Gastrointestinal Cancers

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Question 1: A client asks the nurse about common risk factors for gastrointestinal cancers. How should the nurse respond?

Explanation

A) Incorrect. While a diet rich in fruits and vegetables is generally associated with lower cancer risk, it is not the only significant risk factor for gastrointestinal cancers.

B) Incorrect. While age is a factor, gastrointestinal cancers can occur in individuals of various age groups, not just older adults.

C) Correct. Genetic predisposition, along with lifestyle factors such as smoking, excessive alcohol consumption, and certain dietary choices, can increase the risk of gastrointestinal cancers.

D) Incorrect. While some infectious agents may contribute to certain types of gastrointestinal cancers, they are not the primary cause.


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Question 2: A nurse is providing education on early detection of gastrointestinal cancers. What should the nurse emphasize to the client?

Explanation

A) Correct. Regular screening tests like colonoscopy, endoscopy, and other imaging studies are crucial for early detection and diagnosis of gastrointestinal cancers.

B) Incorrect. There are effective screening methods available, and relying solely on symptoms may lead to delayed diagnosis.

C) Incorrect. While genetic testing and family history may be relevant for some individuals, they are not the primary methods for early detection of gastrointestinal cancers.

D) Incorrect. Biopsy is an important diagnostic tool, but it is not a primary screening method for gastrointestinal cancers.


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Question 3: A client diagnosed with gastrointestinal cancer expresses fear about treatment options. How should the nurse respond?

Explanation

A) Incorrect. While some individuals may choose to explore alternative therapies alongside conventional treatments, it's important not to dismiss the effectiveness of established treatments.

B) Correct. Acknowledging the client's fear and encouraging open communication with the healthcare team empowers the client to make informed decisions about their treatment plan.

C) Incorrect. Gastrointestinal cancer treatment often involves a combination of approaches, including surgery, chemotherapy, radiation, and other modalities, depending on the specific type and stage of the cancer.

D) Incorrect. Experimental treatments are not always the best option, and their success rates may vary. Conventional treatments have been extensively studied and proven effective for many individuals with gastrointestinal cancers.


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Question 4: A nurse is teaching a client about potential signs and symptoms of gastrointestinal cancer. What should the nurse include in the teaching?

Explanation

A) Incorrect. Gastrointestinal cancers can present with a wide range of symptoms, and severe abdominal pain is just one possibility. However, not all cases present with such clear signs.

B) Correct. In the early stages, gastrointestinal cancers may not cause noticeable symptoms. Regular screenings, such as colonoscopies and endoscopies

, are crucial for early detection.

C) Incorrect. Gastrointestinal cancers primarily affect the internal organs, and skin changes and rashes on the abdomen are not typical symptoms.

D) Incorrect. While weight loss and loss of appetite can be symptoms of gastrointestinal cancer, they are not the only manifestations. Other symptoms may include changes in bowel habits, blood in stool, abdominal discomfort, and more.


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Question 5: A client with a family history of gastrointestinal cancer asks the nurse about prevention strategies. How should the nurse respond?

Explanation

A) Incorrect. While genetic factors can play a role, there are proactive steps individuals can take to reduce their risk of gastrointestinal cancer, even with a family history.

B) Correct. Adopting a healthy lifestyle, including a balanced diet, regular exercise, and avoiding tobacco and excessive alcohol consumption, can help reduce the risk of gastrointestinal cancer.

C) Incorrect. While genetic testing may provide valuable information, it is just one component of an overall approach to prevention.

D) Incorrect. The effectiveness and safety of herbal supplements for preventing gastrointestinal cancer have not been conclusively established. Lifestyle factors and regular screenings are more widely accepted preventive measures.


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Question 6: A client asks the nurse about common risk factors for gastrointestinal cancers. How should the nurse respond?

Explanation

A) Incorrect. While a diet rich in fruits and vegetables is generally associated with lower cancer risk, it is not the only significant risk factor for gastrointestinal cancers.

