A 62-year-old woman diagnosed with breast cancer is scheduled for a partial mastectomy
The oncology nurse explained that the surgeon will want to take tissue samples to ensure the disease has not spread to adjacent axillary lymph nodes. The patient has asked if she will have her lymph nodes dissected, like her mother did several years ago. What alternative to lymph node dissection will this patient most likely undergo?
A) Lymphadenectomy
B) Needle biopsy
C) Open biopsy
D) Sentinel node biopsy
Ans: D
Feedback:
Sentinel lymph node biopsy (SLNB), also known as sentinel lymph node mapping, is a minimally invasive surgical approach that, in some instances, has replaced more invasive lymph node dissections (lymphadenectomy) and their associated complications such as lymphedema and delayed healing. SLNB has been widely adopted for regional lymph node staging in selected cases of melanoma and breast cancer.
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A client is to be treated for suspected cystitis. Which of these orders should the nurse implement first?
a. Administer urinary antimicrobial medication. b. Administer urinary tract analgesics. c. Obtain a urine specimen for culture and sensitivity (C&S). d. Start an IV fluid at 100 mL/h.
The four main domains of clinical preventive services that the practitioner will provide are
A. Counseling interventions, screening tests, immunizations, and chemoprophylaxis B. Counseling intervention, screening tests, immunizations, and education C. Counseling interventions, transportation, screening tests, and immunizations D. Screening tests, brief psychotherapy, immunizations, and chemoprophylaxis
The nurse is assessing the pain of an 86-year-old man who is recovering from a right hip open reduction procedure. What element would the nurse know it is important to review to best understand the patient's pain?
A) Sleep patterns B) Family history C) Genetic history D) Elimination pattern
When patients are administered medications using the buccal route, they should be taught to alternate ________ with each dose to avoid mucosal irritation.
Fill in the blank(s) with the appropriate word(s).