Following a colposcopy, the confirmation of in situ carcinoma of the cervix has been determined. Which comment by the client indicates an appropriate understanding of the diagnosis?
A) "I will not need any further treatment."
B) "The cancer has not spread."
C) "I will need surgery and chemotherapy to increase my odds for survival."
D) "I can wait until I have finished having babies to seek treatment."
B
Feedback:
Carcinoma in situ means the cancer has not left the original site and therefore has not invaded other tissues. Further treatment is required, which usually consists of cryosurgery or hysterectomy. Surgery with adjuvant chemotherapy is usually reserved for cancers that are more advanced. Even though cervical cancers tend to be slower growing, treatment should not be delayed.
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The student nurse is discussing her 4-year-old patient with her nursing instructor. The instructor asks her about how Erikson's Developmental Tasks have an impact on a 4-year-old child's self-concept and sexuality. What is the best response?
a. "Mike identifies with his father." b. "Mike likes to help dress himself." c. "Mike is aware that he is too small to play football." d. "Mike is looking forward to going to col-lege when he gets bigger."
At the time of admission of a client under 18 years of age, informed consent for general procedures should be obtained from which of these persons?
a. the admitting health care provider b. the client, if he or she can read and understand the general consent c. the client, if he or she is over 7 d. the legal guardian
During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed?
A) Avoid working in the garden or yard altogether. B) Wear gloves and protective clothing to avoid any injuries. C) Increase the frequency of follow-up visits if she does works. D) Avoid household chores for at least 6 to 9 months.
A client on a full liquid diet receives a milkshake from a family member. Which of the following actions would be appropriate?
1. Ask the dietitian to analyze the nutritive value of this outside source of nourishment. 2. Request the client to wait 30 minutes before consuming the milkshake so it can come to room temperature. 3. Observe and document the amount consumed. 4. Tell the client the milkshake is not permitted on his or her special diet.