A 50-year-old woman is diagnosed with a small malignant tumor in her spine. The nurse anticipates which interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Surveillance for the primary cancer site
2. Removal of the woman's ovaries because these cancers are almost always estrogen dependent
3. Pharmacologic treatment of severe pain
4. Involvement of a multidisciplinary team in designing the patient's care
5. Surgical removal of the tumor, which will facilitate rapid recovery
1,3,4
Rationale 1: Most bone cancer diagnosed after age 30 is due to metastasis from a primary tumor in another organ system.
Rationale 2: There is no evidence that these cancers are estrogen dependent.
Rationale 3: Bone pain is typically very severe and requires pharmacological intervention.
Rationale 4: Bone cancer requires input from a multidisciplinary team to best manage the complexities of the patient's care.
Rationale 5: Surgical removal of a tumor in the spine may be very difficult or impossible. Recovery is not likely to be rapid.
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a. Stage I b. Stage II c. Stage III d. Stage IV
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