A client is in the oncology clinic for a first visit since being diagnosed with cancer. The nurse reads in the client's chart that the cancer classification is TISN0M0. What does the nurse conclude about this client's cancer?
a. The primary site of the cancer cannot be determined.
b. Regional lymph nodes could not be assessed.
c. There are multiple lymph nodes involved already.
d. There are no distant metastases noted in the report.
ANS: D
TIS stands for carcinoma in situ; N0 stands for no regional lymph node metastasis; and M0 stands for no distant metastasis.
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A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient?
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Which statement by a nurse demonstrates cultural competence?
a. "Without knowledge of cultural diversity, misunderstandings arise between patient and nurse." b. "Nurses who assume care for persons of different cultures need to assume those beliefs as their own in order to give good care." c. "Women of most cultures have adopted assertive communication." d. "Traditional healing practices should not be combined with Western medicine to treat a patient."
The nurse is planning an in-service presentation about perinatal loss. Which statements should the nurse include in this presentation? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "Perinatal loss refers to third-trimester fetal death in utero." 2. "Perinatal loss occurs more frequently in assisted reproduction." 3. "Perinatal loss rates have declined in the United States over the past few years." 4. "Perinatal loss includes 25% of stillbirths occurring before the onset of labor." 5. "Perinatal loss rarely causes an emotional problem for the family."
A school nurse is performing hearing screening on school children. The nurse recognizes that distortion of sound and problems in discrimination are characteristic of which type of hearing loss?
a. Conductive b. Sensorineural c. Mixed conductive-sensorineural d. Central auditory imperceptive