The nurse is evaluating the risk for metastasis after a client is diagnosed with breast cancer. Which lymph node involvement would indicate the greatest likelihood of metastasis for this client?
1. A.
2. B.
3. C.
4. D.
Correct Answer: 2
The internal mammary nodes drain toward the abdomen and the opposite breast. Most of the lymph from the rest of the breast drains toward the axilla and subclavicular region. Therefore, cancer within the breast can spread through the lymphatic system via the subclavicular nodes, into deep channels within the chest or abdomen, and even to the opposite breast.
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An endocrinologist is providing care for a 30-year-old male who has lived with the effects of increased levels of growth hormone (GH). Which of the following teaching points about the client's future health risks is most accurate?
A) "It's not unusual for high GH levels to cause damage to your hypothalamus." B) "GH excess inhibits your pancreas from producing enough insulin." C) "The high levels of GH that circulate in your body can result in damage to your liver." D) "When your pituitary gland is enlarged, there's a real risk that you'll develop some sight deficiencies."
Cherry angiomas are a common finding in:
a. adults older than 30 years. b. newborns. c. pregnant women. d. sunbathers.
What is the set of values and beliefs held by a political party called?
a. ideology b. criminology c. theology
A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis?
a) The client sees his physician for a check-up yearly. b) The client has never traveled outside of the country. c) The client had a liver transplant 2 years ago. d) The client works in a health care insurance office.