The client discovered a stone-hard lump during breast self-examination (BSE) that has been determined to be confined to the lobular unit without permeating the basement membrane
Rein-forcing the physician's explanation, the nurse would clarify that this type of tumor is a. intraductal carcinoma.
b. infiltrating ductal carcinoma.
c. lobular carcinoma in situ.
d. tubular carcinoma.
C
Malignant-appearing cells confined to the ductal or lobular units without permeating the base-ment membrane are considered to represent carcinoma in situ. Lobular carcinoma in situ is a solid proliferation of atypical cells expanding lobular units. Lobular carcinoma is a type of ductal carcinoma as is tubular.
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A nurse assesses a client who is being treated for hyperglycemic-hyperosmolar state (HHS). Which clinical manifestation indicates to the nurse that the therapy needs to be adjusted?
a. Serum potassium level has increased. b. Blood osmolarity has decreased. c. Glasgow Coma Scale score is unchanged. d. Urine remains negative for ketone bodies.
A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer to help others."
Which developmental task do these statements contrast? a. Trust and mistrust b. Intimacy and isolation c. Industry and inferiority d. Generativity and self-absorption
A patient is given 1 mg of dexamethasone at 11:00 PM; a plasma cortisol level recorded at 8:00 PM the next day is normal. The nurse knows that this is an indication that the patient has what condition?
a. Addison's disease b. Congenital adrenal hyperplasia c. Cushing's syndrome d. Secondary adrenal insufficiency
The nurse provides discharge teaching for a 61-year-old patient who has had a left modified radical mastectomy and lymph node dissection. Which statement by the patient indicates that teaching has been successful?
a. "I will need to use my right arm and to rest the left one." b. "I will avoid reaching over the stove with my left hand." c. "I will keep my left arm in a sling until the incision is healed." d. "I will stop the left arm exercises if moving the arm is painful."