A.B.'s prostate biopsy is positive for cancer, with a Gleason grade of 7 . He has discussed his diagnosis with

the urologist. He is now thinking about his treatment options and asks you to answer some questions.

He
was told about his Gleason grade but is not sure what this is.
What is a Gleason grade?


Cancer cells are graded according to how abnormal the cells look. Grading is from 1 to 5, with 1
being nearly normal and 5 being very abnormal. The grades from two different areas are added
together for a Gleason score. A score of 2 to 4 is a low-grade cancer, which is less aggressive, whereas
a score of 8 to 10 is an aggressive cancer and needs to be treated more aggressively. The more
aggressive the cancer, the faster it grows and spreads.

Nursing

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Clients who receive radiation to the lower neck or midchest are at risk for several complications. What complication is common?

A) Mouth blindness C) Dumping syndrome B) Esophagitis with dysphagia D) Chronic blood loss

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A young woman comes in with brief, rapid, jerky, irregular movements. They can occur at rest or during other intentional movements and involve mostly her face, head, lower arms, and hands. How would you describe these movements?

A) Tics B) Dystonia C) Athetosis D) Chorea

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Physical illness causes emotional stress

Indicate whether the statement is true or false

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Which of these, if stated by a patient, indicates to the nurse correct understanding of appropriate action to prevent AIDS-related wasting syndrome? (Select all that apply.)

a. Drink liquids before meals. b. Eat a low-residue diet. c. Eat three high-calorie, high-protein meals a day, plus snacks. d. Enjoy food odors to stimulate appetite. e. Numb painful oral sores with ice or popsicles. f. Increase consumption of caffeine-containing foods and fluids.

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