrition. 3. Use sunscreen. 4. Stop smoking. 5. Loose weight.
You are providing end of life care for a patient with terminal liver cancer. The patient is weak and restless. Her skin is cool and mottled. Dyspnea develops and the patient appears anxious and frightened. What should you do? 1. Obtain an order for morphine elixir 2. Alert the rapid response team and call the physician for orders 3. Deliver breaths at 20/min with a bag-valve mask and prepare for intubation 4. Sit quietly with the patient and offer emotional support and comfort
1. Obtain an order for morphine elixir
When assessing a client for early septic shock, the nurse should assess the client for which of the following? A. Cool, clammy skin B. Warm, flushed skin C. Increased blood pressure D. Hemorrhage
B. Warm, flushed skin
A 61 year old woman who is 5 feet 3 inches tall and weighs 125 pounds tells the nurse that she has a glass of wine two or three times a week. The patient works for the post office and has a 5 mile mail delivery route. This is her first contact with the health care system in 20 years. Which of these topics will the nurse plan to include in patient teaching about cancer? (select all that apply) a. alcohol use b. physical activity c. body weight d. colorectal screening e. tobacco use f. mammography g. Pap testing h. sunscreen use Answer: D, F, G, H
d. colorectal screening f. mammography g. Pap testing h. sunscreen use
When a blood transfusion is terminated following a reaction, the nurse must do which of the following? Select all that apply. 1. Send freshly collected urine samples to the laboratory. 2. Return the remainder of the blood component unit to the blood bank. 3. Return the intravenous administration set to the blood bank. 4. Alert Risk Management about the incident. 5. Report the incident to the Infection control Manager.
1. Send freshly collected urine samples to the laboratory. 2. Return the remainder of the blood component unit to the blood bank. 3. Return the intravenous administration set to the blood bank. 4. Alert Risk Management about the incident.
Which of the following should be included in the teaching plan for a client with cancer who is experiencing thrombocytopenia? Select all that apply. 1. Use an electric razor 2. Use a soft-bristle toothbrush 3. Avoid frequent flossing for oral care 4. Include an over the counter no steroidal anti-inflammatory (NSAID) daily for pain control. 5.Monitor temperature daily. 6.Report bleeding, such as nosebleed, petechiae, or Melena, to a healthcare professional.
1. Use an electric razor 2. Use a soft-bristle toothbrush 3. Avoid frequent flossing for oral care 6.Report bleeding, such as nosebleed, petechiae, or Melena, to a healthcare professional.
A female client who is receiving external beam radiation therapy for colon cancer asks the nurse if after the treatment she is "radioactive." The nurse should explain that: 1. "Only your urine and stool will be radioactive." 2. "You will not be radioactive at any time." 3. "You will be radioactive only during the treatment period." 4. "Although your blood is radioactive, it will not affect anyone else."
2. "You will not be radioactive at any time."
A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient? 1. A fluid bolus 2. Fluid restrictions 3. Urinalysis 4. Sodium restricted diet
2. Fluid restrictions
The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which intervention should the nurse perform immediately? 1. Reinforce the dressing 2. Notify the health care provider (HCP) 3. Document the findings and continue to monitor. 4. Circle the area of drainage and continue to monitor.
2. Notify the health care provider (HCP)
A nurse is counseling the family of a client who has terminal cancer about palliative care. The nurse explains that which of the following are goals of palliative care? Select all that apply. 1. Delays death 2. Offers support system 3. Provides relief from pain 4. Enhances the quality of life 5. Focuses only on the client, not on the family 6. Manages symptoms of disease and therapy
2. Offers support system 3. Provides relief from pain 4. Enhances the quality of life 6. Manages symptoms of disease and therapy
A client is receiving monthly doses of chemotherapy for treatment of stage III colon cancer. The nurse should report which of the following laboratory results to the oncologist before the next dose of chemotherapy is administered? Select all that apply. 1. Hemoglobin of 14.5 g/dL. 2. Platelet count of 40,000/mm3 3. Blood urea nitrogen (BUN) level of 12 mg/dL. 4. White blood cell count of 2,300/mm3. 5. Temperature of 101.2 degrees F(38.4 degrees C) 6. Urine specific gravity of 1.020.
