A patient diagnosed with cancer tells the nurse that he does not ...

[rlane42]

A patient diagnosed with cancer tells the nurse that he does not want to experience anymore pain. What should the nurse do to help this patient?
 
  1. Discuss pain control options.
  2. Explain that every patient with cancer has pain.
  3. Review ways to reduce pain without the use of medication.
  4. Instruct on why pain will continue throughout treatment.

Question 2

After a liver biopsy, a patient is diagnosed with anaplasia of liver cells. What would be indicated for this patient's care?
 
  1. monitoring for the development of cancer
  2. chemotherapy for liver cancer
  3. monitoring for the onset of diabetes mellitus
  4. medication to reverse the anaplastic cells

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Answer to Question 1

Correct Answer: 1
The pain associated with cancer is usually undertreated because of an inappropriate use of opioids and barriers related to healthcare provider, patient, family, institution, and society. Communication and knowledge deficit are the major barriers to effective pain management. Because of this, the nurse should discuss pain control options with the patient. Not every patient with cancer has pain. Reviewing ways to reduce pain without the use of medication may or may not be appropriate for the patient. The nurse has no way of knowing whether the patient's pain will continue throughout treatment.

Answer to Question 2

Correct Answer: 1
Anaplasia is the regression of a cell to an immature or undifferentiated cell type. Anaplastic cell division is no longer under DNA control. Anaplasia usually occurs when a damaging or transforming event takes place inside the dividing, still undifferentiated cell, leading to loss of useful function. Anaplasia may occur in response to overwhelmingly destructive conditions inside the cell or in surrounding tissue. Anaplasia is not reversible, but the degree of anaplasia determines the potential risk for cancer. The patient will most likely need careful monitoring to ensure the cells do not develop into cancer. The patient does not have cancer and would not need chemotherapy at this time. Anaplastic cells of the pancreas would increase this patient's chances of developing diabetes mellitus. Anaplastic cells cannot be reversed.

[rlane42]

Thanks for the timely response, appreciate it

[ghepp]

Excellent