B) Incorrect. While age is a factor, gastrointestinal cancers can occur in individuals of various age groups, not just older adults.

C) Correct. Genetic predisposition, along with lifestyle factors such as smoking, excessive alcohol consumption, and certain dietary choices, can increase the risk of gastrointestinal cancers.

D) Incorrect. While some infectious agents may contribute to certain types of gastrointestinal cancers, they are not the primary cause.


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Question 7: A nurse is providing education on early detection of gastrointestinal cancers. What should the nurse emphasize to the client?

Explanation

A) Correct. Regular screening tests like colonoscopy, endoscopy, and other imaging studies are crucial for early detection and diagnosis of gastrointestinal cancers.

B) Incorrect. There are effective screening methods available, and relying solely on symptoms may lead to delayed diagnosis.

C) Incorrect. While genetic testing and family history may be relevant for some individuals, they are not the primary methods for early detection of gastrointestinal cancers.

D) Incorrect. Biopsy is an important diagnostic tool, but it is not a primary screening method for gastrointestinal cancers.


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Question 8: A client diagnosed with gastrointestinal cancer expresses fear about treatment options. How should the nurse respond?

Explanation

A) Incorrect. While some individuals may choose to explore alternative therapies alongside conventional treatments, it's important not to dismiss the effectiveness of established treatments.

B) Correct. Acknowledging the client's fear and encouraging open communication with the healthcare team empowers the client to make informed decisions about their treatment plan.

C) Incorrect. Gastrointestinal cancer treatment often involves a combination of approaches, including surgery, chemotherapy, radiation, and other modalities, depending on the specific type and stage of the cancer.

D) Incorrect. Experimental treatments are not always the best option, and their success rates may vary. Conventional treatments have been extensively studied and proven effective for many individuals with gastrointestinal cancers.


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Question 9: A nurse is teaching a client about potential signs and symptoms of gastrointestinal cancer. What should the nurse include in the teaching?

Explanation

A) Incorrect. Gastrointestinal cancers can present with a wide range of symptoms, and severe abdominal pain is just one possibility. However, not all cases present with such clear signs.

B) Correct. In the early stages, gastrointestinal cancers may not cause noticeable symptoms. Regular screenings, such as colonoscopies and endoscopies, are crucial for early detection.

C) Incorrect. Gastrointestinal cancers primarily affect the internal organs, and skin changes and rashes on the abdomen are not typical symptoms.

D) Incorrect. While weight loss and loss of appetite can be symptoms of gastrointestinal cancer, they are not the only manifestations. Other symptoms may include changes in bowel habits, blood in stool, abdominal discomfort, and more.


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Question 10: A client with a family history of gastrointestinal cancer asks the nurse about prevention strategies. How should the nurse respond?

Explanation

A) Incorrect. While genetic factors can play a role, there are proactive steps individuals can take to reduce their risk of gastrointestinal cancer, even with a family history.

B) Correct. Adopting a healthy lifestyle, including a balanced diet, regular exercise, and avoiding tobacco and excessive alcohol consumption, can help reduce the risk of gastrointestinal cancer.

C) Incorrect. While genetic testing may provide valuable information, it is just one component of an overall approach to prevention.

D) Incorrect. The effectiveness and safety of herbal supplements for preventing gastrointestinal cancer have not been conclusively established. Lifestyle factors and regular screenings are more widely accepted preventive measures.


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Question 11: A client with a recent diagnosis of gastrointestinal cancer asks the nurse about how cancer develops. How should the nurse respond?

Explanation

A) Incorrect. While environmental factors can contribute to the development of cancer, they are not the primary cause. Genetic mutations play a significant role.

B) Correct. Gastrointestinal cancer, like other types of cancer, develops when normal cells in the gastrointestinal tract acquire genetic mutations. These mutations lead to uncontrolled cell growth and the formation of tumors.

