A patient has been diagnosed with a malignancy of the head and neck. The prognosis is poor. The patient asks the nurse why the physician said that they had a poor prognosis. What would be the nurse's best response?
A) Surgery on these tumors is not very successful.
B) Surgery on these tumors is very successful.
C) The cancer is regional but we can try radiation therapy.
D) The cancer has metastasized and these tumors respond poorly to chemotherapy.
Ans: D
Feedback: Deaths from malignancies of the head and neck are primarily attributable to local-regional metastasis to the cervical lymph nodes in the neck. This often occurs by way of the lymphatics before the primary lesion has been treated. This local-regional metastasis is not amenable to surgical resection and responds poorly to chemotherapy and radiation therapy.
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A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3- 22 mEq/L. Which client condition should the nurse correlate with these results?
a. Diarrhea and vomiting for 36 hours b. Anxiety-induced hyperventilation c. Chronic obstructive pulmonary disease (COPD) d. Diabetic ketoacidosis and emphysema
A scientific structuring of the environment in order to effect behavioral changes and to improve the psychological health and functioning of the individual is defined as ________________________ therapy
Fill in the blank(s) with correct word
A nurse is reviewing the culture results of a patient receiving an aminoglycoside. The report reveals an anaerobic organism as the cause of infection. What will the nurse do?
a. Contact the provider to discuss an in-creased risk of aminoglycoside toxicity. b. Continue giving the aminoglycoside as ordered. c. Request an order for a different class of antibiotic. d. Suggest adding a penicillin to the patient's drug regimen.
While caring for a 4-year-old girl with vulvovaginitis, the nurse teaches the girl's mother how to prevent subsequent episodes. Which of the following responses by the mother indicates a need for further teaching?
A) "I'll tell her to wipe from front to back." B) "I will make sure she changes her underwear every day." C) "She should probably avoid taking bubble baths." D) "I'll help supervise her wiping after bowel movements."