You are doing a presentation to a woman's group on breast cancer. They want to know more about metastatic breast cancer. Discuss metastatic breast cancer
a. What are the primary sites to which breast cancer metastasizes?
b. What is the treatment available?
c. What is the prognosis?
Students' answers should include the following:
a. Primary sites transferring to brain, liver, lungs, skeletal system, and adrenals
Spread through the blood and lymphatic system
Pain usually at new sites of metastasis
b. Treatment aims at palliative and providing time with relief of symptoms for the longest amount of time.
c. Surgery, chemotherapy, radiation, immunotherapy, and vaccines are used to manage metastasis along with pain management.
Poor prognosis when metastasized elsewhere
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A nursing instructor is teaching about the new DSM-5 diagnostic category of disruptive mood dysregulation disorder (DMDD). Which of the following information should the instructor include? (Select all that apply.)
1. Symptoms include verbal rages or physical aggression toward people or property. 2. Temper outbursts must be present in at least two settings (at home, at school, or with peers). 3. DMDD is characterized by severe recurrent temper outbursts. 4. The temper outbursts are manifested only behaviorally. 5. Symptoms of DMDD must be present for 18 or more months to meet diagnostic criteria.
Which of the following would indicate that a patient is the victim of intimate partner violence? Select all that apply
a. Vaginal/rectal bleeding b. Vague symptoms such as chronic pain c. Refusal of the patient to discuss the injury d. Multiple ecchymoses in various stages of healing e. Previous injuries for which the individual did not seek health care f. Injury is inconsistent with the patient's report of how it occurred
A newborn born by a cesarean birth is a risk for complication of which system during transition?
A) Respiratory B) Cardiovascular C) Metabolic D) Thermoregulatory
The nurse is preparing to administer a liter of fluid through a client's central line. What should the nurse do after attaching the syringe to the designated port?
1. Ask the client to cough 2. Aspirate for a blood return 3. Withdraw 20 mL of blood 4. Inject 10 mL of saline flush