C) Incorrect. While there can be a genetic component to some cases of gastrointestinal cancer, it is not exclusively inherited from one's parents.

D) Incorrect. While the exact cause of gastrointestinal cancer may not always be known, significant research has identified genetic mutations and other factors that contribute to its development.


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Question 12: A nurse is explaining the concept of metastasis to a client with gastrointestinal cancer. How should the nurse describe it?

Explanation

A) Incorrect. Metastasis does not refer to the initial formation of cancer, but rather the spread of cancer from its original site to other parts of the body.

B) Correct. Metastasis is the process by which cancer cells break away from the primary tumor in the gastrointestinal tract and travel through the bloodstream or lymphatic system to form new tumors in other organs or tissues.

C) Incorrect. Metastasis is not a surgical procedure; it is the spread of cancer cells.

D) Incorrect. Metastasis is not a diagnostic test but rather a stage in the progression of cancer.


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Question 13: A client asks the nurse about the role of genetics in the development of gastrointestinal cancer. How should the nurse respond?

Explanation

A) Incorrect. While lifestyle choices can contribute to the risk of gastrointestinal cancer, genetics also play a significant role.

B) Correct. Certain genetic mutations, particularly those associated with hereditary cancer syndromes, can increase an individual's risk of developing gastrointestinal cancer. This risk is heightened in individuals with a family history of the disease.

C) Incorrect. While inherited genetic abnormalities can be a factor, they are not the sole cause of gastrointestinal cancer.

D) Incorrect. Genetics can play a role in the development of gastrointestinal cancer in both children and adults, especially in cases where there is a family history or known genetic predisposition.


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Question 14: A nurse is discussing the concept of tumor suppressor genes with a client. How should the nurse explain their role in gastrointestinal cancer?

Explanation

A) Incorrect. Tumor suppressor genes have the opposite role; they inhibit the growth of tumors.

B) Correct. Tumor suppressor genes are responsible for regulating cell division and preventing the formation of tumors. When these genes are mutated, they may lose their ability to inhibit tumor growth, increasing the risk of cancer.

C) Incorrect. Tumor suppressor genes are indeed relevant to the development of gastrointestinal cancer.

D) Incorrect. This statement inaccurately describes the role of tumor suppressor genes. They are involved in preventing uncontrolled cell growth and tumor formation.


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Question 15: A client inquires about the role of inflammation in the development of gastrointestinal cancer. How should the nurse respond?

Explanation

A) Incorrect. Inflammation can be associated with the development of cancer, especially in cases of chronic inflammation.

B) Correct. Chronic inflammation in the gastrointestinal tract can lead to genetic mutations and cellular changes that increase the risk of cancer development.

C) Incorrect. Inflammation can contribute to the development of cancer, but it is not the sole cause.

D) Incorrect. Both acute and chronic inflammation can contribute to the risk of gastrointestinal cancer, but chronic inflammation is particularly relevant in this context.


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Question 16: A client with a family history of gastrointestinal cancer asks the nurse about common early signs of the disease. How should the nurse respond?

Explanation

A) Incorrect. While abdominal pain can be a symptom of gastrointestinal cancer, it may not be an early sign. Additionally, tenderness is not always present.

B) Correct. Unexplained weight loss and changes in bowel habits, such as persistent diarrhea or constipation, can be early indicators of gastrointestinal cancer.

C) Incorrect. Skin discoloration and itching are not common early signs of gastrointestinal cancer.

D) Incorrect. Fever and joint pain are not typically associated with the early presentation of gastrointestinal cancer.


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Question 17: A nurse is providing education to a client diagnosed with gastrointestinal cancer. The client asks about common symptoms that may occur as the cancer progresses. How should the nurse respond?

Explanation

A) Incorrect. Increased appetite and weight gain are not typical symptoms of advancing gastrointestinal cancer.

