A client is scheduled for genetic testing for the presence of oncogenes. Which client statement would the nurse interpret an indicating that more education is needed regarding this testing?
1. "Oncogenes support the development of proto-oncogenes that initiate tumor growth."
2. "The test is looking for a factor that could be causing my cancer to grow."
3. "The results of this test may help my health care team choose which medications I should take."
4. "This test may help my health care team find out why the medication I have been taking is not killing my cancer cells."
1
Rationale 1: Mutations in proto-oncogenes result in oncogene formation.
Rationale 2: Oncogenes cause cells to continually grow and divide.
Rationale 3: Knowing which oncogenes are present would help the health care team decide which drug therapy is most likely to be successful.
Rationale 4: Oncogenes cause an increase in proto-oncogene function, resulting in the prevention of cell death.
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The health care facility demonstrates cultural sensitivity to a female Muslim patient by:
a. offering her a ham and cheese sandwich. b. providing her with a male nurse. c. providing her with a female nurse. d. offering her bacon and eggs.
Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?
a. Ask the parent to quiet the child so the nurse can listen. b. Auscultate breath sounds and chart that the child was crying. c. Encourage the child to play with the stethoscope to distract and to calm down before auscultating. d. Document that data are not available because of noncompliance.
A patient has been diagnosed with an increase in afterload and a CVP reading of 7 mmHg. What should the nurse include in this patient's plan of care?
1. Provide plasma. 2. Provide intravenous fluids. 3. Provide diuretic therapy as prescribed. 4. Encourage an increase in fluids by mouth.
A nurse asked quite a few questions about what each family member did during the day, including school, work, and recreation outside the home. What was the nurse accomplishing by asking these questions?
a. Assessing the community environment for possible community-wide problems b. Creating a picture of the family's relationships with outside agencies and resources c. Looking for topics the nurse might have in common with a family member d. Seeking an appropriate topic around which to establish rapport