The staff educator is giving a class on oncology nursing for a group of nurses new to the unit. What is the most common mechanism of metastasis of cancer cells?
A) Hematologic spread
B) Lymphatic circulation
C) Invasion
D) Angiogenisis
Ans: B
Feedback: Lymph and blood are key mechanisms by which cancer cells spread. Lymphatic spread (the transport of tumor cells through the lymphatic circulation) is the most common mechanism of metastasis.
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Which assessment by the nurse indicates that a patient who has just fallen to sleep is in stage 1 of sleep?
A) Slow rolling eye movements B) Breathing slows down C) Rapid eye movement D) Drop in blood pressure
An older client has several small vesicles with eroded centers on the lips. What is the first action for the nurse to perform?
1. Notify the healthcare provider of the lip vesicles. 2. Document the assessment findings in the medical record. 3. Teach the client to perform careful hand washing. 4. Review the client's temperatures and white blood cell count.
Which statement indicates that a client understands why his cataract surgery is being done first on the eye with the poorest vision?
a. "Insurance reimbursement dictates the timing of surgeries." b. "The eye with poorer vision is at greater risk for permanent damage." c. "The pressure in the poorer eye could in-crease, causing permanent damage." d. "If a complication arises in that eye, I will still have some vision in the better eye."
MC The nurse holds community forums to gain input in determining health needs for the community. The community input discusses nutrition education, but the nurse notices that many community members are outside smoking before entering the building
The nurse acknowledges the importance of nutrition education, but addresses the community about also incorporating smoking cessation education as part of a total lifestyle choice program. The nurse is practicing: A. Community focused nursing. B. Public health nursing. C. Population focused nursing. D. Community driven nursing.