B) Correct. As gastrointestinal cancer progresses, it can lead to symptoms like difficulty swallowing (dysphagia) and a sensation of fullness even after consuming small amounts of food.

C) Incorrect. Progressing cancer is more likely to lead to increased fatigue and weakness, not a decrease.

D) Incorrect. Pain and discomfort may actually intensify as the cancer advances due to factors like tumor growth and potential spread.


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Question 18: A client undergoing treatment for gastrointestinal cancer asks about potential signs of complications. How should the nurse respond?

Explanation

A) Incorrect. Complications of gastrointestinal cancer treatment are more likely to lead to increased fatigue and decreased appetite.

B) Correct. Infection is a potential complication of cancer treatment, as chemotherapy and radiation therapy can suppress the immune system.

C) Incorrect. Treatment can indeed affect blood cell counts and immune function, potentially leading to complications.

D) Incorrect. Nausea and vomiting are common side effects and potential complications of gastrointestinal cancer treatment.


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Question 19: A nurse is assessing a client with advanced gastrointestinal cancer. The client reports severe abdominal pain. How should the nurse interpret this symptom?

Explanation

A) Incorrect. Severe abdominal pain can indeed be associated with advanced gastrointestinal cancer, particularly if there is tumor growth or complications.

B) Correct. Severe abdominal pain in a client with advanced gastrointestinal cancer warrants further assessment, as it could indicate tumor progression or other complications that require attention.

C) Incorrect. Abdominal pain is not a typical sign of cancer remission, especially in advanced stages.

D) Incorrect. While indigestion can cause abdominal discomfort, severe pain in a client with advanced gastrointestinal cancer should be taken seriously and assessed thoroughly.


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Question 20: A client with a history of gastrointestinal cancer asks about the possibility of the cancer returning after treatment. How should the nurse respond?

Explanation

A) Incorrect. While treatment aims to eliminate or control cancer, there is still a possibility of recurrence, depending on various factors.

B) Correct. The risk of cancer recurrence varies based on factors such as the type and stage of cancer, the effectiveness of treatment, and the individual's overall health. Regular follow-up appointments and monitoring are essential.

C) Incorrect. While a family history of cancer can be a risk factor, it is not the sole determinant of cancer recurrence.

D) Incorrect. Ongoing monitoring and follow-up appointments are crucial after completing treatment for gastrointestinal cancer to detect any signs of recurrence or complications.


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Question 21: A client with potential signs of gastrointestinal cancer asks the nurse about the initial tests that may be performed for diagnosis. How should the nurse respond?

Explanation

A) Incorrect. While a biopsy is a crucial diagnostic tool for confirming cancer, it is often performed after initial imaging and endoscopy.

B) Incorrect. Blood tests for cancer markers may be part of the diagnostic process, but they are not typically the initial test.

C) Incorrect. CT scans are valuable for providing detailed images of the gastrointestinal tract, but they may not always be the very first diagnostic test performed.

D) Correct. Endoscopy allows direct visualization of the affected area, which is often the initial step in diagnosing gastrointestinal cancer.


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Question 22: A nurse is explaining the purpose of a colonoscopy to a client suspected of having gastrointestinal cancer. What information should the nurse provide?

Explanation

A) Correct. A colonoscopy involves the insertion of a flexible tube with a camera through the rectum to visualize the colon and obtain tissue samples for biopsy.

B) Incorrect. The description provided pertains more to an ultrasound or endoscopic ultrasound (EUS) rather than a colonoscopy.

C) Incorrect. Colonoscopy primarily examines the colon, not the esophagus.

D) Incorrect. This description aligns more closely with a capsule endoscopy, where a camera is swallowed to capture images, but it does not allow for biopsy.


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Question 23: A client asks the nurse about the purpose of a barium enema in the diagnostic process for gastrointestinal cancer. How should the nurse respond?

Explanation

A) Incorrect. The description provided aligns more closely with a colonoscopy rather than a barium enema.

