A client diagnosed with a benign brain tumor asks, "What is a gamma knife?" The nurse explains that "It is:

1. A method of providing a focused dose of radiation at your tumor.".
2. A radioactive seed or capsule implanted into the tumor.".
3. A robotic arm device that delivers multiple beams of radiation to the tumor.".
4. The traditional method of providing radiation to a tumor.".


A method of providing a focused dose of radiation at your tumor.".

Rationale: Gamma knife radiosurgery is a system that uses focused radiation in a single dose. Brachytherapy is the surgical implantation of radioactive capsules, or "seeds," directly into the tumor bed. Cyber knife radiosurgery is a radiosurgical system that consists of a robotic arm used to deliver multiple beams of radiation. To say that a gamma knife is the traditional method of providing radiation to a tumor is not accurate.

Nursing

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What are legislated minimum staffing ratios?

A) Mandated by federal law B) Required by 28 states C) Proposed to improve care D) Necessary to reduce costs

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A patient scheduled for a cesarean birth asks if there are any difficulties with breastfeeding after this type of delivery. What should the nurse include when responding to this patient?

A) Breastfeeding is not recommended after a cesarean birth. B) It is hard to find a comfortable position to hold a newborn to breastfeed. C) A comfortable position can be found to support breastfeeding the infant. D) The patient will have too much analgesia postoperatively to make breastfeeding safe.

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A patient has had left-sided lumpectomy (breast-conservation surgery) and an axillary lymph node dissection. Which nursing intervention is appropriate to delegate to a licensed practical/vocational nurse (LPN/LVN)?

a. Teaching the patient how to avoid injury to the left arm b. Assessing the patient's range of motion for the left arm c. Evaluating the patient's understanding of instructions about drain care d. Administering an analgesic 30 minutes before scheduled arm exercises

Nursing