A woman identifies a breast lump during self-examination. Examination by her health care provider reveals a 2-cm mass in her breast with axillary node enlargement. The presence of enlarged lymph nodes in the woman's axilla may be interpreted as:
a. Indication that the tumor cells have not spread beyond this point
b. Indication that cells have metastasized from the primary site
c. Indication that inflammation has occurred
d. The beginning of a breast abscess
ANS: B
The usual pattern of metastatic spread is the extension from the breast to the axillary nodes, the internal mammary nodes, and the supraclavicular nodes.
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The nurse is collecting data visually on a patient. Which of the following lighting environments will the nurse use to examine the patient's pupils?
a. Brightly lit room b. Slightly darkened room c. Natural lighting d. Completely darkened room
A nurse understands that the antidepressant drug paroxetine (Paxil) can be used to treat which of the following medical conditions? Select all that apply
A) Enuresis B) Depressive episodes C) Anorexia D) Obsessive-compulsive disorders E) Bulimia nervosa
Patients often respond to questions that begin with the word why by
a. sharing important and useful information. b. trying to explain or defend themselves. c. establishing a closer relationship with the nurse. d. becoming confused.
Which best describes critical pathways?
A) Determines justifiable differences among clients B) Decreases the amount of paperwork required for reimbursement C) Reduces administrative costs D) Provides a means of standardizing care for clients with similar diagnoses