A woman has the BRCA mutations and has been diagnosed with a tumor of the left breast which has not responded to chemotherapy. Which of the following treatments will be most difficult for the woman?
A) More aggressive chemotherapy
B) Left mastectomy
C) Radiation therapy
D) Bilateral mastectomy
Ans: D
Feedback: Chemotherapy, left mastectomy, and radiation therapy may be difficult for the woman, but the most difficult and controversial treatment is bilateral mastectomy. Right mastectomy is considered a prophylactic mastectomy, which is a primary prevention modality. Patients who are considering prophylactic mastectomy are often faced with a very controversial and emotional decision.
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A primigravida of 28 years is admitted to the antepartum unit with a diagnosis of hyper-emesis gravidarum. Nursing care is based on the knowledge that:
a. This condition is caused by psychogenic factors. b. She should be assessed for signs of dehydration and starvation. c. The treatment is similar to that for "morning sickness." d. She should be isolated from her family.
A 6-month-old client with a severe congenital heart defect is likely to exhibit signs and symptoms of:
a. congestive heart failure c. intussusception b. hyaline membrane disease d. iron-deficiency anemia
Which action should the nurse recommend to a patient to promote living to a healthy older age?
1. Limit smoking. 2. Decrease nutritional intake. 3. Increase physical inactivity. 4. Use recommended preventive health services.
Over lunch in the cafeteria, student nurses are sharing educational information about the patients for whom they are caring. This is a(n) ____
a. Breach of beneficence b. Example of maleficence c. Potential assault and battery charge d. Violation of HIPAA