B) Correct. A barium enema is a radiographic examination that uses X-rays and a contrast material (barium) to provide detailed images of the colon, allowing for the detection of abnormalities.

C) Incorrect. A barium enema primarily examines the colon, not the stomach.

D) Incorrect. This description aligns more closely with a capsule endoscopy, but it does not involve a barium contrast material.


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Question 24: A nurse is discussing the purpose of an upper gastrointestinal (GI) endoscopy with a client. What information should the nurse provide?

Explanation

A) Incorrect. The description provided aligns more closely with a colonoscopy rather than an upper GI endoscopy.

B) Correct. An upper GI endoscopy involves the insertion of a thin, flexible tube with a camera through the mouth to examine the esophagus, stomach, and duodenum for abnormalities.

C) Incorrect. An upper GI endoscopy primarily focuses on the esophagus, stomach, and duodenum, not the small intestine.

D) Incorrect. This description aligns more closely with a capsule endoscopy, but it does not involve an upper GI endoscopy.


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Question 25: A client with suspected gastrointestinal cancer asks about the purpose of a CT scan. How should the nurse respond?

Explanation

A) Incorrect. The description provided aligns more closely with an ultrasound rather than a CT scan.

B) Incorrect. This description aligns more closely with a capsule endoscopy, but it does not involve a CT scan.

C) Correct. A CT scan uses X-rays to create detailed images of the internal organs, helping to identify abnormalities or tumors.

D) Incorrect. CT scans are not primarily used to assess blood flow in the gastrointestinal tract; they provide detailed anatomical images.


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Question 26: A client with gastrointestinal cancer asks the nurse about treatment options. How should the nurse respond?

Explanation

A) Correct. Surgery, chemotherapy, and radiation therapy are commonly used treatments for gastrointestinal cancer, often used in combination or sequentially.

B) Incorrect. While immunotherapy is an emerging treatment option for some types of cancer, it is not the sole primary treatment for all gastrointestinal cancers.

C) Incorrect. Alternative therapies such as herbal supplements are not considered the preferred or primary approach for treating gastrointestinal cancer.

D) Incorrect. Gastrointestinal cancer treatment often involves a multimodal approach, including surgery, chemotherapy, and sometimes radiation therapy.


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Question 27: A nurse is discussing the potential side effects of chemotherapy with a client undergoing treatment for gastrointestinal cancer. What information should the nurse provide?

Explanation

A) Correct. Common side effects of chemotherapy include nausea, vomiting, fatigue, and hair loss, among others.

B) Incorrect. Chemotherapy affects both cancer cells and normal cells, which can lead to various side effects.

C) Incorrect. It is not accurate to state that a client will not experience any side effects from chemotherapy.

D) Incorrect. While chemotherapy can affect the skin, it has a broader range of potential side effects beyond mild irritation.


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Question 28: A client asks the nurse about the role of radiation therapy in treating gastrointestinal cancer. How should the nurse respond?

Explanation

A) Incorrect. While radiation therapy is an important treatment modality, it is not the exclusive primary treatment for all types of gastrointestinal cancer.

B) Correct. Radiation therapy uses high-energy X-rays or other particles to target and destroy cancer cells.

C) Incorrect. Radiation therapy is an effective treatment option for many types of gastrointestinal cancer.

D) Incorrect. Radiation therapy may be used before or after surgery, depending on the specific circumstances of the case.


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Question 29: A nurse is discussing the importance of nutrition with a client undergoing treatment for gastrointestinal cancer. What advice should the nurse provide?

Explanation

A) Incorrect. While fiber is important for digestive health, it may need to be adjusted based on individual symptoms and treatment effects.

B) Incorrect. Fruits and vegetables are important sources of essential nutrients. Avoiding them entirely is not recommended.

C) Correct. Protein is crucial for energy levels and tissue repair, which can be especially important during cancer treatment.