2. Platelet count of 40,000/mm3 4. White blood cell count of 2,300/mm3. 5. Temperature of 101.2 degrees F(38.4 degrees C)
A client has undergone mastectomy. The nurse determines that the client is having the most difficulty adjusting to the loss of the breast if which behavior is observed? 1. Performs arm exercises 2. Refuses to look at the dressing 3. Reads the postoperative care booklet 4. Requests pain medication when needed
2. Refuses to look at the dressing
As part of chemotherapy education, the nurse teaches a female client about the risk for bleeding and self care during the period of greatest bone marrow suppression (the nadir). The nurse understands that further teaching is needed if the client makes which statement? 1. "I should avoid blowing my nose." 2. "I may need a platelet transfusion if my platelet count is too low." 3. "I'm going to take an aspirin for my headache as soon as I get home." 4. "I will count the number of pads and tampons I use when menstruating."
3. "I'm going to take an aspirin for my headache as soon as I get home."
A nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency? 1. Cyanosis 2. Arm Edema 3. Periorbital edema 4. Mental Status Changes
3. Periorbital edema
A client who had a modified radical mastectomy for breast cancer has the drain removed and the dressing changed by the surgeon on the third postoperative day. The client appears shocked when she sees the operative area and states, "I look horrible! Will it ever look better?" Which response by the nurse would be the most appropriate? 1. "Would you like to meet another client who had a mastectomy?" 2. "After it heals and you're dressed, you won't even know you had surgery." 3. Don't worry. You know the tumor is gone, and the area will heal very soon." 4. "You are shocked by the change in your appearance from the surgery?"
4. "You are shocked by the change in your appearance from the surgery?"
A 32-year-old woman meets with the nurse on her first office visit since undergoing a left mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following nursing interventions should the nurse explore to support the client's current needs? 1. Call the physician to discuss allowing the client to return to work earlier. 2. Suggest that the client learn relaxation techniques to help with her insomnia 3. Perform a nutritional assessment to assess for anorexia 4. Ask open-ended questions about sexuality issues related to her mastectomy
4. Ask open-ended questions about sexuality issues related to her mastectomy
Which of the following indicates hypovolemic shock in a client who had had a 15% blood loss? 1. Pulse rate less than 60bpm. 2.Respiratory rate of 4 breaths/min 3. Pupils unequally dilated 4. Systolic blood pressure less than 90 mm Hg.
4. Systolic blood pressure less than 90 mm Hg.
A 56-year-old client has lost 34 pounds since the start of chemotherapy for colon cancer. Which of the following laboratory findings should be reported to the health care provider? A. Albumin of 2.4 g/dL B. White blood cell (WBC) count 3800/mm3 C. Urine specific gravity 1.020 D. Platelet count 90,000/mm3
A. Albumin of 2.4 g/dL
Which nursing diagnosis is highest-priority for a child undergoing chemotherapy and experiencing nausea and vomiting? A. Fluid and Electrolyte Imbalance B. Alterations in Nutrition C. Alterations in Skin Integrity D. Body Image Disturbances
A. Fluid and Electrolyte Imbalance
When caring for a client with a history of benign prostatic hypertrophy (BPH), the nurse should do which of the following? Select all that apply. A. Provide privacy and time for the client to void. B. Monitor intake and output. C. Catheterize the client for post void residual urine. D. Ask the client if he has urinary retention. E. Test the urine for hematuria.
A. Provide privacy and time for the client to void. B. Monitor intake and output. D. Ask the client if he has urinary retention. E. Test the urine for hematuria.
