A patient has been diagnosed with squamous cell carcinoma. The nurse knows that the primary goal of treatment in this type of cancer is which of the following?
A) Chemotherapy
B) Radiation therapy
C) Surgical excision
D) Biopsy of sample tissue
Ans: C
Feedback: The primary goal of surgical management of squamous cell carcinoma is to remove the tumor entirely. Squamous cell carcinoma is an invasive carcinoma, metastasizing by the blood or lymphatic system. Chemotherapy would not be the treatment goal. Radiation therapy is reserved for older patients because x-ray changes may be seen after 5 to 10 years, and malignant changes in scars may be induced by irradiation 15 to 30 years later. Obtaining a biopsy would not be a goal of treatment, but it may be an intervention.
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A woman in labor receives meperidine [Demerol] for pain. The nurse caring for the infant will observe the infant closely for:
a. congenital anomalies. b. excessive crying and sneezing. c. respiratory depression. d. tremors and hyperreflexia.
The health care provider has asked the nurse to prepare for an amniotomy. What is the nurse's priority action with this procedure?
a. Perform Leopold's maneuvers. b. Determine the color of the amniotic fluid. c. Assess the fetal heart rate immediately after the procedure. d. Prepare the patient for a change in her pain level after the procedure.
Your patient is complaining of acute, intense, sharp epigastric pain that radiates to the back and left scapula, with nausea and vomiting. Based on this history, your prioritized physical examina-tion should be to:
a. percuss for ascites. b. assess for rebound tenderness. c. inspect for ecchymosis of the flank. d. auscultate for abdominal bruits.
Northern European Americans value punctuality, hard work, and the acquisition of material possessions and status. A nurse should recognize that these values may contribute to which form of mental disorders?
A. Dissociative disorders B. Neurocognitive disorders C. Stress-related disorders D. Schizophrenia spectrum disorders