D) Incorrect. A strictly liquid diet may not provide all the necessary nutrients for a client undergoing cancer treatment.


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Question 30: A client asks the nurse about the role of targeted therapy in treating gastrointestinal cancer. How should the nurse respond?

Explanation

A) Correct. Targeted therapy is a type of treatment that uses drugs to target specific molecules involved in the growth and spread of cancer cells.

B) Incorrect. Targeted therapy is used in the treatment of various types of cancer, including gastrointestinal cancer, not just breast cancer.

C) Incorrect. While immunotherapy is a different type of treatment that boosts the immune system, it is not synonymous with targeted therapy.

D) Incorrect. Targeted therapy can have a significant impact on cancer outcomes, but its effectiveness may vary depending on the specific type and stage of cancer.


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Question 31: A client with gastrointestinal cancer asks the nurse about dietary recommendations. How should the nurse respond?

Explanation

A) Incorrect. It is important for clients with gastrointestinal cancer to incorporate a variety of fruits and vegetables into their diet, as they provide essential nutrients.

B) Correct. A balanced diet with a variety of fruits, vegetables, and lean proteins supports overall health and can help the body cope with the demands of cancer treatment.

C) Incorrect. A high-fat, low-fiber diet is not typically recommended for clients with gastrointestinal cancer, as it may exacerbate certain symptoms and is not conducive to overall health.

D) Incorrect. While some clients may have dietary restrictions based on their individual treatment plan, a blanket recommendation for only liquid diets is not appropriate.


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Question 32: A nurse is caring for a client with gastrointestinal cancer who is experiencing diarrhea. What intervention should the nurse implement?

Explanation

A) Incorrect. Increasing high-fiber foods can exacerbate diarrhea in clients experiencing gastrointestinal symptoms.

B) Incorrect. While some clients may be lactose intolerant and need to limit dairy, it is not a blanket recommendation for all clients with diarrhea.

C) Correct. Offering foods that are easy to digest and low in fiber can help manage diarrhea and promote comfort for the client.

D) Incorrect. Laxatives may worsen diarrhea and are not the appropriate intervention for this situation.


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Question 33: A client with gastrointestinal cancer is experiencing fatigue. The client asks the nurse for advice on managing this symptom. How should the nurse respond?

Explanation

A) Incorrect. While exercise is important, high-intensity exercise may be too strenuous for a client experiencing fatigue.

B) Correct. Taking short, frequent rest breaks can help conserve energy and manage fatigue for clients undergoing cancer treatment.

C) Incorrect. Avoiding all physical activity is not recommended, as some gentle activity can be beneficial for managing fatigue.

D) Incorrect. Consuming large amounts of caffeine may lead to dehydration and worsen fatigue.


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Question 34: A nurse is educating a client with gastrointestinal cancer about the importance of maintaining hydration. What information should the nurse provide?

Explanation

A) Incorrect. Caffeinated beverages can lead to dehydration and are not the best choice for maintaining hydration.

B) Correct. Monitoring urine color is a practical way for clients to assess their hydration status. Pale yellow urine indicates adequate hydration.

C) Incorrect. Limiting fluid intake is not recommended for clients, especially those undergoing cancer treatment, as it can lead to dehydration.

D) Incorrect. Waiting until extreme thirst sets in is not an effective strategy for maintaining hydration.


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Question 35:

A client with gastrointestinal cancer is experiencing pain. The client asks the nurse for advice on pain management. How should the nurse respond?

Explanation

A) Incorrect. Pain should be managed according to the prescribed plan, not just when it reaches severe levels.

B) Correct. Following the prescribed pain management plan and communicating any changes in pain levels to the healthcare provider is crucial for effective pain control.

C) Incorrect. Avoiding pain medication altogether may lead to inadequate pain management, which can negatively impact the client's quality of life.

D) Incorrect. Experimenting with various over-the-counter medications without guidance from a healthcare provider can be unsafe and may not effectively address the client's pain.


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