A client diagnosed with early-stage breast cancer is to undergo radiation therapy along with a lumpectomy rather than mastectomy. In helping the client make her decision, the nurse would explain to the client that
a. distant recurrence is seen more often with lumpectomy.
b. effects are comparable between the two remedies.
c. radiation therapy is not needed with mastectomy.
d. radiation may cause a significant incidence of secondary malignancies.
B
The goal today is to preserve the breast, because there is no evidence that a mastectomy is more beneficial than lumpectomy plus radiation therapy.
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The nurse displays the essence of critical thinking by doing what?
1. Having all the answers 2. Accepting what is read as true 3. Asking questions 4. Sharpening intuition
The patient is immobile and has been repositioned in bed using a drawsheet. When finished, the patient is in a supported Fowler's position with the head of the bed elevated 45 degrees. Also important for positioning this patient is to:
a. support his calves with pillows. b. place a large pillow behind his head to prevent extension. c. place a pillow behind his upper back. d. avoid using pillows if the patient does not have use of the hands and arms.
For clients taking a benzodiazepine, which teaching by a nurse would be considered inaccurate?
A) "Do not eat foods containing tyramine while taking this medication." B) "Do not stop taking this medication abruptly because serious complications may arise." C) "Do not use this medication in combination with alcohol or any other central nervous system depressant." D) "Take only the dose your doctor has prescribed and for the period of time the doctor has indicated because addiction can occur."
A client is preparing to get married and move out of state. Which type of crisis would be related to the client's situation?
A) Psychiatric situational B) Developmental C) Maturational D) Situational