Author Question: As part of the treatment regimen for the diagnosis of colon cancer, a 73-year-old client has ... (Read 93 times)

audie · **on:** Jul 11, 2018

As part of the treatment regimen for the diagnosis of colon cancer, a 73-year-old client has recently received a colostomy. What should the nurse prioritize during discussions in the early stages of patient teaching?

A) Modifications in food and fluid intake that the device necessitates
B) The lifestyle adjustments and effect on self-concept that often accompany colostomies
C) Further treatment options that exist for colon cancer
D) The importance of monitoring for signs of infection at the colostomy site

Question 2

A nurse who works on a palliative care unit has developed a strong partnership with the 77-year-old wife of a client who has recently died of lung cancer. The woman has expressed her fears around being a widow to the nurse.

How can the nurse best respond? A) You will likely find that once you are remarried the grief will subside and you will move on..
B) It's very normal to have these fears, but antidepressant medications can help immeasurably with this difficult transition..
C) Though it might not feel like it now, many women eventually find joy in new friendships and freedom after the death of a spouse..
D) It will be important, and healthy, for you to maintain roles and routines similar to before your spouse died..

wilsonbho · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
Colostomies often constitute a threat to patients' routines, self-concept, and social life, and these matters would require patient teaching and empathic discussions. It would likely be inappropriate to initiate discussion about other treatment options with the patient and changes to diet and the potential for infection are not noted to be areas for emphasis.

Answer to Question 2

C
Feedback:
Widows often find positive consequences of their status in time, often in the form of new relationships. Suggesting that the grief will subside after remarriage and encouraging the woman not to change would be inappropriate, as would specific recommendations for medication.