A nurse providing teaching for skin protection to a patient undergoing radiation treatment includes? A. Using an umbrella when in direct sun exposure B. Use of a coarse bristled brush C. Leaving affected area uncovered when outdoors during the daytime D. Rubbing the skin dry with a soft towel E. Use of a belt or binding device to secure pants close to the skin
A. Using an umbrella when in direct sun exposure
The nurse is caring for a client experiencing bone cancer pain. When assessing the pain, which of the following components of the pain assessment is MOST important? A. Location of the pain B. Intensity of the pain C. Cause of the pain D. Duration of the pain E. Aggregating factors
B) Intensity of the pain
Breast self examination (BSE) is one of the ways to detect breast cancer earlier. The nurse is conducting a health teaching to female clients in a clinic. During evaluation the clients are asked to state what they learned. Which of the following statements made by a client requires further teaching about BSE? A. "BSE is done after menstruation." B. "BSE palpation is done by starting at the center and going to the periphery in a circular motion." C. "BSE can be done in either supine or standing position." D. "BSE should start from age 20"
B. "BSE palpation is done by starting at the center and going to the periphery in a circular motion."
When talking with the nurse, the brother of a client with leukemia says, "We used to play pretty rough games together. Maybe some of the bruises he got when I tackled him caused this." Which of the following would be the nurse's best response? A. "Don't feel guilty. You didn't cause your brother's illness." B. "I can see you're worried. Let's talk about how people get leukemia." C. "Here is some information about leukemia for you to read." D. "Lots of people worry about things like this. It isn't your fault."
B. "I can see you're worried. Let's talk about how people get leukemia."
During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease? A. Hypermenorrhea B. Abdominal distention C. Diarrhea D. Abnormal bleeding
B. Abdominal distention
When caring for a client with an internal radiation implant, the nurse should observe which principles? Select all that apply: A. Limiting the time with the client to 1 hour per shift B. Keeping pregnant woman out of the client's room. C. Placing the client in a private room with a private bath. D. Wearing a lead shield when performing direct patient care. E. Removing the dosimeter film badge when entering the client's room. F. Allowing individuals younger than 16 years old in the room as long as they are six feet from the client.
B. Keeping pregnant woman out of the client's room. C. Placing the client in a private room with a private bath. D. Wearing a lead shield when performing direct patient care.
The nurse teaches the client with chronic cancer pain about optimal pain control. Which of the following recommendations is most effective for pain control? A. Get used to some pain and use a little less medication than needed to keep from being addicted. B. Take prescribed analgesics on an around-the-clock schedule to prevent recurrent pain. C. Take analgesics only when pain returns D. Take enough analgesics around the clock so that you can sleep 12 to 16 hours a day to block the pain.
B. Take prescribed analgesics on an around-the-clock schedule to prevent recurrent pain.
A Client with bone metastasis has a calcium level of 20.8mg/dL. The nurse should be alert for which symptom correlating with the level? A) Hyperactivity B) Oliguria C) ECG changes D) Polyphagia
C) ECG changes
The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about the care of a urinary stoma? A. "I change my pouch every week." B. "I change the appliance in the evening" C. I empty the urinary collection bag when it is two-thirds full D. "When I'm in the shower, I direct the flow of water away from the stoma"
C. I empty the urinary collection bag when it is two-thirds full
The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care? A. Ambulation 3 times daily B. Monitoring temperature C. Monitoring the platelet count D. Monitoring for pathological fractures
C. Monitoring the platelet count
The nurse is providing care for a client with possible pancreatic cancer. Which test is the most definitive diagnostic exam for this type of cancer? A) Serum Amylase B) Pancreatic ultrasonography C) CT Scan D) ERCP with cytologies
D) ERCP with cytologies
A 68-year old client with prostate cancer who is being treated with chemotherapy has developed neutropenia. He has had a poor appetite and his wife wants to bring him food from outside of the hospital to encourage him to eat. Which of the following foods would NOT be appropriate for the client? A. French fries B. A vanilla milkshake C. A grilled cheese sandwich D. Fresh strawberries E. Cereal
D) Fresh strawberries
During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease? A. Diarrhea B. Hypermenorrhea C. Abnormal bleeding D. Abdominal distention
D. Abdominal distention
Mina, who is suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instruction to the client? A. Eat a light breakfast only B. Maintain an NPO status before the procedure C. Wear comfortable clothing and shoes for the procedure D. Drink six to eight glasses of water without voiding before the test
D. Drink six to eight glasses of water without voiding before the test
The nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign of this oncological emergency? A. Headache B. Dysphagia C. Constipation D. Electrocardiographic changes
D. Electrocardiographic changes
A client has malignant pleural effusions. The nurse should conduct a focused assessment to determine if the client has which of the following? Select all that apply. a) Chest pain. b) Weight gain. c) Dyspnea. d) Peripheral edema. e) Hiccups. f) Cough.
