A nurse is reviewing a patient's chart and notes that the patient has a cancerous tumor that has invaded other organs. Based on this information, at which stage is this patient's cancer classified?
A.
Stage O
B.
Stage I
C.
Stage III
D.
Stage IV
ANS: D
A stage IV cancer is one that has invaded other organs. Stage 0 is early cancer, present only in the cells in which it began. Stages I-III are more extensive, with larger tumors and spread to nearby lymph nodes or adjacent organs.
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Your patient is interested in listening to his newly diagnosed heart murmur. You tell the patient that:
A) Listening is called auscultation, is done with the diaphragm, and requires a trained ear to hear a murmur. B) Listening is called palpation and you would be glad to help him palpate the murmur. C) Heart murmurs are pathologic and may require surgery; if you would like to listen to your murmur, I can provide you with instruction. D) Listening is called auscultation and should be done with both the bell and diaphragm. If you would like to listen to your murmur, I would be glad to help you.
A child is brought to the emergency department after swallowing liquid cleanser. He is awake and alert and able to swallow. Which action should the nurse take first?
1) Administer a dose of syrup of ipecac. 2) Administer activated charcoal immediately. 3) Give water to the child immediately. 4) Call the nearest poison control center.
A client is being weaned from total parenteral nutrition to oral intake. Which of the following should the nurse assess in this client?
a. Electrolyte statuser b. Thirst c. Hung d. Muscle weakness
A patient who returns to the emergency department 2 days after being seen is feeling no better. On assessing the patient, the nurse learns that the antibiotic prescription the patient left with has not been filled
Which question or statement by the nurse would elicit the most information about this situation? a. "I'd like to know why you haven't gotten that filled." b. "Is that medicine too expensive for you to get filled?" c. "Please tell me about the type of insurance you have." d. "Why haven't you gotten that prescription filled yet?"