Which finding should the nurse expect in a client, who is newly diagnosed with small cell lung cancer (SCLC)?
A) A well-circumscribed tumor without metastasis
B) A bronchial tumor with metastasis
C) A single-nodule in the lung periphery
D) Tumors in the bronchial wall
B) A bronchial tumor with metastasis
Explanation: A) SCLC originates in the bronchi or periphery of the lung. Because SCLC tends toward rapid growth and metastasis, this virulent form of cancer frequently has already spread to distant sites before it is identified.
B) SCLC originates in the bronchi or periphery of the lung. Because SCLC tends toward rapid growth and metastasis, this virulent form of cancer frequently has already spread to distant sites before it is identified.
C) SCLC originates in the bronchi or periphery of the lung. Because SCLC tends toward rapid growth and metastasis, this virulent form of cancer frequently has already spread to distant sites before it is identified.
D) SCLC originates in the bronchi or periphery of the lung. Because SCLC tends toward rapid growth and metastasis, this virulent form of cancer frequently has already spread to distant sites before it is identified.
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A client with bipolar disorder is being seen for a follow up appointment in the mental health clinic. The client asks the nurse why she is asked the same questions with each visit
Which of the following is the most appropriate response from the nurse? 1. "Does it bother you to have to answer the same questions with each visit?" 2. "It is important to keep your plan of care up to date. This is why you are asked the same questions at each visit." 3. "We don't share information with others because of HIPAA regulations." 4. "I will have the doctor address this question for you."
A nurse teaches a health education class to adolescent males. Which topic would be important to include?
a. The signs and symptoms of benign prostatic hyperplasia b. The dangers associated with the use and abuse of androgens c. How the pituitary gland influences sexual ability d. Application techniques for transdermal androgen patches
Nurses can avoid making inappropriate judgments about another's moral capabilities by:
a. understanding that all people have the same ethical, moral, and cultural values; they are just called by different names. b. keeping strict adherence to hospital and unit guidelines while caring for the patient and patient's family. c. understanding varying perspectives from which moral decisions are made by both the nurse and the patient. d. all of the above.
A nurse believes additional funding is necessary to support a home-delivered meal program for the elderly. The best way to share these ideas with a legislator is to:
a. Send an e-mail. b. Write a formal letter. c. Attend a town hall meeting. d. Schedule a face-to-face visit.