Question
23. A 46-year-old woman was admitted for chemotherapy of stage IC ovarian cancer.On admission, she had persistent abdominal distension and pelvic pain. She has loss of appetite, nausea , vomiting, increased urinary urgency and frequency. What is the priority nursing management for this woman? (Hidar 20121 December 2019 ) A. Administering mild opioids B. Paracentesis for abdominal distention C. Patient education on catheterization D. Terminal stage symptom control 24. A six month lactating mother came to health center for family planning service. After assessing her eligibility and providing counseling,the nurse inserts jadelle in September 2012 E.C. Before the mother left the clinic, the nurse gave her a reminder card for return visit for removal purpose. What would be the most appropriate appointment date for the next visit?(Tikimt 2013/October2020) A. September 2014 B. September 2015 C. September 2016 D. September 2017
Solution
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Resposta
23. The priority nursing management for this woman would be B. Paracentesis for abdominal distention. Paracentesis is a procedure in which fluid is removed from the abdomen using a needle or a small tube. It and discomfort caused by fluid accumulation in the abdomen, such as in the case of ovarian cancer. Administering mild opioids (option A) may help manage pain, but it does not address the underlying issue of abdominal distension. Patient education (option C) may be important for long-term management, but it is not the immediate priority in this situation. Terminal stage symptom control (option D) is not appropriate at this stage of the disease process.24. The most appropriate appointment date for the next visit would be C. September 2016. Jadelle is a type of contraceptive implant that is typically left in place for 5 years. Therefore, the mother would need to return to the clinic in September 2016 for removal. Option A (September 2014) is too early, while options B (September 2015) and D (September 2017) are too late.