Which are the most common sites of breast cancer metastasis?
a. Kidneys
b. Bones and liver
c. Heart and blood vessels
d. Central nervous system
ANS: B
Metastasis occurs when the cancer cells spread to the vascular sites, commonly the lungs, liver, and bones. Kidney metastasis is uncommon. Metastasis to the heart and blood vessels is uncommon. The brain is one of the final areas to be reached by metastasis.
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The patient, age 30, was diagnosed with primary genital herpes when she sought care for lesions on her vulva and perineum. Which instructions should the nurse give to her?
a. "Continued use of acyclovir (Zovirax) will prevent reinfection by the virus." b. "Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present." c. "Acyclovir ointment should be applied to the lesions to increase comfort and speed healing." d. "Recurrent genital herpes is promoted by any sexual stimulation."
You are caring for a patient with hyperparathyroidism. What level of activity would you expect the physician to order?
A) Complete bed rest B) Bed rest with bathroom privileges C) Out of bed (OOB) to the chair twice a day D) Ambulation and activity, as tolerated
A client has just arrived to the Emergency Department and has sustained burns on the front and back of the right arm and leg. Using the rule of 9s, what is the body surface area percentage?
A) 27% B) 18% C) 36% D) 9%
Which is an example of data a nurse collects during a physical examination?
a. The patient's lack of hair and shiny skin over both shins b. The patient's stated concern about lack of money for prescriptions c. The patient's complaints of tingling sensations in the feet d. The patient's mother's statements that the patient is very nervous lately