A woman has been treated for a tumor of the left breast that has not responded to chemotherapy. The woman has just found out that she has the BRCA mutations and discusses her options with her physician
What treatment would be most difficult for this woman?
A) More aggressive chemotherapy
B) Left mastectomy
C) Radiation therapy
D) Bilateral mastectomy
Ans: D
Feedback: Chemotherapy, left mastectomy, and radiation therapy may be difficult for the woman, but the most difficult and controversial treatment is bilateral mastectomy. Right mastectomy is considered a prophylactic mastectomy which is a primary prevention modality. Patients who are considering prophylactic mastectomy are often faced with a very controversial and emotion decision.
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The client reports confusion about the names of his medications. The nurse explains that the generic name of a medication is:
1. The name under which it is listed in one of the official publications. 2. The name which describes the drug constituents precisely. 3. The name given before a drug becomes official. 4. The name used by the drug manufacturer.
The nurse is preparing to assess the pain level of a small child who has just been admitted to the unit. The nurse shows the child the FACES chart and has the child describe the intensity of the pain by pointing to a face
The child tells the nurse that his "tummy" hurts. Which of the following would the nurse do next? 1. Ask the child to describe the quality of the pain. 2. Ask the parent to describe the quality of the pain. 3. Give the child a doll, and ask the child to point to the area of the pain on the doll. 4. Ask the child if the pain is sharp.
A patient is to receive 500 mL lactated Ringer solution infused at a rate of 80 mL/hr. If the IV was started at 7:00 PM, when will it be completed? _______________
a. 2:00 AM b. 1:20 PM c. 1:15 AM d. 1:00 PM
A patient has been prescribed esomeprazole (Nexium). What statement by the patient does the nurse evaluate as indicating that he or she has a good understanding of his newly prescribed drug?
A) "I should open the capsules and crush the drug into applesauce." B) "It is important that I take the drug after each meal." C) "I need to swallow the drug whole and not chew the capsules." D) "I should always take the drug with an antacid."