A nurse reads that a patient's breast tumor is a stage II. What should the nurse realize about this tumor?
a. It is smaller than 2 cm, with no positive lymph node involvement and no metasta-sis evident.
b. It measures between 2 and 5 cm, with no or one positive lymph node involvement and no metastasis evident.
c. It is larger than 5 cm, with no positive lymph node involvement and no metasta-sis evident.
d. It measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident.
B
A stage II tumor is between 2 and 5 cm with no or one lymph nodes positive for cancer and no metastases present. All other options are for different stages of tumors.
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The hospital has activated its incident command system (HICS) and is currently triaging patients and determining the extent of injuries and casualties. The nurse would refer calls from the media to which person?
1. The safety and security officer 2. The liaison officer 3. The public information officer 4. The incident commander
A cause for alarm during chest assessment of a newborn is:
a. crackles. b. rhonchi. c. gurgles from the gastrointestinal tract. d. stridor.
Nonmaleficence
What will be an ideal response?
An adolescent client has a long leg cast secondary to a fractured femur. Which nursing action is most appropriate in order to effectively facilitate the adolescent's return to school?
1. Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent. 2. Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen. 3. Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair accessible. 4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.