The client is diagnosed with cancer and receives a series of chemotherapy
Following this treatment, the nurse reads the client's medical record and learns the tumor has been designated a Stage IV, T4, N3, M1 and interprets this to mean the tumor has: 1. Been reduced in size by the chemotherapy.
2. Responded to chemotherapy, but the chemotherapy needs to be continued.
3. Metastasized, and there is lymph node involvement.
4. Grown, but is limited to the original tumor.
3. Metastasized, and there is lymph node involvement.
Rationale:
T refers to the depth of invasion, N refers to the absence or presence of and extent of lymph node involvement, M refers to presence of metastasis. The numbers range from 0-4 with higher numbers indicating increased size and metastasis. Stage IV indicates metastasis.
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