A patient comes to the clinic after finding a lump in her breast. The lump is found to be a small, well-defined nodule in the right breast. The patient asks the nurse about her treatment options
Which treatment would be considered best for this patient?
A) Lumpectomy and radiation
B) Partial mastectomy and radiation
C) Partial mastectomy and chemotherapy
D) Total mastectomy and chemotherapy
Ans: A
Feedback: Treatment for breast cancer depends on the disease stage and type, the patient's age and menopausal status, and the disfiguring effects of the surgery. For this patient, lumpectomy is the most likely option. Lumpectomy involves a small incision with removal of the surrounding tissue and, possibly, the nearby lymph nodes. The patient usually undergoes radiation therapy afterward. In a partial mastectomy, the tumor is removed along with a wedge of normal tissue, skin, and possibly axillary lymph nodes. In a total (simple) mastectomy, the entire breast is removed.
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A patient becomes suicidal and is transferred to the locked unit of your hospital. Because this patient is actively suicidal you should:
A. Keep the patient in your line of vision at all times. B. Perform suicide assessments every half-hour. C. Inform the doctor that the patient is now in a locked area. D. Take vital signs every 15 minutes.
Parents arrive to the clinic with their 5-year-old child and inform the nurse the child has just been diagnosed with sickle cell disease. The parents ask the nurse how this could have happened and which one of them is the carrier
What is the best response by the nurse? A) "Most likely, the father is the carrier of the gene." B) "The trait is passed down through the mother." C) "The child must inherit two defective genes, one from each parent." D) "It is an acquired, not a hereditary disorder."
Congregational communities that gather in churches, cathedrals, synagogues, or mosques and acknowledge common faith traditions is/are
1. Health ministries 2. Parish nursing 3. Faith communities 4. Holistic care centers
Hypoglycemia, followed by rebound hyperglycemia, is observed in those with what?
a. The Somogyi effect b. The dawn phenomenon c. Diabetic ketoacidosis d. Hyperosmolar hyperglycemic nonketotic syndrome