A patient had a mastectomy with axillary node dissection and was told she has stage IV breast cancer
The nurse would expect surveillance of which body systems as the most likely areas for metastasis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Bone
2. Liver
3. Brain
4. Lung
5. Uterus
1,2,3,4
Rationale 1: Breast cancer often metastasizes to the bone.
Rationale 2: The liver is a common site of metastasis from breast cancer.
Rationale 3: Brain metastasis is common with breast cancer.
Rationale 4: Lung metastasis is common with breast cancer.
Rationale 5: The uterus is not a common site for metastasis from breast cancer.
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A middle-aged male client suffered multiple lower leg injuries after being struck by a vehicle while cycling. The client has had external fixation applied to his left leg as part of his treatment regimen
What client education should the nurse provide to this man? A) "The most important thing is to always make sure that the weights are hanging freely." B) "Together, we'll work on ways to maximize your mobility while you have the device in place." C) "I'll teach you exercises to maintain your strength and circulation while you're restricted to bed." D) "Your fixators will feel intrusive and restrictive at first, but you'll get used to them over the next several months."
A nurse is caring for a client with anorexia nervosa. Which intervention should be included in the plan of nursing care for this client? Select all that apply
A) Grant privileges based on weight gain and treatment compliance. B) Weigh client at different times of the day to prevent manipulation. C) Keep mealtime to 30 minutes. D) Focus discussions on the issues of food, eating, weight, and exercise. E) Allow the client to select the diet. F) Supervise client for 1 hour after meals.
Which of the following is the correct mechanism of action of didanosine (Videx)?
A. Inhibits reverse transcriptase B. Inhibits HIV protease C. Inhibits viral fusion D. None of these
The nurse is teaching a colleague about pain control. The nurse determines that teaching has been effective regarding implementation of the gate control theory when the colleague identifies which appropriate interventions?
A. Oral analgesics around the clock (ATC) B. Massage C. Patient-controlled analgesia (PCA) D. Heat or cold application E. Anticipatory guidance