The nurse is caring for a patient who is to have a needle biopsy of a tumor in the right calf. Which patient statement indicates correct understanding of the teaching?
a. "I will need a few stitches."
b. "I will need a spinal anesthetic."
c. "The biopsy is usually taken with fluoroscopy."
d. "The biopsy will be used to determine if this is a cancerous tumor."
ANS: D
Bone or muscle tissue can be surgically extracted for microscopic examination to confirm cancer, infection (bone biopsy), inflammation, or damage (muscle biopsy). Two techniques are used to retrieve muscle tissue: a needle (closed) biopsy or an incisional (open) biopsy. A. The patient may or may not have stitches from the biopsy. B. A surgical anesthetic is not required for the biopsy. C. Fluoroscopy is not used during a muscle biopsy.
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A nine-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home
The nurse would explain that an infant is more at risk for dehydration than a school-age child because: Standard Text: Select all that apply. 1. Infants have a lower proportion of their body weight as water. 2. The percentage of extra-cellular fluid is higher in the infant than the school-age child. 3. School-age children have a larger body surface area. 4. The school-age child's kidneys are more mature and better able to conserve water. 5. The metabolic rate of the school-age child is higher.
A patient has suffered a major trauma, resulting in activation of the intrinsic and extrinsic coagulation pathways. What laboratory result would most likely interfere with normal coagulation?
A) Normal fibrin level B) Normal platelet count C) Elevated phospholipids D) Critical hypocalcemia
A woman tells her nurse she is worried about the blotchy, brownish coloring over her cheeks, nose, and forehead
The nurse can reassure her that this is a normal condition related to hor-monal change, commonly called "the mask of pregnancy," or scientifically: 1. chloasma. 2. linea nigra. 3. striae gravidarum. 4. palmar erythema.
Long-term monitoring of patients who are taking carbamazepine includes:
1. Routine troponin levels to assess for cardiac damage 2. Annual eye examinations to assess for cataract development 3. Monthly pregnancy tests for all women of childbearing age 4. Complete blood count every 3 to 4 months