a) Chest pain. c) Dyspnea.
A 17-year-old client has been admitted to the hospital for a biopsy to confirm the diagnosis of bone cancer. The nurse should assess the client for which conditions? Select all that apply. a) Cough b) dypsnea c) fever d) anorexia e) decreased range of motion f) pain g) swelling
a) Cough b) dypsnea f) pain g) swelling
cardiogenic shock includes (select all that apply): a. dobutamine to increase myocardial contractility. b. vasopressors to increase systemic vascular resistance. c. circulatory assist devices such as an intraaortic balloon pump. d. corticosteroids to stabilize the cell wall in the infarcted myocardium. e. Trendelenburg positioning to facilitate venous return and increase preload.
a. dobutamine to increase myocardial contractility. c. circulatory assist devices such as an intraaortic balloon pump.
The mother of a 5-year-old child asks the nurse questions regarding the importance of vigilant use of sunscreen. Which information is most important for the nurse to convey to the mother? a.) Appropriate use of sunscreen decreases the risk of skin cancer. b.) Repeated exposure to the sun causes premature aging of the skin. c.) A child's skin is delicate, and burns easily. d.) In addition to causing skin cancer, repeated sun exposure predisposes the child to other forms of cancer.
a.) Appropriate use of sunscreen decreases the risk of skin cancer.
A Nurse is planning an education program on breast cancer for a community group of women who are of child- bearing age. The nurse plans to base the discussion on the American and Canadian Association guidelines. which of the following should the nurse plan to include in the discussion? select all that apply. a) Women should get mammograms every 3 years between the ages of 22 and 30 and then annually b)Women should begin getting annual mammograms beginning at 40 years of age c) Women between 40 and 60 years of age only need a mammogram every 5 years d)Women should obtain a mammogram after the birth of their of their first child and every 2 years after e) Women who have a family history of breast cancer should obtain their first mammogram at the of 35.
b)Women should begin getting annual mammograms beginning at 40 years of age e) Women who have a family history of breast cancer should obtain their first mammogram at the of 35.
Which statement by a patient who is scheduled for a needle biopsy of the prostate indicates that the patient understands the purpose of a biopsy? a. "The biopsy will tell the doctor whether the cancer has spread to my other organs." b. "The biopsy will help the doctor decide what treatment to use for my enlarged prostate." c. "The biopsy will determine how much longer I have to live." d. "The biopsy will indicate the effect of the cancer on my life."
b. "The biopsy will help the doctor decide what treatment to use for my enlarged prostate."
A patient who has been involved in a motor-vehicle crash is admitted to the ED with cool, clammy skin, tachycardia, and hypotension. All of these orders are written. Which one will the nurse act on first? a. Insert two 14-gauge IV catheters. b. Administer oxygen at 100% per non-rebreather mask. c. Place the patient on continuous cardiac monitor. d. Draw blood to type and crossmatch for transfusions.
b. Administer oxygen at 100% per non-rebreather mask.
A patient who is receiving chemotherapy is admitted to the hospital with acute dehydration caused by nausea and vomiting. Which action will the nurse include in the plan of care to best prevent the development of shock, systemic inflammatory response syndrome (SIRS), and multiorgan dysfunction syndrome (MODS)? a. Administer all medications through the patient's indwelling central line. b. Place the patient in a private room. c. Restrict the patient to foods that have been well-cooked or processed. d. Insert a nasogastric (NG) tube for enteral feeding.
b. Place the patient in a private room.
