When preparing a female patient with bladder cancer for ...

[CQXA]

When preparing a female patient with bladder cancer for intravesical chemotherapy, the nurse will teach about
 
  a. premedicating to prevent nausea.
  b. obtaining wigs and scarves to wear.
  c. emptying the bladder before the medication.
  d. maintaining oral care during the treatments.

Question 2

A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care. The nurse identifies a nursing diagnosis of
 
  a. anxiety related to effects of procedure on lifestyle.
  b. disturbed body image related to change in function.
  c. readiness for enhanced coping related to need for information.
  d. self-care deficit, toileting, related to denial of altered body function.

[blazinlyss]

Answer to Question 1

ANS: C
The patient will be asked to empty the bladder before instillation of the chemotherapy. Systemic side effects are not usually experienced with intravesical chemotherapy.

Answer to Question 2

ANS: B
The patient's unwillingness to look at the stoma or participate in care indicates that disturbed body image is the best diagnosis. No data suggest that the impact on lifestyle is a concern for the patient. The patient does not appear to be ready for enhanced coping. The patient's insistence that only the ostomy nurse care for the stoma indicates that denial is not present.

[CQXA]

Gracias!

[Kedrick2014]

TYSM