A client receiving radiation therapy for bladder cancer tells the nurse " I feel as if I am voiding through my vagina." The nurse interprets this condition as. a. Altered perineal sensation as a side effect of radiation therapy b. The development of a vesicovaginal fistula c. Extreme stress caused by the diagnosis of cancer d. Rupture of the bladder
b. The development of a vesicovaginal fistula
In teaching about cancer prevention to a community group, the nurse stresses promotion of exercise, normal body weight, and low-fat diet because a. most people are willing to make these changes to avoid cancer. b. dietary fat and obesity promote growth of many types of cancer. c. people who exercise and eat healthy will make other lifestyle changes. d. obesity and lack of exercise cause cancer in susceptible people.
b. dietary fat and obesity promote growth of many types of cancer.
A client has been diagnosed with sepsis. The nurse will most likely find which of the following when assessing this client:(SATA) a. Lactic acidosis. b. Mental status changes. c. Elevated temperature. d. Severe hypotension. e. Rapid shallow respirations. f. Oliguria.
c. Elevated temperature. e. Rapid shallow respirations.
While giving care to a client with an internal cervical radiation implant, the nurse finds the implant in the bed. The nurse should take which initial action? a. Pick up the implant with gloved hands and flush it down the toilet. b. Reinsert the implant into the vagina. c. Pick up the implant with long-handled forceps and place it in a lead container. d. Call the health care provider
c. Pick up the implant with long-handled forceps and place it in a lead container.
When caring for a patient with cardiogenic shock and possible MODS, which information obtained by the nurse will help confirm the diagnosis of MODS? a. The patient has crackles throughout both lung fields. b. The patient complains of 8/10 crushing chest pain. c. The patient has an elevated ammonia level and confusion. d. The patient has cool extremities and weak pedal pulses.
c. The patient has an elevated ammonia level and confusion.
A patient with hypovolemic shock has a urinary output of 15 ml/hr. The nurse understands that the compensatory physiologic mechanism that leads to altered urinary output is... a. activation of the sympathetic nervous system (SNS), causing vasodilation of the renal arteries. b. stimulation of cardiac -adrenergic receptors, leading to increased cardiac output. c. release of aldosterone and antidiuretic hormone (ADH), which cause sodium and water retention. d. movement of interstitial fluid to the intravascular space, increasing renal blood flow.
c. release of aldosterone and antidiuretic hormone (ADH), which cause sodium and water retention.
A public health nurse is teaching a class for social workers serving at-risk women from lower socioeconomic backgrounds about breast cancer prevention. A learner asks what he/she can do to better help these women on a daily basis. The nurse advises that the most effective way of helping clients is to do what? Select all that apply. a) Assist the women in finding local healthcare agencies. b) Provide information on access to health insurance. c) Educate the women on various support groups close to their homes. d) Provide education on breast cancer self exams. e) Provide information on free screening programs. ans/ rationale
d) Provide education on breast cancer self exams. e) Provide information on free screening programs. ans/ rationale
The removal of entire breast, pectoralis major and minor muscles and neck lymph nodes which is followed by skin grafting is a procedure called: a. Simple mastectomy b. Modified radical mastectomy c. Radiation therapy d. Radical mastectomy
d. Radical mastectomy
A patient with ovarian cancer tells the nurse, "I don't think my husband cares about me anymore. He rarely visits me." On one occasion when the husband was present, he told the nurse he just could not stand to see his wife so ill and never knew what to say to her. An appropriate nursing diagnosis in this situation is: a. compromised family coping related to disruption in lifestyle and role changes b. impaired home maintenance related to perceived role changes c. risk for caregiver role strain related to burdens of caregiving responsibilities d. interrupted family processes related to effect of illness on family members
d. interrupted family processes related to effect of illness on family members
